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Fountain Circle Health And Rehabilitation
200 GLENWAY ROAD
Winchester, KY 40391
(859) 744-1800
General
Ratings
Deficiencies
Resident Stats
Staff Stats
| Certified Beds: | 179 |
| Number of Residents: | 174 |
| Percent of Occupied Beds: | 97% |
| Sprinkler Status: | Partially Sprinklered |
| Program Participation: | Medicare and Medicaid |
| Type of Ownership: | For profit - Corporation |
| Located Within a Hospital? | No |
| Multi Nursing Home Ownership? | Yes |
| Resident and Family Councils? | Resident |
| Continuing Care Retirement Community? | No |
| Quality Indicator Survey? | No |
| Special Focus Facility? | No |
| Overall: |  |
| Health Inspection: | |
| Nurse Staffing: |  |
| Quality Measures: | |
| RN Only: | |
| Date | Type | Category | Deficiency | Scope | Level of Harm | Date of Correction |
| 20080212 | Health | Quality Care Deficiencies | Give professional services that follow each resident's written care plan. | Isolated | Minimal harm or potential for actual harm | 20080401 |
| 20080212 | Health | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | Isolated | Minimal harm or potential for actual harm | 20080401 |
| 20080212 | Health | Administration Deficiencies | Give or get lab tests to meet the needs of residents. | Isolated | Minimal harm or potential for actual harm | 20080401 |
| 20080527 | Health | Environmental Deficiencies | Have a program to keep infection from spreading. | Widespread | Minimal harm or potential for actual harm | 20080710 |
| 20080527 | Health | Quality Care Deficiencies | Give professional services that meet a professional standard of quality. | Isolated | Minimal harm or potential for actual harm | 20080710 |
| 20080527 | Health | Resident Assessment Deficiencies | 1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan. | Isolated | Minimal harm or potential for actual harm | 20080710 |
| 20080819 | Health | Resident Assessment Deficiencies | 1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan. | Pattern | Minimal harm or potential for actual harm | 20090109 |
| 20080819 | Health | Quality Care Deficiencies | Give professional services that follow each resident's written care plan. | Pattern | Immediate jeopardy to resident health or safety | 20090109 |
| 20080819 | Health | Quality Care Deficiencies | Make sure that each resident's nutritional needs were met. | Isolated | Immediate jeopardy to resident health or safety | 20080905 |
| 20080819 | Health | Quality Care Deficiencies | Give each resident enough fluids to keep them healthy and prevent dehydration. | Pattern | Immediate jeopardy to resident health or safety | 20090109 |
| 20080819 | Health | Resident Rights Deficiencies | Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. | Isolated | Immediate jeopardy to resident health or safety | 20080905 |
| 20080819 | Health | Administration Deficiencies | Be administered in a way that leads to the highest possible level of well being for each resident. | Isolated | Immediate jeopardy to resident health or safety | 20090130 |
| 20080819 | Health | Administration Deficiencies | Set up or keep a group of people to review and ensure quality. | Isolated | Immediate jeopardy to resident health or safety | 20090130 |
| 20081030 | Health | Administration Deficiencies | Set up or keep a group of people to review and ensure quality. | Pattern | Immediate jeopardy to resident health or safety | 20090130 |
| 20081030 | Health | Quality Care Deficiencies | Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Isolated | Immediate jeopardy to resident health or safety | 20081107 |
| 20081030 | Health | Administration Deficiencies | Be administered in a way that leads to the highest possible level of well being for each resident. | Pattern | Immediate jeopardy to resident health or safety | 20081107 |
| 20081030 | Health | Administration Deficiencies | Keep accurate and appropriate medical records. | Isolated | Minimal harm or potential for actual harm | 20090109 |
| 20081030 | Health | Resident Rights Deficiencies | Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. | Pattern | Immediate jeopardy to resident health or safety | 20081107 |
| 20081030 | Health | Quality Care Deficiencies | Give each resident enough fluids to keep them healthy and prevent dehydration. | Pattern | Immediate jeopardy to resident health or safety | 20090109 |
| 20081030 | Health | Quality Care Deficiencies | Give professional services that meet a professional standard of quality. | Isolated | Minimal harm or potential for actual harm | 20090109 |
| 20081030 | Health | Resident Assessment Deficiencies | 1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan. | Isolated | Minimal harm or potential for actual harm | 20090109 |
| 20090109 | Health | Mistreatment Deficiencies | Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | Pattern | Minimal harm or potential for actual harm | 20090130 |
| 20090109 | Health | Mistreatment Deficiencies | 1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Pattern | Minimal harm or potential for actual harm | 20090130 |
| 20090109 | Health | Pharmacy Service Deficiencies | Properly mark drugs and other similar products. | Isolated | Immediate jeopardy to resident health or safety | 20090130 |
| 20090109 | Health | Administration Deficiencies | Be administered in a way that leads to the highest possible level of well being for each resident. | Widespread | Immediate jeopardy to resident health or safety | 20090130 |
| 20090109 | Health | Pharmacy Service Deficiencies | Make sure that residents are safe from serious medication errors. | Widespread | Immediate jeopardy to resident health or safety | 20090130 |
| 20090109 | Health | Quality Care Deficiencies | Give or get emergency care by a doctor 24 hours a day. | Isolated | Minimal harm or potential for actual harm | 20090130 |
| 20090109 | Health | Pharmacy Service Deficiencies | Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. | Widespread | Immediate jeopardy to resident health or safety | 20090130 |
| 20090109 | Health | Administration Deficiencies | Give or get lab tests to meet the needs of residents. | Isolated | Minimal harm or potential for actual harm | 20090130 |
| 20090109 | Health | Administration Deficiencies | Set up or keep a group of people to review and ensure quality. | Widespread | Immediate jeopardy to resident health or safety | 20090130 |
| 20090408 | Health | Mistreatment Deficiencies | Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | Isolated | Minimal harm or potential for actual harm | 20090504 |
| 20090408 | Health | Mistreatment Deficiencies | 1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Isolated | Minimal harm or potential for actual harm | 20090504 |
| 20090511 | Health | Quality Care Deficiencies | Give professional services that meet a professional standard of quality. | Isolated | Minimal harm or potential for actual harm | 20090528 |
| 20091210 | Health | Pharmacy Service Deficiencies | Properly mark drugs and other similar products. | Isolated | Minimal harm or potential for actual harm | 20091211 |
| 20100311 | Health | Administration Deficiencies | Keep accurate and appropriate medical records. | Isolated | Minimal harm or potential for actual harm | 20100403 |
| 20100311 | Health | Quality Care Deficiencies | Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Isolated | Minimal harm or potential for actual harm | 20100403 |
| 20100311 | Health | Resident Assessment Deficiencies | 1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan. | Isolated | Minimal harm or potential for actual harm | 20100403 |
| Value | Notes | |
| Percent of long-stay residents given influenza vaccination during the flu season: | 96 | |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination: | 98 | |
| Percent of long-stay residents whose need for help with daily activities has increased: | 21 | |
| Percent of long-stay residents who have moderate to severe pain: | 2 | |
| Percent of high-risk long-stay residents who have pressure sores: | 11 | |
| Percent of low-risk long-stay residents who have pressure sores: | 2 | |
| Percent of long-stay residents who were physically restrained: | 4 | |
| Percent of long-stay residents who are more depressed or anxious: | 15 | |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder: | 48 | |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder: | 6 | |
| Percent of long-stay residents who spend most of their time in bed or in a chair: | 9 | |
| Percent of long-stay residents whose ability to move about in and around their room got worse: | 13 | |
| Percent of long-stay residents who had a urinary tract infection: | 8 | |
| Percent of long-stay residents who lose too much weight: | 7 | |
| Percent of short-stay residents given influenza vaccination during the flu season: | 90 | |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination: | 95 | |
| Percent of short-stay residents who have delirium: | 0 | |
| Percent of short-stay residents who had moderate to severe pain: | 11 | |
| Percent of short-stay residents who have pressure sores: | 14 | |
| # of Residents: | 174 |
| # RN Hours per Resident: | 0.61 |
| # LPN Hours per Resident: | 0.87 |
| # CNA Hours per Resident: | 2.09 |
| Total Staff Hours per Resident: | 1.48 |
