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St Johns Home For The Aged
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1236 Lincoln Ave
Evansville, IN 47714
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0 Recommendations
Details
| Type of Ownership | Non profit - Corporation |
| Participates in Medicare? | No |
| Participates in Medicaid? | Yes |
| Certified Beds | 47 |
| Continuing Care? | No |
| Resident Council? | Yes |
| Family Council? | No |
| Multi-Home Chain? | No |
| Located in a Hospital? | No |
| Special Focus Facility? | No |
View: Health Inspections | Quality Measures | Staffing | Fire Inspections
Health Inspections
Most Recent Inspection: 06/14/2011
| Date of last standard health inspection: | 06/14/2011 |
| Quality Indicator Survey | No |
| Dates of Complaint Investigations: | 04/01/2011 - 03/31/2012 |
| Total number of Health Deficiencies for this nursing home: | 0 |
| Average number of Health Deficiencies in IN: | 4 |
| Average number of Health Deficiencies in US: | 3 |
| Range of Health Deficiencies in IN: | 0 - 25 |
Inspection, 01/04/2006
Administration Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | 01/04/2006 | 00/05/2007 | 2 | Many |
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | 01/04/2006 | 01/04/2007 | 4 | Some |
| Have a program that investigates, controls and keeps infection from spreading. | 01/04/2006 | 01/04/2007 | 2 | Some |
Nutrition and Dietary Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Store, cook, and serve food in a safe and clean way. | 01/04/2006 | 00/07/2007 | 2 | Many |
Pharmacy Service Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | 01/04/2006 | 01/04/2007 | 2 | Some |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | 01/04/2006 | 01/04/2007 | 2 | Some |
Quality Care Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure services provided by the nursing facility meet professional standards of quality. | 01/04/2006 | 00/08/2007 | 2 | Few |
| Provide care by qualified persons according to each resident's written plan of care. | 01/04/2006 | 00/08/2007 | 2 | Few |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | 01/04/2006 | 03/00/2006 | 2 | Few |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | 01/04/2006 | 00/08/2007 | 2 | Few |
| Give each resident enough fluids to keep them healthy and prevent dehydration. | 01/04/2006 | 01/04/2007 | 2 | Few |
Resident Assessment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | 01/04/2006 | 01/04/2007 | 2 | Few |
| Allow residents the right to participate in the planning or revision of care and treatment. | 01/04/2006 | 01/01/2007 | 2 | Few |
Resident Rights Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | 01/04/2006 | 03/00/2006 | 2 | Few |
Inspection, 03/00/2005
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Have a program that investigates, controls and keeps infection from spreading. | 03/00/2005 | 01/08/2006 | 2 | Few |
Mistreatment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep each resident free from physical restraints, unless needed for medical treatment. | 03/00/2005 | 01/08/2006 | 2 | Few |
| 1) Hire only people with 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. | 03/00/2005 | 01/08/2006 | 2 | Few |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | 03/00/2005 | 01/08/2006 | 2 | Few |
Nutrition and Dietary Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Store, cook, and serve food in a safe and clean way. | 03/00/2005 | 01/08/2006 | 2 | Many |
Pharmacy Service Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | 03/00/2005 | 01/08/2006 | 2 | Few |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | 03/00/2005 | 01/08/2006 | 2 | Some |
Quality Care Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide care by qualified persons according to each resident's written plan of care. | 03/00/2005 | 01/08/2006 | 2 | Some |
| Provide necessary care and services to maintain or improve the highest well being of each resident. | 03/00/2005 | 01/08/2006 | 3 | Few |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | 03/00/2005 | 01/08/2006 | 2 | Few |
Resident Assessment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Conduct initial and periodic assessments of each resident's functional capacity. | 03/00/2005 | 01/08/2006 | 2 | Few |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | 03/00/2005 | 01/08/2006 | 2 | Some |
| Allow residents the right to participate in the planning or revision of care and treatment. | 03/00/2005 | 01/08/2006 | 2 | Few |
Resident Rights Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Try to resolve each resident's complaints quickly. | 03/00/2005 | 01/08/2006 | 2 | Few |
Inspection, 02/08/2005
Environmental Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Have a program that investigates, controls and keeps infection from spreading. | 02/08/2005 | 02/06/2006 | 2 | Some |
Resident Assessment Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | 02/08/2005 | 02/06/2006 | 2 | Few |
Nursing Home Staffing
Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.
| National Average | Average in IN | Golden Living Center, Asheville | |
| RN Staff Only1 | N/A | N/A | 4 out of 5 stars |
| Total Number of Residents | 85 | 70 | 44 |
|
Total, Licensed Nurse Staff Hours per Resident per Day |
15 hours 26 minutes | 11 hours 21 minutes | 1 hour 22 minutes |
|
RN Hours per Resident per Day |
14 hours 37 minutes | 10 hours 23 minutes | 34 minutes |
|
LPN/LVN Hours per Resident per Day |
14 hours 52 minutes | 10 hours 41 minutes | 48 minutes |
|
CNA Hours per Resident per Day |
16 hours 21 minutes | 11 hours 55 minutes | 2 hours 38 minutes |
1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.
Quality Measures
Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.
Long-Term Residents
Short-Term Residents
Fire Safety Inspections
Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.
Most Recent Inspection: 06/21/2011
| Automatic Sprinkler Systems in all required areas | Yes |
| Date of last standard fire safety inspection: | 06/21/2011 |
| Dates of Complaint Investigations: | 04/01/2011 - 03/31/2012 |
| Total number of Fire Safety Deficiencies for this nursing home: | 0 |
| Average number of Fire Safety Deficiencies in IN: | 0 |
| Average number of Fire Safety Deficiencies in US: | 2 |
| Range of Fire Safety Deficiencies in IN: | 0 - 0 |
Inspection, 03/00/2006
Corridor Walls and Doors Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Corridor and hallway doors that block smoke. | 03/00/2006 | 03/00/2007 | 2 | Some |
Electrical Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Weekly inspections and monthly testing of generators. | 03/00/2006 | 03/00/2007 | 1 | Many |
Emergency Plans and Fire Drills Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Record of quarterly fire drills for each shift under varying conditions. | 03/00/2006 | 03/00/2007 | 1 | Many |
Fire Alarm Systems Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Properly maintained smoke detectors. | 03/00/2006 | 03/00/2007 | 2 | Some |
Hazardous Area Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | 03/00/2006 | 03/00/2007 | 2 | Some |
Smoke Compartmentation and Control Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | 03/00/2006 | 03/00/2007 | 2 | Some |
Inspection, 02/01/2006
Electrical Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Weekly inspections and monthly testing of generators. | 02/01/2006 | 02/01/2007 | 2 | Many |
Emergency Plans and Fire Drills Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Record of quarterly fire drills for each shift under varying conditions. | 02/01/2006 | 02/01/2007 | 2 | Many |
Inspection, 01/02/2006
Automatic Sprinkler Systems Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Automatic sprinkler systems that have been maintained in working order. | 01/02/2006 | 00/03/2008 | 2 | Some |
| Portable fire extinguishers. | 01/02/2006 | 00/03/2008 | 1 | Some |
Building Construction Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| A two-hour-resistant firewall separation. | 01/02/2006 | 00/03/2008 | 2 | Some |
Building Service Equipment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Properly protected cooking facilities. | 01/02/2006 | 00/03/2008 | 2 | Some |
Emergency Plans and Fire Drills Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| A written emergency evacuation plan. | 01/02/2006 | 00/03/2008 | 2 | Many |
| Record of quarterly fire drills for each shift under varying conditions. | 01/02/2006 | 00/03/2008 | 1 | Many |
Exits and Egress Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Exits that are accessible at all times. | 01/02/2006 | 00/03/2008 | 2 | Some |
Vertical Openings Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Protected exits that allow the resident to escape the building. | 01/02/2006 | 00/03/2008 | 2 | Some |
