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1300 Mercer Ave
Decatur, IN 46733
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| Type of Ownership | Government - County |
| Participates in Medicare? | Yes |
| Participates in Medicaid? | Yes |
| Certified Beds | 143 |
| 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
| Date of last standard health inspection: | 07/22/2011 |
| Quality Indicator Survey | No |
| Dates of Complaint Investigations: | 04/01/2011 - 03/31/2012 |
| Total number of Health Deficiencies for this nursing home: | 2 |
| Average number of Health Deficiencies in IN: | 4 |
| Average number of Health Deficiencies in US: | 3 |
| Range of Health Deficiencies in IN: | 0 - 25 |
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. | 01/01/2012 | 01/02/2012 | 2 | Few |
Resident Rights Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | 01/01/2012 | 01/02/2012 | 2 | Few |
Administration Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | 02/04/2008 | 01/05/2009 | 2 | Few |
Pharmacy Service Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | 02/04/2008 | 01/05/2009 | 1 | Some |
Quality Care Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide care by qualified persons according to each resident's written plan of care. | 02/04/2008 | 01/05/2009 | 2 | Few |
| Provide necessary care and services to maintain or improve the highest well being of each resident. | 02/04/2008 | 01/05/2009 | 2 | Few |
Resident Rights Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | 02/04/2008 | 01/05/2009 | 2 | Few |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | 02/04/2008 | 01/05/2009 | 1 | Some |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | 02/04/2008 | 01/05/2009 | 2 | Few |
Administration Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | 02/02/2007 | 02/00/2008 | 2 | Many |
| Quickly tell the resident's doctor the results of laboratory tests. | 02/02/2007 | 02/01/2008 | 2 | Few |
| Keep complete, dated laboratory records in the resident's file. | 02/02/2007 | 02/01/2008 | 2 | Few |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | 02/02/2007 | 02/01/2008 | 2 | Few |
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. | 02/02/2007 | 02/00/2008 | 2 | Few |
| Have a program that investigates, controls and keeps infection from spreading. | 02/02/2007 | 02/00/2008 | 2 | Few |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | 02/02/2007 | 02/01/2008 | 2 | Some |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | 02/02/2007 | 02/00/2008 | 2 | Few |
| Have a program that investigates, controls and keeps infection from spreading. | 02/02/2007 | 02/00/2008 | 2 | Few |
Pharmacy Service Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | 02/02/2007 | 02/00/2008 | 2 | Some |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | 02/02/2007 | 02/00/2008 | 2 | Some |
| 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. | 02/02/2007 | 02/01/2008 | 2 | Few |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | 02/02/2007 | 02/01/2008 | 2 | Few |
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. | 02/02/2007 | 02/00/2008 | 2 | Few |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | 02/02/2007 | 02/00/2008 | 2 | Few |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | 02/02/2007 | 02/01/2008 | 2 | Few |
| Provide care by qualified persons according to each resident's written plan of care. | 02/02/2007 | 02/01/2008 | 2 | Few |
| Provide necessary care and services to maintain or improve the highest well being of each resident. | 02/02/2007 | 02/01/2008 | 2 | Few |
| Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. | 02/02/2007 | 02/01/2008 | 2 | Few |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | 02/02/2007 | 02/01/2008 | 2 | Few |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | 02/02/2007 | 02/01/2008 | 2 | Few |
| Give or get specialized rehabilitative services per the patient's assessment or plan of care. | 02/02/2007 | 02/01/2008 | 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. | 02/02/2007 | 02/00/2008 | 2 | Some |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | 02/02/2007 | 02/01/2008 | 2 | Few |
| Make sure that a doctor approves a resident's admission in writing and that each resident remains under the care of a doctor. | 02/02/2007 | 02/01/2008 | 2 | Few |
| Conduct initial and periodic assessments of each resident's functional capacity. | 02/02/2007 | 02/00/2008 | 2 | Some |
Resident Rights Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | 02/02/2007 | 02/00/2008 | 2 | Few |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | 02/02/2007 | 02/01/2008 | 2 | Few |
| Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. | 02/02/2007 | 02/01/2008 | 2 | Some |
| Reasonably accommodate the needs and preferences of each resident. | 02/02/2007 | 02/01/2008 | 2 | Few |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | 02/02/2007 | 02/00/2008 | 2 | Few |
Environmental Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Have a program that investigates, controls and keeps infection from spreading. | 00/05/2003 | 00/04/2004 | 2 | Few |
Quality Care Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide care by qualified persons according to each resident's written plan of care. | 00/05/2003 | 00/04/2004 | 2 | Few |
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. | 00/05/2003 | 00/04/2004 | 2 | Few |
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 | 3 out of 5 stars |
| Total Number of Residents | 85 | 70 | 124 |
|
Total, Licensed Nurse Staff Hours per Resident per Day |
15 hours 26 minutes | 11 hours 21 minutes | 1 hour 30 minutes |
|
RN Hours per Resident per Day |
14 hours 37 minutes | 10 hours 23 minutes | 35 minutes |
|
LPN/LVN Hours per Resident per Day |
14 hours 52 minutes | 10 hours 41 minutes | 55 minutes |
|
CNA Hours per Resident per Day |
16 hours 21 minutes | 11 hours 55 minutes | 2 hours 33 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.
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.
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.
| Automatic Sprinkler Systems in all required areas | Yes |
| Date of last standard fire safety inspection: | 08/08/2011 |
| 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 |
Automatic Sprinkler Systems Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Properly working alarms on sprinkler valves. | 01/09/2009 | 01/03/2011 | 1 | Many |
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. | 01/09/2009 | 01/03/2011 | 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. | 01/09/2009 | 00/07/2012 | 2 | Many |
| Properly installed electrical wiring and equipment. | 01/09/2009 | 01/03/2011 | 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. | 01/09/2009 | 01/03/2011 | 2 | Some |
| Horizontal exits. | 01/09/2009 | 01/03/2011 | 2 | Some |
Medical Gases and Anesthetizing Areas Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Proper fire barriers, ventilation and signs for the transfilling of oxygen. | 01/09/2009 | 01/03/2011 | 2 | Some |
Fire Alarm Systems Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| A fire alarm system that can be heard throughout the facility. | 01/00/2008 | 00/03/2009 | 2 | Some |
Vertical Openings Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Proper stairway enclosures and vertical shafts. | 01/00/2008 | 00/03/2009 | 2 | Some |
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. | 00/08/2008 | 02/01/2009 | 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. | 00/08/2008 | 02/01/2009 | 2 | Some |
Illumination and Emergency Power Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Proper backup exit lighting. | 00/08/2008 | 02/01/2009 | 2 | Some |
Miscellaneous Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Other fire safety features required by fire safety codes. | 00/08/2008 | 02/01/2009 | 2 | Some |