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Clark Rehabilitation And Skilled Nursing Center

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517 N Little League Blvd
Clarksville, IN 47129
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Details

Type of Ownership Government - County
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 83
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: 02/24/2012

Date of last standard health inspection: 02/24/2012
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, 01/05/2011

Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give residents a notice of rights, rules, services and charges. 01/05/2011 02/03/2011 2 Some
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. 01/05/2011 02/09/2011 2 Few
Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. 01/05/2011 02/09/2011 2 Few

Inspection, 01/04/2011

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 01/04/2011 02/08/2011 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/04/2011 02/08/2011 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 01/04/2011 02/08/2011 2 Few

Inspection, 01/07/2010

Administration Deficiencies
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. 01/07/2010 01/06/2011 2 Many
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates, controls and keeps infection from spreading. 01/07/2010 01/06/2011 2 Some
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 01/07/2010 01/06/2011 2 Many
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Protect each resident from mistreatment, neglect and misappropriation of personal property. 01/07/2010 01/06/2011 2 Some
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. 01/07/2010 01/06/2011 2 Some
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. 01/07/2010 01/06/2011 2 Few
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 01/07/2010 01/06/2011 2 Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 01/07/2010 01/06/2011 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/07/2010 02/08/2011 2 Some
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 01/07/2010 02/08/2011 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep residents' personal and medical records private and confidential. 01/07/2010 01/06/2011 2 Some

Inspection, 02/09/2009

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 02/09/2009 01/02/2010 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide activities to meet the interests and needs of each resident. 02/09/2009 01/02/2010 2 Few
Resident Rights Deficiencies
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. 02/09/2009 01/02/2010 2 Few
Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. 02/09/2009 01/02/2010 2 Few

Inspection, 01/08/2009

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 01/08/2009 02/08/2011 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide medically-related social services to help each resident achieve the highest possible quality of life. 01/08/2009 01/02/2010 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/08/2009 02/08/2011 2 Few
Give the right treatment and services to residents who display physical or psychosocial problems adapting to changes in circumstances. 01/08/2009 01/02/2010 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. 01/08/2009 01/02/2010 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. 01/08/2009 01/02/2010 2 Few

Inspection, 00/09/2008

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 00/09/2008 02/00/2008 2 Few
Pharmacy Service Deficiencies
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. 00/09/2008 02/00/2008 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/09/2008 02/00/2008 2 Few

Inspection, 02/00/2007

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 02/00/2007 02/00/2008 2 Few
Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. 02/00/2007 02/00/2008 2 Some
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Maintain comfortable and safe temperature levels. 02/00/2007 02/00/2008 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/00/2007 02/00/2008 2 Few
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. 02/00/2007 02/00/2008 2 Few

Inspection, 00/01/2007

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. 00/01/2007 02/03/2007 2 Few
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 00/01/2007 02/03/2007 2 Few
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. 00/01/2007 02/03/2007 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. 00/01/2007 02/03/2007 2 Some
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Allow residents the right to participate in the planning or revision of care and treatment. 00/01/2007 02/03/2007 2 Few
Resident Rights Deficiencies
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. 00/01/2007 02/03/2007 2 Few
Provide timely notification to the resident before transfer or discharge. 00/01/2007 02/03/2007 2 Few
Tell the resident or the resident 00/01/2007 02/03/2007 2 Few

Inspection, 02/03/2006

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/03/2006 02/03/2007 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 02/03/2006 02/03/2007 3 Few

Inspection, 02/02/2006

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 02/02/2006 02/00/2008 2 Some
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates, controls and keeps infection from spreading. 02/02/2006 02/00/2008 2 Some

Inspection, 00/07/2006

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates, controls and keeps infection from spreading. 00/07/2006 00/07/2007 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. 00/07/2006 01/09/2007 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/07/2006 00/07/2007 2 Few
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 00/07/2006 00/07/2007 2 Some
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 00/07/2006 00/07/2007 2 Few
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. 00/07/2006 00/07/2007 2 Few
Have enough nurses to care for every resident in a way that maximizes the resident's well being. 00/07/2006 00/07/2007 2 Many
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Conduct initial and periodic assessments of each resident's functional capacity. 00/07/2006 00/07/2007 2 Few
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 00/07/2006 00/07/2007 2 Few
Resident Rights Deficiencies
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. 00/07/2006 00/07/2007 2 Few
Keep residents' personal and medical records private and confidential. 00/07/2006 00/07/2007 2 Some
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 00/07/2006 00/07/2007 2 Some

Inspection, 01/03/2005

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates, controls and keeps infection from spreading. 01/03/2005 00/07/2007 2 Many
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
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. 01/03/2005 01/09/2007 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. 01/03/2005 01/09/2007 2 Few
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that residents are safe from serious medication errors. 01/03/2005 00/07/2007 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. 01/03/2005 01/09/2007 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/03/2005 00/07/2007 2 Few
Resident Rights Deficiencies
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. 01/03/2005 00/07/2007 2 Few

Inspection, 02/09/2004

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Employ staff that are licensed, certified, or registered in accordance with state laws. 02/09/2004 00/07/2007 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. 02/09/2004 01/09/2007 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Conduct initial and periodic assessments of each resident's functional capacity. 02/09/2004 00/07/2007 2 Few
Make sure that doctors visit residents regularly, as required. 02/09/2004 00/07/2007 2 Few
Resident Rights Deficiencies
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. 02/09/2004 00/07/2007 2 Few

Inspection, 01/02/2004

Environmental Deficiencies
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. 01/02/2004 01/07/2005 3 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. 01/02/2004 01/07/2005 2 Few

Inspection, 01/05/2003

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 01/05/2003 01/04/2004 2 Few
Environmental Deficiencies
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. 01/05/2003 01/04/2004 3 Few

Inspection, 02/04/2002

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Post nurse staffing information/data on a daily basis. 02/04/2002 02/05/2003 1 Many
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 02/04/2002 02/04/2008 1 Many
Have a program that investigates, controls and keeps infection from spreading. 02/04/2002 01/07/2005 2 Few
Keep all essential equipment working safely. 02/04/2002 01/07/2005 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide medically-related social services to help each resident achieve the highest possible quality of life. 02/04/2002 01/07/2005 2 Few
Provide care by qualified persons according to each resident's written plan of care. 02/04/2002 01/07/2005 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/04/2002 01/07/2005 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. 02/04/2002 01/07/2005 2 Few
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. 02/04/2002 01/07/2005 2 Few
Resident Rights Deficiencies
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. 02/04/2002 01/07/2005 2 Few
Provide timely notification to the resident before transfer or discharge. 02/04/2002 01/07/2005 2 Few
Help and prepare each resident for a safe and easy discharge or transfer from the nursing home. 02/04/2002 01/07/2005 2 Few

Inspection, 01/06/2002

Environmental Deficiencies
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. 01/06/2002 00/03/2003 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Allow residents to self-administer drugs if determined safe. 01/06/2002 00/03/2003 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 2 out of 5 stars
Total Number of Residents 85 70 75
Total, Licensed Nurse Staff Hours
per Resident per Day 		15 hours 26 minutes 11 hours 21 minutes 1 hour 7 minutes
RN Hours
per Resident per Day 		14 hours 37 minutes 10 hours 23 minutes 37 minutes
LPN/LVN Hours
per Resident per Day 		14 hours 52 minutes 10 hours 41 minutes 30 minutes
CNA Hours
per Resident per Day 		16 hours 21 minutes 11 hours 55 minutes 1 hour 32 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: 03/08/2012

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 03/08/2012
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, 00/08/2007

Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 00/08/2007 02/03/2007 2 Some

Inspection, 00/08/2003

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 00/08/2003 00/06/2004 2 Some