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Beech Grove Meadows

Details

Type of Ownership Government - County
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 132
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: 08/01/2011

Date of last standard health inspection: 08/01/2011
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: 3
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in IN: 0 - 25

Inspection, 00/01/2011

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate 00/01/2011 02/08/2011 Few complete and organized clinical records on each re
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. 00/01/2011 02/08/2011 2 Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 00/01/2011 02/08/2011 2 Few

Inspection, 02/06/2009

Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with no legal history of abusing 02/06/2009 02/04/2010 neglect or mistreatment of residents. neglecting or mistreating residents; or 2) report
Develop and implement policies for 1) screening and training employees; and the 2) prevention 02/06/2009 02/04/2010 investigation identification

Inspection, 00/09/2009

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. 00/09/2009 02/04/2010 3 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide residents with private access to a telephone. 00/09/2009 02/04/2010 2 Few

Inspection, 00/01/2008

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 00/01/2008 00/09/2009 2 Some
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 00/01/2008 00/09/2009 2 Few
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day. 00/01/2008 00/09/2009 2 Many
Store, cook, and serve food in a safe and clean way. 00/01/2008 00/09/2009 2 Many
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. 00/01/2008 02/04/2010 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/01/2008 00/09/2009 2 Some
Ensure residents maintain acceptable nutritional status. 00/01/2008 02/04/2010 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. 00/01/2008 00/09/2009 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
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. 00/01/2008 00/09/2009 2 Few

Inspection, 02/05/2007

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate 02/05/2007 00/03/2008 Few complete and organized clinical records on each re
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. 02/05/2007 00/03/2008 2 Few
Have a program that investigates 02/05/2007 00/03/2008 Few controls and keeps infection from spreading.

Inspection, 01/03/2006

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 01/03/2006 01/01/2007 2 Few
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 01/03/2006 01/01/2007 2 Some
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. 01/03/2006 01/01/2007 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. 01/03/2006 01/01/2007 2 Few
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. 01/03/2006 01/01/2007 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. 01/03/2006 01/01/2007 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. 01/03/2006 01/01/2007 2 Some
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 01/03/2006 01/01/2007 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 01/03/2006 01/01/2007 2 Few
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. 01/03/2006 01/01/2007 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. 01/03/2006 01/01/2007 2 Few
Try to resolve each resident's complaints quickly. 01/03/2006 01/01/2007 2 Few
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 01/03/2006 01/01/2007 2 Few
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 01/03/2006 01/01/2007 2 Few

Inspection, 02/06/2005

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. 02/06/2005 01/04/2006 4 Some
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 02/06/2005 01/04/2006 2 Many
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. 02/06/2005 01/04/2006 2 Few
Ensure residents maintain acceptable nutritional status. 02/06/2005 01/04/2006 2 Few
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. 02/06/2005 01/04/2006 2 Few

Inspection, 01/06/2004

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. 01/06/2004 00/08/2005 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 01/06/2004 00/08/2005 Few with timetables and actions that can be measured.
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident 01/06/2004 00/08/2005 and a family member of situations (injury/decline/ the resident's doctor
Try to resolve each resident's complaints quickly. 01/06/2004 00/08/2005 2 Few
Tell the resident or the resident 01/06/2004 00/08/2005 2 Few

Inspection, 00/07/2003

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility 00/07/2003 00/06/2004 1 Many
Keep accurate 00/07/2003 00/06/2004 Many complete and organized clinical records on each re
Keep clinical record information safe. 00/07/2003 00/06/2004 2 Some
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 00/07/2003 00/06/2004 1 Many
Have a program that investigates 00/07/2003 00/06/2004 Some controls and keeps infection from spreading.
Make sure that the nursing home area is safe 00/07/2003 00/06/2004 clean and comfortable for residents easy to use
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly hold 00/07/2003 00/06/2004 and manage each resident's personal money which is secure

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 1 out of 5 stars
Total Number of Residents 86 70 117
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 16 hours 30 minutes 1 hour 24 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 15 hours 32 minutes 25 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 15 hours 50 minutes 58 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 17 hours 5 minutes 1 hour 44 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: 08/05/2011

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 08/05/2011
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, 00/05/2008

Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 00/05/2008 00/04/2009 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. 00/05/2008 00/04/2009 2 Many
Hazardous Area Deficiencies
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. 00/05/2008 00/04/2009 2 Some
Vertical Openings Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. 00/05/2008 00/04/2009 2 Some

Inspection, 00/02/2007

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved automatic sprinkler system connected to the fire alarm system. 00/02/2007 03/01/2007 2 Some
Back-up procedures in place for a faulty automatic sprinkler system. 00/02/2007 03/01/2007 2 Many
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 00/02/2007 03/01/2007 2 Many
Properly installed electrical wiring and equipment. 00/02/2007 03/01/2007 2 Some
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. 00/02/2007 03/01/2007 2 Many
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
A fire alarm system that can be heard throughout the facility. 00/02/2007 03/01/2007 2 Many
An approved back-up procedure for a faulty fire alarm system. 00/02/2007 03/01/2007 2 Many
Illumination and Emergency Power Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Emergency lighting that can last at least 1 1/2 hours. 00/02/2007 03/01/2007 2 Many
Miscellaneous Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Other fire safety features required by fire safety codes. 00/02/2007 03/01/2007 2 Many
Smoking Regulations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Posted No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed." 00/02/2007 03/01/2007 2 Some

Inspection, 01/04/2006

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 01/04/2006 01/04/2007 2 Many
Portable fire extinguishers. 01/04/2006 01/04/2007 2 Some
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 01/04/2006 01/04/2007 2 Many
Furnishings and Decorations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are free from obstructions and can be used at all times. 01/04/2006 01/04/2007 2 Some
Hazardous Area Deficiencies
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. 01/04/2006 01/04/2007 2 Some
Illumination and Emergency Power Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Emergency lighting that can last at least 1 1/2 hours. 01/04/2006 01/04/2007 2 Many
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Smoke barrier doors that can resist smoke for at least 20 minutes. 01/04/2006 01/04/2007 2 Some
 

2002 Albany St
Beech Grove, IN 46107

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