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Garden Villa - Bedford

Details

Type of Ownership Non profit - Other
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 190
Continuing Care? No
Resident Council? Yes
Family Council? Yes
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: 12/07/2011

Date of last standard health inspection: 12/07/2011
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 3
Average number of Health Deficiencies in IN: 3
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in IN: 0 - 25
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. 02/00/2012 00/01/2002 3 Few
Have a program that investigates 02/00/2012 00/01/2002 Some controls and keeps infection from spreading.
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with no legal history of abusing 02/00/2012 00/01/2002 neglect or mistreatment of residents. neglecting or mistreating residents; or 2) report

Inspection, 00/07/2012

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. 00/07/2012 02/03/2012 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. 00/07/2012 02/03/2012 3 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. 00/07/2012 02/03/2012 2 Few
Resident Rights Deficiencies
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. 00/07/2012 02/03/2012 2 Some

Inspection, 00/01/2011

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Post nurse staffing information/data on a daily basis. 00/01/2011 02/00/2012 1 Many
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 00/01/2011 02/00/2012 2 Few
Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. 00/01/2011 02/00/2012 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. 00/01/2011 00/01/2002 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. 00/01/2011 02/00/2012 2 Few

Inspection, 01/07/2010

Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that residents are safe from serious medication errors. 01/07/2010 02/08/2010 2 Few

Inspection, 01/00/2009

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. 01/00/2009 02/06/2009 2 Few
Assist those residents who need help with eating/drinking 01/00/2009 02/06/2009 Few grooming and personal and oral hygiene.

Inspection, 00/09/2009

Resident Rights Deficiencies
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. 00/09/2009 00/01/2011 2 Some

Inspection, 01/06/2008

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
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. 01/06/2008 00/06/2009 2 Few

Inspection, 02/09/2004

Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Protect each resident from all abuse 02/09/2004 02/09/2005 and involuntary separation from others. physical punishment
Protect each resident from mistreatment 02/09/2004 02/09/2005 Some neglect and misappropriation of personal property.
1) Hire only people with no legal history of abusing 02/09/2004 02/09/2005 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 02/09/2004 02/09/2005 investigation identification
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident 02/09/2004 02/09/2005 and a family member of situations (injury/decline/ the resident's doctor
Give notice to the resident before a room or roommate change. 02/09/2004 02/09/2005 2 Few

Inspection, 02/02/2002

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. 02/02/2002 01/05/2003 3 Few

Inspection, 02/01/2002

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. 02/01/2002 02/03/2003 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. 02/01/2002 02/03/2003 2 Few
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. 02/01/2002 02/03/2003 2 Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 02/01/2002 02/03/2003 1 Many
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure residents maintain acceptable nutritional status. 02/01/2002 02/03/2003 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep residents' personal and medical records private and confidential. 02/01/2002 02/03/2003 2 Some
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 02/01/2002 02/03/2003 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 3 out of 5 stars
Total Number of Residents 86 70 147
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 16 hours 30 minutes 1 hour 58 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 15 hours 32 minutes 40 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 15 hours 50 minutes 1 hour 17 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 17 hours 5 minutes 2 hours 43 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: 01/06/2012

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 01/06/2012
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, 00/05/2011

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. 00/05/2011 01/09/2011 2 Some
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridors that are separated from use areas by walls constructed to limit the passage of smoke. 00/05/2011 01/09/2011 2 Some
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 00/05/2011 01/09/2011 2 Some

Inspection, 02/08/2002

Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 02/08/2002 01/09/2003 2 Many
Medical Gases and Anesthetizing Areas Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper fire barriers, ventilation and signs for the transfilling of oxygen. 02/08/2002 01/09/2003 2 Some

Inspection, 00/06/2001

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Portable fire extinguishers. 00/06/2001 01/04/2002 1 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. 00/06/2001 01/04/2002 2 Some
 

2111 Norton Ln
Bedford, IN 47421

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