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Spring Mill Health Campus

Details

Type of Ownership For profit - Partnership
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 58
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: 02/22/2012

Date of last standard health inspection: 02/22/2012
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
Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate 01/04/2012 00/02/2001 Few complete and organized clinical records on each re
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. 01/04/2012 00/02/2001 3 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 01/04/2012 00/02/2001 3 Few

Inspection, 02/05/2010

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Quickly tell the resident's doctor the results of laboratory tests. 02/05/2010 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. 02/05/2010 01/06/2011 4 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. 02/05/2010 01/06/2011 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that a doctor approves a resident's admission in writing and that each resident remains under the care of a doctor. 02/05/2010 01/06/2011 2 Few

Inspection, 02/03/2010

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Quickly tell the resident's doctor the results of laboratory tests. 02/03/2010 01/04/2012 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. 02/03/2010 01/02/2010 4 Few
Ensure that residents are safe from serious medication errors. 02/03/2010 01/04/2012 3 Few

Inspection, 00/09/2010

Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with no legal history of abusing 00/09/2010 01/04/2012 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 00/09/2010 01/04/2012 investigation identification
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. 00/09/2010 01/04/2012 2 Few

Inspection, 02/04/2008

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate 02/04/2008 02/03/2009 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. 02/04/2008 02/03/2009 2 Few
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with no legal history of abusing 02/04/2008 02/03/2009 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 02/04/2008 02/03/2009 investigation identification
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident 02/04/2008 02/03/2009 and a family member of situations (injury/decline/ the resident's doctor

Inspection, 02/06/2004

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate 02/06/2004 02/07/2006 Some complete and organized clinical records on each re
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with no legal history of abusing 02/06/2004 02/07/2006 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 02/06/2004 02/07/2006 investigation identification
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. 02/06/2004 02/07/2006 2 Few
Keep the rate of medication errors (wrong drug 02/06/2004 02/07/2006 wrong time) to less than 5%. wrong dose
Ensure that residents are safe from serious medication errors. 02/06/2004 02/07/2006 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. 02/06/2004 02/07/2006 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/06/2004 02/07/2006 2 Some
Assist those residents who need help with eating/drinking 02/06/2004 02/07/2006 Some grooming and personal and oral hygiene.
Give each resident enough fluids to keep them healthy and prevent dehydration. 02/06/2004 02/07/2006 3 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give residents a notice of rights 02/06/2004 02/07/2006 services and charges. rules
Immediately tell the resident 02/06/2004 02/07/2006 and a family member of situations (injury/decline/ the resident's doctor

Inspection, 02/00/2003

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Quickly tell the resident's doctor the results of laboratory tests. 02/00/2003 01/09/2004 2 Few
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. 02/00/2003 01/09/2004 2 Some
Quickly tell the resident's doctor the results of laboratory tests. 02/00/2003 01/09/2004 2 Few
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly 02/00/2003 01/09/2004 Some and develop corrective plans of action.
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates, controls and keeps infection from spreading. 02/00/2003 01/09/2004 2 Few
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 02/00/2003 01/09/2004 1 Many
Have a program that investigates 02/00/2003 01/09/2004 Few controls and keeps infection from spreading.
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep each resident free from physical restraints, unless needed for medical treatment. 02/00/2003 01/09/2004 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. 02/00/2003 01/09/2004 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. 02/00/2003 01/09/2004 2 Few
Keep each resident free from physical restraints 02/00/2003 01/09/2004 Few unless needed for medical treatment.
1) Hire only people with no legal history of abusing 02/00/2003 01/09/2004 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 02/00/2003 01/09/2004 investigation identification
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. 02/00/2003 01/09/2004 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. 02/00/2003 01/09/2004 2 Few
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 02/00/2003 01/09/2004 2 Some
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. 02/00/2003 01/09/2004 2 Few
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. 02/00/2003 01/09/2004 2 Few
At least once a month 02/00/2003 01/09/2004 Few have a licensed pharmacist review each resident's
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. 02/00/2003 01/09/2004 2 Some
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/00/2003 01/09/2004 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 02/00/2003 01/09/2004 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. 02/00/2003 01/09/2004 2 Few
Ensure residents maintain acceptable nutritional status. 02/00/2003 01/09/2004 2 Few
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. 02/00/2003 01/09/2004 2 Few
Provide care by qualified persons according to each resident's written plan of care. 02/00/2003 01/09/2004 2 Some
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/00/2003 01/09/2004 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 02/00/2003 01/09/2004 2 Few
Ensure that each resident who enters the nursing home without a catheter is not given a catheter 02/00/2003 01/09/2004 and that incontinent patients receive proper servi unless medically necessary
Ensure residents maintain acceptable nutritional status. 02/00/2003 01/09/2004 2 Few
Properly care for residents needing special services 02/00/2003 01/09/2004 colostomy including: injections
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Try to resolve each resident's complaints quickly. 02/00/2003 01/09/2004 2 Few
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 02/00/2003 01/09/2004 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. 02/00/2003 01/09/2004 2 Few
Try to resolve each resident's complaints quickly. 02/00/2003 01/09/2004 2 Few
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 02/00/2003 01/09/2004 2 Few
Ensure residents have the right to have a choice over activities 02/00/2003 01/09/2004 and health care according to their interests their schedules

Inspection, 00/09/2003

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give or get x-rays and other tests in a timely manner to meet the needs of residents. 00/09/2003 02/06/2004 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. 00/09/2003 02/06/2004 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. 00/09/2003 02/06/2004 2 Few
Provide care by qualified persons according to each resident's written plan of care. 00/09/2003 02/07/2006 2 Few
Assist those residents who need help with eating/drinking 00/09/2003 02/07/2006 Some grooming and personal and oral hygiene.
Ensure residents maintain acceptable nutritional status. 00/09/2003 02/06/2004 3 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 00/09/2003 02/06/2004 Few with timetables and actions that can be measured.

Inspection, 02/09/2002

Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with no legal history of abusing 02/09/2002 02/07/2006 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 02/09/2002 02/07/2006 investigation identification

Inspection, 02/05/2002

Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Prepare food that is nutritional 02/05/2002 01/06/2003 tasty appetizing
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. 02/05/2002 01/06/2003 2 Few
Assist those residents who need help with eating/drinking 02/05/2002 01/06/2003 Few grooming and personal and oral hygiene.

Inspection, 02/02/2002

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. 02/02/2002 02/07/2006 2 Few
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Dispose of garbage and refuse properly. 02/02/2002 02/06/2004 1 Many
Have a program that investigates, controls and keeps infection from spreading. 02/02/2002 02/07/2006 2 Some
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 02/02/2002 02/06/2004 2 Few
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide a tasty and well-balanced diet that meets the nutritional needs of each resident. 02/02/2002 02/06/2004 2 Few
Provide food in a way that meets a resident's needs. 02/02/2002 02/06/2004 2 Few
Make sure that special or therapeutic diets are ordered by the attending doctor. 02/02/2002 02/07/2006 2 Few
Store, cook, and serve food in a safe and clean way. 02/02/2002 02/06/2004 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. 02/02/2002 02/07/2006 2 Few
Ensure that residents are safe from serious medication errors. 02/02/2002 02/07/2006 2 Few
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 02/02/2002 02/06/2004 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. 02/02/2002 02/07/2006 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/02/2002 02/07/2006 2 Few
Ensure residents maintain acceptable nutritional status. 02/02/2002 02/06/2004 3 Few
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. 02/02/2002 02/07/2006 2 Some
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. 02/02/2002 02/07/2006 2 Few
Provide timely notification to the resident before transfer or discharge. 02/02/2002 02/07/2006 2 Few
Help and prepare each resident for a safe and easy discharge or transfer from the nursing home. 02/02/2002 02/06/2004 2 Few
Provide resident groups or resident family groups with private space to meet. 02/02/2002 02/06/2004 1 Many

Inspection, 01/04/2001

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. 01/04/2001 01/03/2002 2 Some
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide bedrooms that don't allow residents to see each other when privacy is needed. 01/04/2001 01/03/2002 2 Some
Pharmacy Service Deficiencies
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%. 01/04/2001 01/03/2002 2 Few
Ensure that residents are safe from serious medication errors. 01/04/2001 01/03/2002 2 Few
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 01/04/2001 01/03/2002 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure services provided by the nursing facility meet professional standards of quality. 01/04/2001 01/03/2002 2 Few
Provide care by qualified persons according to each resident's written plan of care. 01/04/2001 01/03/2002 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/04/2001 01/03/2002 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 01/04/2001 01/03/2002 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. 01/04/2001 01/03/2002 2 Some
Ensure each resident receives an accurate assessment by a qualified health professional. 01/04/2001 01/03/2002 2 Some
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. 01/04/2001 01/03/2002 2 Few
Allow residents to self-administer drugs if determined safe. 01/04/2001 01/03/2002 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 NA
Total Number of Residents 86 70 46
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 16 hours 30 minutes 999 hours 59 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 15 hours 32 minutes 999 hours 59 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 15 hours 50 minutes 999 hours 59 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 17 hours 5 minutes 999 hours 59 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: 03/07/2012

Automatic Sprinkler Systems in all required areas -
Date of last standard fire safety inspection: 03/07/2012
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, 00/07/2003

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. 00/07/2003 01/00/2005 2 Some
Automatic sprinkler systems that have been maintained in working order. 00/07/2003 01/00/2005 2 Many
Building Construction Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
A two-hour-resistant firewall separation. 00/07/2003 01/00/2005 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. 00/07/2003 01/00/2005 2 Some
Signs that state that exit doors are to be kept closed. 00/07/2003 01/00/2005 2 Some
Emergency Plans and Fire Drills Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
A written emergency evacuation plan. 00/07/2003 01/00/2005 2 Many
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exit stairways and towers that are smoke proof. 00/07/2003 01/00/2005 2 Some
Exits that are accessible at all times. 00/07/2003 01/00/2005 2 Some
Horizontal exits. 00/07/2003 01/00/2005 2 Some
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. 00/07/2003 01/00/2005 2 Some
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. 00/07/2003 01/00/2005 2 Some
 

101 W 87th Ave
Merrillville, IN 46410

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