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Cardinal Nursing And Rehabilitation Center
1121 E LASALLE AVE
South Bend, IN 46617
(574) 287-6501
General
Ratings
Deficiencies
Resident Stats
Staff Stats
| Certified Beds: | 158 |
| Number of Residents: | 126 |
| Percent of Occupied Beds: | 80% |
| Sprinkler Status: | Fully Sprinklered |
| Program Participation: | Medicare and Medicaid |
| Type of Ownership: | Government - County |
| Located Within a Hospital? | No |
| Multi Nursing Home Ownership? | Yes |
| Resident and Family Councils? | Resident |
| Continuing Care Retirement Community? | No |
| Quality Indicator Survey? | No |
| Special Focus Facility? | No |
| Overall: |  |
| Health Inspection: | |
| Nurse Staffing: | |
| Quality Measures: | |
| RN Only: |  |
| Date | Type | Category | Deficiency | Scope | Level of Harm | Date of Correction |
| 20080206 | Health | Resident Assessment Deficiencies | Make a complete assessment that covers all questions for areas that are listed in official regulations. | Isolated | Minimal harm or potential for actual harm | 20080228 |
| 20080206 | Health | Quality Care Deficiencies | Give professional services that meet a professional standard of quality. | Isolated | Minimal harm or potential for actual harm | 20080228 |
| 20080206 | Health | Quality Care Deficiencies | Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Isolated | Actual harm | 20080228 |
| 20080206 | Health | Administration Deficiencies | Keep accurate and appropriate medical records. | Isolated | Minimal harm or potential for actual harm | 20080228 |
| 20080424 | Health | Resident Assessment Deficiencies | Make a complete assessment that covers all questions for areas that are listed in official regulations. | Isolated | Minimal harm or potential for actual harm | 20080516 |
| 20080424 | Health | Resident Rights Deficiencies | Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. | Isolated | Minimal harm or potential for actual harm | 20080516 |
| 20080702 | Health | Resident Assessment Deficiencies | Make a complete assessment that covers all questions for areas that are listed in official regulations. | Pattern | Potential for minimal harm | 20080801 |
| 20080827 | Health | Mistreatment Deficiencies | Protect residents from mistreatment, neglect, and/or theft of personal property. | Isolated | Minimal harm or potential for actual harm | 20080918 |
| 20080827 | Health | Resident Rights Deficiencies | Provide services to meet the needs and preferences of each resident. | Isolated | Minimal harm or potential for actual harm | 20080918 |
| 20090203 | Health | Quality Care Deficiencies | Give professional services that follow each resident's written care plan. | Isolated | Minimal harm or potential for actual harm | 20090306 |
| 20090203 | Health | Quality Care Deficiencies | Give professional services that meet a professional standard of quality. | Isolated | Minimal harm or potential for actual harm | 20090306 |
| 20090203 | Health | Pharmacy Service Deficiencies | Make sure that residents are safe from serious medication errors. | Isolated | Actual harm | 20090306 |
| 20090203 | Health | Resident Rights Deficiencies | Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. | Isolated | Minimal harm or potential for actual harm | 20090326 |
| 20090306 | Health | Resident Rights Deficiencies | Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. | Isolated | Minimal harm or potential for actual harm | 20090326 |
| 20090729 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Actual harm | 20090821 |
| 20090729 | Health | Quality Care Deficiencies | Give professional services that follow each resident's written care plan. | Isolated | Minimal harm or potential for actual harm | 20090821 |
| 20090729 | Health | Administration Deficiencies | Make sure that nurse aides show they have the skills to be able to care for residents. | Isolated | Actual harm | 20090821 |
| 20091009 | Health | Nutrition and Dietary Deficiencies | Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Isolated | Minimal harm or potential for actual harm | 20091101 |
| 20100324 | Health | Environmental Deficiencies | Have a program to keep infection from spreading. | Isolated | Minimal harm or potential for actual harm | 20100415 |
| 20100324 | Health | Quality Care Deficiencies | Give each resident enough fluids to keep them healthy and prevent dehydration. | Isolated | Actual harm | 20100415 |
| 20100324 | Health | Quality Care Deficiencies | Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Isolated | Minimal harm or potential for actual harm | 20100415 |
| 20100324 | Health | Quality Care Deficiencies | Give professional services that meet a professional standard of quality. | Isolated | Minimal harm or potential for actual harm | 20100415 |
| 20100324 | Health | Quality Care Deficiencies | Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. | Pattern | Minimal harm or potential for actual harm | 20100415 |
| 20100324 | Health | Quality Care Deficiencies | Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Isolated | Minimal harm or potential for actual harm | 20100415 |
| 20100324 | Health | Administration Deficiencies | Give or get lab tests to meet the needs of residents. | Isolated | Minimal harm or potential for actual harm | 20100415 |
| 20100525 | Health | Quality Care Deficiencies | Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Isolated | Actual harm | 20100611 |
| Value | Notes | |
| Percent of long-stay residents given influenza vaccination during the flu season: | 86 | |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination: | 88 | |
| Percent of long-stay residents whose need for help with daily activities has increased: | 26 | |
| Percent of long-stay residents who have moderate to severe pain: | 3 | |
| Percent of high-risk long-stay residents who have pressure sores: | 9 | |
| Percent of low-risk long-stay residents who have pressure sores: | 3 | |
| Percent of long-stay residents who were physically restrained: | 4 | |
| Percent of long-stay residents who are more depressed or anxious: | 21 | |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder: | 50 | |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder: | 5 | |
| Percent of long-stay residents who spend most of their time in bed or in a chair: | 3 | |
| Percent of long-stay residents whose ability to move about in and around their room got worse: | 30 | |
| Percent of long-stay residents who had a urinary tract infection: | 6 | |
| Percent of long-stay residents who lose too much weight: | 14 | |
| Percent of short-stay residents given influenza vaccination during the flu season: | 77 | |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination: | 82 | |
| Percent of short-stay residents who have delirium: | 0 | |
| Percent of short-stay residents who had moderate to severe pain: | 9 | |
| Percent of short-stay residents who have pressure sores: | 9 | |
| # of Residents: | 126 |
| # RN Hours per Resident: | 0.66 |
| # LPN Hours per Resident: | 1.05 |
| # CNA Hours per Resident: | 1.73 |
| Total Staff Hours per Resident: | 1.71 |
