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Garden Villa
2111 NORTON LN
Bedford, IN 47421
(812) 279-4437
General
Ratings
Deficiencies
Resident Stats
Staff Stats
| Certified Beds: | 190 |
| Number of Residents: | 151 |
| Percent of Occupied Beds: | 79% |
| Sprinkler Status: | Fully Sprinklered |
| Program Participation: | Medicare and Medicaid |
| Type of Ownership: | Non profit - Corporation |
| Located Within a Hospital? | No |
| Multi Nursing Home Ownership? | No |
| Resident and Family Councils? | Both |
| 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 |
| 20070916 | Health | Administration Deficiencies | Keep accurate and appropriate medical records. | Isolated | Minimal harm or potential for actual harm | 20071005 |
| 20071102 | Health | Environmental Deficiencies | Have a program to keep infection from spreading. | Pattern | Minimal harm or potential for actual harm | 20080103 |
| 20071102 | Health | Environmental Deficiencies | Provide clean bed and bath linens that are in good condition. | Isolated | Minimal harm or potential for actual harm | 20080103 |
| 20071102 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Minimal harm or potential for actual harm | 20080212 |
| 20080103 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Minimal harm or potential for actual harm | 20080212 |
| 20080212 | Health | Quality Care Deficiencies | Give professional services that follow each resident's written care plan. | Isolated | Minimal harm or potential for actual harm | 20080401 |
| 20080908 | Health | Resident Assessment Deficiencies | 1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan. | Isolated | Minimal harm or potential for actual harm | 20080926 |
| 20080908 | Health | Quality Care Deficiencies | Give professional services that follow each resident's written care plan. | Pattern | Minimal harm or potential for actual harm | 20080926 |
| 20080908 | 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 | 20080926 |
| 20080908 | Health | Administration Deficiencies | Keep accurate and appropriate medical records. | Pattern | Potential for minimal harm | 20081008 |
| 20090318 | 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 | 20090417 |
| 20090604 | 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 | 20090704 |
| 20090604 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Actual harm | 20090704 |
| 20090921 | Health | Quality Care Deficiencies | Give professional services that follow each resident's written care plan. | Isolated | Minimal harm or potential for actual harm | 20091109 |
| 20090921 | 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 | 20091109 |
| 20090921 | Health | Administration Deficiencies | Keep accurate and appropriate medical records. | Isolated | Minimal harm or potential for actual harm | 20091109 |
| 20090921 | Health | Pharmacy Service Deficiencies | Make sure that residents are safe from serious medication errors. | Isolated | Actual harm | 20091109 |
| 20090924 | Health | Quality Care Deficiencies | Provide social services for related medical problems to help each resident achieve the highest possible quality of life. | Isolated | Minimal harm or potential for actual harm | 20091109 |
| 20090924 | 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 | 20091109 |
| 20090924 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Actual harm | 20091202 |
| 20090924 | Health | Quality Care Deficiencies | Give the right treatment and services to residents who have mental or social problems adjusting. | Isolated | Minimal harm or potential for actual harm | 20091109 |
| 20091015 | Health | Administration Deficiencies | Keep accurate and appropriate medical records. | Isolated | Minimal harm or potential for actual harm | 20091109 |
| 20100222 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Actual harm | 20100315 |
| 20100429 | Health | Resident Rights Deficiencies | Give enough notice to the resident before changing the resident's room or roommate. | Isolated | Minimal harm or potential for actual harm | 20100529 |
| 20100429 | 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 | 20100529 |
| 20100429 | Health | Mistreatment Deficiencies | Protect each resident from all abuse, physical punishment, and being separated from others. | Pattern | Immediate jeopardy to resident health or safety | 20100529 |
| 20100429 | Health | Mistreatment Deficiencies | Protect residents from mistreatment, neglect, and/or theft of personal property. | Pattern | Immediate jeopardy to resident health or safety | 20100529 |
| 20100429 | Health | Mistreatment Deficiencies | 1) Hire only people who have 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. | Widespread | Immediate jeopardy to resident health or safety | 20100529 |
| 20100429 | Health | Mistreatment Deficiencies | Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | Widespread | Immediate jeopardy to resident health or safety | 20100529 |
| 20100909 | Health | Resident Rights Deficiencies | Provide care in a way that keeps or builds each resident's dignity and self respect. | Pattern | Minimal harm or potential for actual harm | 20101101 |
| Value | Notes | |
| Percent of long-stay residents given influenza vaccination during the flu season: | 89 | |
| 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: | 18 | |
| Percent of long-stay residents who have moderate to severe pain: | 1 | |
| Percent of high-risk long-stay residents who have pressure sores: | 6 | |
| Percent of low-risk long-stay residents who have pressure sores: | 0 | |
| Percent of long-stay residents who were physically restrained: | 3 | |
| Percent of long-stay residents who are more depressed or anxious: | 19 | |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder: | 60 | |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder: | 4 | |
| 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: | 18 | |
| Percent of long-stay residents who had a urinary tract infection: | 5 | |
| Percent of long-stay residents who lose too much weight: | 5 | |
| Percent of short-stay residents given influenza vaccination during the flu season: | 50 | |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination: | 69 | |
| Percent of short-stay residents who have delirium: | 3 | |
| Percent of short-stay residents who had moderate to severe pain: | 21 | |
| Percent of short-stay residents who have pressure sores: | 12 | |
| # of Residents: | 151 |
| # RN Hours per Resident: | 0.44 |
| # LPN Hours per Resident: | 0.94 |
| # CNA Hours per Resident: | 3.16 |
| Total Staff Hours per Resident: | 1.38 |
