Regency Place Of Greenfield

200 GREEN MEADOWS DRIVE

Greenfield, IN 46140

(317) 462-3311

General

Ratings

Deficiencies

Resident Stats

Staff Stats

Certified Beds:	197
Number of Residents:	154
Percent of Occupied Beds:	78%
Sprinkler Status:	Fully Sprinklered
Program Participation:	Medicare and Medicaid
Type of Ownership:	For profit - Corporation
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

Date	Type	Category	Deficiency	Scope	Level of Harm	Date of Correction
20080122	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	20080201
20080206	Health	Quality Care Deficiencies	Give each resident enough fluids to keep them healthy and prevent dehydration.	Isolated	Minimal harm or potential for actual harm	20080307
20080206	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	20080307
20080206	Health	Administration Deficiencies	Keep accurate and appropriate medical records.	Isolated	Minimal harm or potential for actual harm	20080307
20080206	Health	Resident Assessment Deficiencies	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	Isolated	Minimal harm or potential for actual harm	20080307
20080206	Health	Resident Assessment Deficiencies	Make sure that a doctor approves a resident's admission in writing and that each resident has a doctor.	Isolated	Minimal harm or potential for actual harm	20080307
20080225	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	20080318
20080225	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	20080318
20080911	Health	Environmental Deficiencies	Have a program to keep infection from spreading.	Pattern	Potential for minimal harm	20081006
20081002	Health	Resident Assessment Deficiencies	Develop a plan with the resident and family for the resident's care after leaving the nursing home.	Isolated	Minimal harm or potential for actual harm	20081028
20081002	Health	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	Isolated	Minimal harm or potential for actual harm	20081028
20081023	Health	Quality Care Deficiencies	Give professional services that follow each resident's written care plan.	Isolated	Minimal harm or potential for actual harm	20081122
20081023	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	20081122
20081023	Health	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	Isolated	Minimal harm or potential for actual harm	20081122
20090209	Health	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	Isolated	Minimal harm or potential for actual harm	20090311
20090209	Health	Administration Deficiencies	Keep accurate and appropriate medical records.	Isolated	Minimal harm or potential for actual harm	20090311
20090209	Health	Nutrition and Dietary Deficiencies	1) Provide 3 meals daily at regular times; or 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day.	Pattern	Minimal harm or potential for actual harm	20090311
20090209	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	20090311
20090209	Health	Quality Care Deficiencies	Give professional services that follow each resident's written care plan.	Isolated	Minimal harm or potential for actual harm	20090311
20090209	Health	Environmental Deficiencies	Keep safe, clean and homelike surroundings.	Isolated	Minimal harm or potential for actual harm	20090311
20090209	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	20090311
20090209	Health	Mistreatment Deficiencies	Protect each resident from all abuse, physical punishment, and being separated from others.	Isolated	Minimal harm or potential for actual harm	20090311
20090209	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	20090311
20090213	Fire Safety	Exits and Egress Deficiencies	exits that are accessible at all times.	Pattern	Minimal harm or potential for actual harm	20090226
20090406	Health	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	Isolated	Actual harm	20090423
20090406	Health	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	Isolated	Immediate jeopardy to resident health or safety	20090423
20090406	Health	Quality Care Deficiencies	Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible.	Isolated	Minimal harm or potential for actual harm	20090423
20090406	Health	Administration Deficiencies	Give or get lab tests to meet the needs of residents.	Isolated	Immediate jeopardy to resident health or safety	20090423
20090902	Health	Environmental Deficiencies	Have a program to keep infection from spreading.	Pattern	Minimal harm or potential for actual harm	20091005
20091005	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	20091027
20091005	Health	Nutrition and Dietary Deficiencies	Provide food in a way that meets a resident's needs.	Isolated	Minimal harm or potential for actual harm	20091027
20091005	Health	Environmental Deficiencies	Keep safe, clean and homelike surroundings.	Isolated	Minimal harm or potential for actual harm	20091027
20091005	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.	Isolated	Minimal harm or potential for actual harm	20091027
20091005	Health	Mistreatment Deficiencies	Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.	Isolated	Minimal harm or potential for actual harm	20091027
20091005	Health	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	Isolated	Minimal harm or potential for actual harm	20091027
20091005	Health	Resident Rights Deficiencies	Protect the resident from a transfer or discharge that is not wanted or needed.	Isolated	Minimal harm or potential for actual harm	20091027
20091005	Health	Resident Rights Deficiencies	Provide enough notice before discharging or transferring a resident.	Isolated	Minimal harm or potential for actual harm	20091027
20091005	Health	Mistreatment Deficiencies	Protect residents from mistreatment, neglect, and/or theft of personal property.	Isolated	Minimal harm or potential for actual harm	20091027
20100201	Health	Resident Assessment Deficiencies	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	Isolated	Minimal harm or potential for actual harm	20100326
20100201	Health	Resident Rights Deficiencies	Make sure each resident has the right to choose activities, schedules and health care according to his or her interests, assessment, and plan of care.	Isolated	Minimal harm or potential for actual harm	20100326
20100201	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	20100326
20100504	Health	Mistreatment Deficiencies	Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.	Isolated	Minimal harm or potential for actual harm	20100525
20100504	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.	Isolated	Minimal harm or potential for actual harm	20100525
20100504	Health	Mistreatment Deficiencies	Protect residents from mistreatment, neglect, and/or theft of personal property.	Isolated	Minimal harm or potential for actual harm	20100525

Overall:
Health Inspection:
Nurse Staffing:
Quality Measures:
RN Only:

	Value	Notes
Percent of long-stay residents given influenza vaccination during the flu season:	64
Percent of long-stay residents who were assessed and given pneumococcal vaccination:	54
Percent of long-stay residents whose need for help with daily activities has increased:	28
Percent of long-stay residents who have moderate to severe pain:	2
Percent of high-risk long-stay residents who have pressure sores:	8
Percent of low-risk long-stay residents who have pressure sores:	2
Percent of long-stay residents who were physically restrained:	2
Percent of long-stay residents who are more depressed or anxious:	13
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:	6
Percent of long-stay residents who spend most of their time in bed or in a chair:	5
Percent of long-stay residents whose ability to move about in and around their room got worse:	2
Percent of long-stay residents who had a urinary tract infection:	5
Percent of long-stay residents who lose too much weight:	4
Percent of short-stay residents given influenza vaccination during the flu season:	49
Percent of short-stay residents who were assessed and given pneumococcal vaccination:	32
Percent of short-stay residents who have delirium:	0
Percent of short-stay residents who had moderate to severe pain:	8
Percent of short-stay residents who have pressure sores:	7

# of Residents:	154
# RN Hours per Resident:	0.61
# LPN Hours per Resident:	0.95
# CNA Hours per Resident:	2.16
Total Staff Hours per Resident:	1.56

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