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North Capitol Nursing & Rehabilitation Center
2010 N CAPITOL AVE
Indianapolis, IN 46202
(317) 924-5821
General
Ratings
Deficiencies
Resident Stats
Staff Stats
| Certified Beds: | 123 |
| Number of Residents: | 114 |
| Percent of Occupied Beds: | 93% |
| Sprinkler Status: | Fully Sprinklered |
| Program Participation: | Medicare and Medicaid |
| Type of Ownership: | Government - County |
| Located Within a Hospital? | No |
| Multi Nursing Home Ownership? | No |
| 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 |
| 20071024 | Health | Resident Rights Deficiencies | Listen to the resident or family groups or act on their complaints or suggestions. | Pattern | Potential for minimal harm | 20071123 |
| 20071024 | 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 | 20071123 |
| 20071024 | 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 | 20071123 |
| 20071024 | Health | Quality Care Deficiencies | Give professional services that follow each resident's written care plan. | Isolated | Minimal harm or potential for actual harm | 20071123 |
| 20071024 | 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 | 20071123 |
| 20071024 | Health | Quality Care Deficiencies | Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. | Isolated | Minimal harm or potential for actual harm | 20071123 |
| 20071024 | Health | Quality Care Deficiencies | Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Pattern | Minimal harm or potential for actual harm | 20071129 |
| 20071129 | Health | Pharmacy Service Deficiencies | Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. | Isolated | Minimal harm or potential for actual harm | 20071229 |
| 20071129 | Health | Administration Deficiencies | Keep accurate and appropriate medical records. | Isolated | Minimal harm or potential for actual harm | 20071229 |
| 20071129 | Health | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | Isolated | Actual harm | 20071229 |
| 20071129 | Health | Quality Care Deficiencies | Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Isolated | Immediate jeopardy to resident health or safety | 20071229 |
| 20071129 | 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 | 20071229 |
| 20080618 | Health | Resident Rights Deficiencies | Try to resolve each resident's complaints quickly. | Isolated | Minimal harm or potential for actual harm | 20080702 |
| 20080618 | 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 | 20080702 |
| 20080618 | Health | Administration Deficiencies | Keep accurate and appropriate medical records. | Isolated | Minimal harm or potential for actual harm | 20080702 |
| 20090122 | Health | Quality Care Deficiencies | Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. | Isolated | Minimal harm or potential for actual harm | 20090309 |
| 20090122 | 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 | 20090309 |
| 20090122 | Health | Quality Care Deficiencies | Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. | Isolated | Minimal harm or potential for actual harm | 20090309 |
| 20090122 | Health | Quality Care Deficiencies | Give professional services that follow each resident's written care plan. | Isolated | Minimal harm or potential for actual harm | 20090319 |
| 20090901 | 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 | Actual harm | 20090909 |
| 20090901 | Health | Environmental Deficiencies | Make sure there is a program to prevent/deal with mice, insects, or other pests. | Isolated | Minimal harm or potential for actual harm | 20090909 |
| 20100910 | Health | Pharmacy Service Deficiencies | 1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects. | Isolated | Minimal harm or potential for actual harm | 20100928 |
| 20100910 | Health | Pharmacy Service Deficiencies | Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. | Isolated | Minimal harm or potential for actual harm | 20100928 |
| 20100910 | Health | Quality Care Deficiencies | Give professional services that meet a professional standard of quality. | Isolated | Minimal harm or potential for actual harm | 20100928 |
| Value | Notes | |
| Percent of long-stay residents given influenza vaccination during the flu season: | 68 | |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination: | 68 | |
| Percent of long-stay residents whose need for help with daily activities has increased: | 23 | |
| Percent of long-stay residents who have moderate to severe pain: | 1 | |
| Percent of high-risk long-stay residents who have pressure sores: | 11 | |
| Percent of low-risk long-stay residents who have pressure sores: | 0 | |
| Percent of long-stay residents who were physically restrained: | 2 | |
| Percent of long-stay residents who are more depressed or anxious: | 16 | |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder: | 51 | |
| 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: | 9 | |
| Percent of long-stay residents whose ability to move about in and around their room got worse: | 24 | |
| Percent of long-stay residents who had a urinary tract infection: | 5 | |
| Percent of long-stay residents who lose too much weight: | 9 | |
| Percent of short-stay residents given influenza vaccination during the flu season: | 28 | |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination: | 39 | |
| Percent of short-stay residents who have delirium: | 1 | |
| Percent of short-stay residents who had moderate to severe pain: | 11 | |
| Percent of short-stay residents who have pressure sores: | 7 | |
| # of Residents: | 114 |
| # RN Hours per Resident: | 0.67 |
| # LPN Hours per Resident: | 0.98 |
| # CNA Hours per Resident: | 2.02 |
| Total Staff Hours per Resident: | 1.65 |
