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Harcourt Terrace Rehabilitation & Health Care Cent
8181 HARCOURT ROAD
Indianapolis, IN 46260
(317) 872-7261
General
Ratings
Deficiencies
Resident Stats
Staff Stats
| Certified Beds: | 116 |
| Number of Residents: | 48 |
| Percent of Occupied Beds: | 41% |
| 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? | Yes |
| Overall: |  |
| Health Inspection: |  |
| Nurse Staffing: |  |
| Quality Measures: |  |
| RN Only: | |
| Date | Type | Category | Deficiency | Scope | Level of Harm | Date of Correction |
| 20080709 | Fire Safety | Fire Alarm Systems Deficiencies | a fire alarm system that can be heard throughout the facility. | Widespread | Minimal harm or potential for actual harm | 20080714 |
| 20090212 | Health | Administration Deficiencies | Keep accurate and appropriate medical records. | Isolated | Minimal harm or potential for actual harm | 20090414 |
| 20090212 | Health | Quality Care Deficiencies | Make sure that each resident's nutritional needs were met. | Isolated | Actual harm | 20090414 |
| 20090212 | Health | Nutrition and Dietary Deficiencies | Store, cook, and give out food in a safe and clean way. | Pattern | Minimal harm or potential for actual harm | 20090414 |
| 20090212 | Health | Environmental Deficiencies | Make sure that the nursing home area is safe, easy to use, clean and comfortable. | Isolated | Minimal harm or potential for actual harm | 20090414 |
| 20090212 | Health | Mistreatment Deficiencies | Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | Pattern | Minimal harm or potential for actual harm | 20090414 |
| 20090212 | Health | Resident Rights Deficiencies | Provide care in a way that keeps or builds each resident's dignity and self respect. | Isolated | Minimal harm or potential for actual harm | 20090414 |
| 20090212 | Health | Resident Rights Deficiencies | Listen to the resident or family groups or act on their complaints or suggestions. | Pattern | Minimal harm or potential for actual harm | 20090414 |
| 20090212 | Health | Quality Care Deficiencies | Give professional services that follow each resident's written care plan. | Isolated | Actual harm | 20090723 |
| 20090303 | Health | Quality Care Deficiencies | Give professional services that follow each resident's written care plan. | Isolated | Actual harm | 20090723 |
| 20090414 | Health | Quality Care Deficiencies | Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Isolated | Actual harm | 20090622 |
| 20090414 | Health | Resident Assessment Deficiencies | Make a complete assessment that covers all questions for areas that are listed in official regulations. | Isolated | Actual harm | 20090604 |
| 20090414 | Health | Quality Care Deficiencies | Give professional services that follow each resident's written care plan. | Isolated | Actual harm | 20090622 |
| 20090630 | 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 | 20090723 |
| 20090630 | 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 | 20090723 |
| 20090630 | 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. | Pattern | Minimal harm or potential for actual harm | 20090723 |
| 20090630 | 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 | 20090723 |
| 20090630 | Health | Pharmacy Service Deficiencies | Properly mark drugs and other similar products. | Isolated | Minimal harm or potential for actual harm | 20090723 |
| 20090630 | Health | Pharmacy Service Deficiencies | Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Pattern | Minimal harm or potential for actual harm | 20090723 |
| 20090630 | Health | Administration Deficiencies | Keep accurate and appropriate medical records. | Isolated | Minimal harm or potential for actual harm | 20090723 |
| 20090630 | Health | Resident Rights Deficiencies | Let the resident or the resident's representative look at all records. | Isolated | Minimal harm or potential for actual harm | 20090723 |
| 20090630 | Health | Resident Rights Deficiencies | Let the resident refuse treatment or refuse to take part in an experiment. | Isolated | Minimal harm or potential for actual harm | 20090723 |
| 20091029 | 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. | Pattern | Minimal harm or potential for actual harm | 20091116 |
| 20091029 | Health | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | Isolated | Actual harm | 20091116 |
| 20091029 | 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 | 20091116 |
| 20091029 | Health | Resident Assessment Deficiencies | Make a complete assessment that covers all questions for areas that are listed in official regulations. | Isolated | Actual harm | 20091116 |
| 20091029 | Health | Quality Care Deficiencies | Give professional services that follow each resident's written care plan. | Isolated | Minimal harm or potential for actual harm | 20091116 |
| 20100104 | Health | Quality Care Deficiencies | Give professional services that follow each resident's written care plan. | Pattern | Minimal harm or potential for actual harm | 20100603 |
| 20100104 | Health | Resident Assessment Deficiencies | Make a complete assessment that covers all questions for areas that are listed in official regulations. | Isolated | Actual harm | 20100223 |
| 20100104 | 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 | 20100603 |
| 20100104 | Health | Mistreatment Deficiencies | Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | Isolated | Actual harm | 20100223 |
| 20100104 | Health | Mistreatment Deficiencies | Protect each resident from all abuse, physical punishment, and being separated from others. | Isolated | Actual harm | 20100223 |
| 20100104 | 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 | Actual harm | 20100223 |
| 20100104 | Health | Pharmacy Service Deficiencies | Make sure that residents are safe from serious medication errors. | Isolated | Actual harm | 20100330 |
| 20100104 | 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 | 20100223 |
| 20100104 | 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 | Actual harm | 20100223 |
| 20100104 | 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 | Actual harm | 20100330 |
| 20100122 | 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 | 20100223 |
| 20100122 | 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 | 20100330 |
| 20100122 | Health | Administration Deficiencies | Make sure that nurse aides show they have the skills to be able to care for residents. | Isolated | Minimal harm or potential for actual harm | 20100223 |
| 20100122 | Health | Administration Deficiencies | Keep accurate and appropriate medical records. | Pattern | Minimal harm or potential for actual harm | 20100603 |
| 20100122 | 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 | 20100223 |
| 20100122 | Health | Quality Care Deficiencies | Give professional services that follow each resident's written care plan. | Isolated | Minimal harm or potential for actual harm | 20100603 |
| 20100223 | Health | Quality Care Deficiencies | Give professional services that meet a professional standard of quality. | Isolated | Minimal harm or potential for actual harm | 20100330 |
| 20100223 | 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 | 20100330 |
| 20100223 | 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 | 20100603 |
| 20100223 | Health | Quality Care Deficiencies | Provide activities to meet the needs of each resident. | Isolated | Minimal harm or potential for actual harm | 20100330 |
| 20100223 | Health | Quality Care Deficiencies | Give or get special rehabilitation if in the patient's plan of care. | Isolated | Minimal harm or potential for actual harm | 20100330 |
| 20100223 | 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 | 20100330 |
| 20100330 | Health | Nutrition and Dietary Deficiencies | Make sure that residents are well nourished. | Pattern | Minimal harm or potential for actual harm | 20100603 |
| 20100330 | Health | Environmental Deficiencies | Have a program to keep infection from spreading. | Isolated | Minimal harm or potential for actual harm | 20100603 |
| 20100330 | Health | Nutrition and Dietary Deficiencies | Store, cook, and give out food in a safe and clean way. | Pattern | Minimal harm or potential for actual harm | 20100603 |
| 20100330 | Health | Administration Deficiencies | Keep accurate and appropriate medical records. | Isolated | Minimal harm or potential for actual harm | 20100603 |
| 20100330 | 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 | 20100603 |
| 20100330 | Health | Resident Rights Deficiencies | Help and prepare each resident for a safe and easy discharge and transfer from the nursing home. | Isolated | Minimal harm or potential for actual harm | 20100603 |
| 20100330 | 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 | 20100603 |
| 20100330 | Health | Quality Care Deficiencies | Give professional services that follow each resident's written care plan. | Isolated | Minimal harm or potential for actual harm | 20100603 |
| 20100503 | Health | Environmental Deficiencies | Make sure there is a program to prevent/deal with mice, insects, or other pests. | Widespread | Minimal harm or potential for actual harm | 20100514 |
| 20100603 | Health | Administration Deficiencies | post nurse staffing information. | Widespread | Potential for minimal harm | 20100610 |
| 20100603 | Health | Resident Rights Deficiencies | Allow residents to easily see the results of the nursing home's most recent survey. | Widespread | Potential for minimal harm | 20100610 |
| 20101122 | Health | Resident Rights Deficiencies | Provide enough notice before discharging or transferring a resident. | Isolated | Minimal harm or potential for actual harm | 20101220 |
| 20101122 | 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 | 20101220 |
| 20101122 | 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 | 20101220 |
| Value | Notes | |
| Percent of long-stay residents given influenza vaccination during the flu season: | 95 | |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination: | 99 | |
| Percent of long-stay residents whose need for help with daily activities has increased: | 20 | |
| Percent of long-stay residents who have moderate to severe pain: | 1 | |
| Percent of high-risk long-stay residents who have pressure sores: | 9 | |
| Percent of low-risk long-stay residents who have pressure sores: | 0 | |
| Percent of long-stay residents who were physically restrained: | 0 | |
| 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: | 57 | |
| 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: | 2 | |
| Percent of long-stay residents whose ability to move about in and around their room got worse: | 4 | |
| Percent of long-stay residents who had a urinary tract infection: | 4 | |
| Percent of long-stay residents who lose too much weight: | 10 | |
| Percent of short-stay residents given influenza vaccination during the flu season: | 80 | |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination: | 98 | |
| Percent of short-stay residents who have delirium: | 0 | |
| Percent of short-stay residents who had moderate to severe pain: | 7 | |
| Percent of short-stay residents who have pressure sores: | 6 | |
| # of Residents: | 48 |
| # RN Hours per Resident: | 0.69 |
| # LPN Hours per Resident: | 1.12 |
| # CNA Hours per Resident: | 1.69 |
| Total Staff Hours per Resident: | 1.81 |
