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LOOKING FOR A NURSING HOME FOR A LOVED ONE?

The News-Sentinel regularly brings you information on the results of Allen County nursing homes’ annual surveys or inspections. Today’s surveys are from the six nursing homes inspected during the third quarter of 2005, the most recent quarter available. A total of 128 Indiana nursing homes were surveyed. Although the Indiana State Department of Health’s Long-Term Care Division releases a quarterly announcement of facilities that have received no deficiencies, the News-Sentinel’s health reporter read through results from all Allen County nursing homes inspected during the third quarter so readers can glean the most information possible. Survey results from the first two quarters of 2004 were printed Oct. 10. Information contained in our reviews comes from the surveys that are open to the public, from the state health department’s Web site and from ISDH staff. In the third quarter, 128 of the state’s nursing homes were inspected, with 11 of them having deficiency-free surveys. None of the six Allen County facilities was found deficiency-free. — Compiled by Jennifer Boen, jboen@news-sentinel.com

Bethlehem Woods Nursing and Rehabilitation Center
Address: 4430 Elsdale Drive.
Phone: 485-8157
Owner: Health and Hospital Corp. of Marion County, Indianapolis
Officers: Matthew Gutwein, Patricia Hebenstreit, Greg Porter and Daniel Sellers
Most recent change in ownership: Dec. 1, 2003; former owner Bethlehem Woods Nursing and Rehabilitation Center LLC
Status: For-profit
Administrator: JoElyn Morris
Hire date: Dec. 1, 2003
Beds: 90
Census: 87 as of Aug. 29
Most recent annual survey : Sept. 2
In substantial compliance? No
When compliance met: Oct. 2
Deficiencies found in Levels D-L**: 4D
D Level findings:
♦Failed to ensure three residents who use a “lap buddy” restraint were using the restraint for the least possible amount of time. The lap buddy is a device that supports a resident while sitting in a wheelchair. Residents were not checked every hour nor the lap buddies removed every two hours, as required in their care plans.
♦Failed to administer aerosolized asthma medication treatments properly for two residents. Also, a nurse failed to wash her hands after entering a resident’s room and failed to put on gloves or clean the resident’s finger before doing a finger-stick blood test.
♦A resident with multiple skin tears from the elbow to the wrist on both arms was not using a special protective covering on the arms, as required by the care plan.
♦Failed to ensure safety equipment was used to prevent tears in the arms of a patient with very thin skin.
Substantiated complaints in 2005: One
Previous year:
2005 findings:
♦Complaint substantiated but level of findings not high enough or no violation of state federal rules found to warrant deficiencies.
Federal Quality Initiative scores: Staffing hours per resident per day for licensed nursing staff:
Bethlehem Woods: 1 hour, 1 minute
Statewide average: 1 hour, 18 minutes
National average: 1 hour, 12 minutes
For nursing assistants:
Bethlehem Woods: 1 hour, 46 minutes
State average: 2 hours
National average: 2 hours, 18 minutes
National Nursing Home Compare Score (based on three years of data):
(the lower the score the better)
Bethlehem Woods: 72
Statewide Average: 134
State licensure actions this quarter: None
Federal actions imposed: None Explanation
Nursing homes are given deficiencies according to ratings set by the federal government. Although there are A-C ratings, they are the least serious deficiencies and are not tracked in News-Sentinel reports. Levels D-L have the following meanings, with D being less severe and L indicating the most serious deficiency. Levels G-L are particularly cause for concern:
D: Isolated/minimal harm or potential for actual harm – A less serious deficiency and isolated to the fewest number of individuals; results in minimal discomfort or has the potential to negatively affect a resident’s ability to achieve his/her highest level of functioning.
E: Pattern/minimal harm or potential for actual harm – A less serious deficiency affecting more than a limited number of individuals; results in minimal discomfort or has the potential to negatively affect residents.
F: Widespread/minimal harm or potential for actual harm – A less serious deficiency that is widespread; results in minimal discomfort or has the potential to negatively affect residents.
G: Isolated/actual harm – A more serious deficiency isolated to the fewest number of individuals; negatively affects the resident’s ability to achieve his/her highest functioning.
H. Pattern/actual harm – A more serious deficiency affecting more than a limited number of individuals; negatively affects residents.
I. Widespread/actual harm – A more serious deficiency that is widespread and/or has the potential to affect a large number of residents.
J. Isolated/immediate jeopardy – The most serious deficiency, although isolated to the fewest number of residents, staff or occurrences; has caused or is likely to cause serious injury, harm, impairment or death: immediate corrective action required.
K. Pattern/immediate jeopardy – The most serious deficiency affecting more than a limited number of individuals; has caused or is likely to cause serious injury, harm impairment or death; immediate corrective action required.
L. Widespread/immediate jeopardy – the most serious deficiency and widespread throughout the facility; places residents in immediate jeopardy, causing or likely to cause serious injury, harm, impairment or death; immediate corrective action required.

Beverly Rehab and Specialty Care Center
Address: 2940 N. Clinton St.
Phone: 484-0602
Owner: Beverly Healthcare LLC, Fort Smith, Ark.
Officers: David Devereaux, Patrice Acosta, David Mills, John Grobmyer and Frederic Maas
Most recent change in ownership: Jan. 1, 1999; former owner Beverly Enterprises – Indiana Inc.
Status: For-profit
Administrator: Liane Minier
Hire date: Jan. 21, 2002
Beds: 88
Census: 58 as of Sept. 8
Most recent annual survey : Sept. 12
In substantial compliance? No
When compliance met: Oct. 12
Deficiencies found in Levels D-L**: 5D
D Level findings:
♦Failed to develop a plan to treat a resident’s open bed sore.
♦Failed to follow doctor’s orders regarding administration of oxygen therapy for one resident.
♦Failed to treat one resident for pain after the resident fell and broke a hip, even though the doctor had written orders for the resident to receive pain medicine with codeine if injuries occurred from falls.
♦Failed to present adequate supervision and assistive devices to prevent falls for two residents and to provide supervision to prevent another resident from leaving the facility unnoticed. The resident who left the facility in her wheelchair was found by a visitor in the parking lot.
♦Failed to provide a doctor-prescribed diet for one resident. The resident was not to have gravy, butter or whole milk, yet surveyors witnessed the resident being given all three high-fat foods. The resident gained 25 pounds in a year, with 10 of those gained in 30 days.
Substantiated complaints in 2005: One
Previous year: None
2005 findings:
♦Complaint substantiated but level of findings not high enough or no violation of state federal rules found to warrant deficiencies.
Federal Quality Initiative scores:
Staffing hours per resident per day for licensed nursing staff:
Beverly: 1 hour, 16 minutes
Statewide average: 1 hour, 18 minutes
National average: 1 hour, 12 minutes
For nursing assistants:
Beverly: 48 minutes
State average: 2 hours
National average: 2 hours, 18 minutes
National Nursing Home Compare Score (based on three years of data):
(the lower the score the better)
Beverly: 52
State average: 134
State licensure actions this quarter: None
Federal actions imposed: None

Byron Health Center
Address: 12101 Lima Road
Phone: 637-3166
Owner: Allen County; operated by Recovery Health Services Inc.
Officers: Recovery Health officers are Ken Lizer, Paul Steigmeyer, William O’Dell and Marilyn Allgood.
Most recent change in ownership: None
Status: Nonprofit
Administrator: Peter Marotti
Hire date: Jan. 19, 1998
Beds: 191
Census: 148 as of Aug. 23
Most recent annual survey : Aug. 25
In substantial compliance? No
When compliance met: Sept. 22
Deficiencies found in Levels D-L**: 4D
Findings:
D Level:
♦Failed to notify doctor of abnormal blood sugar levels for one diabetic resident; resident’s blood sugars ranged from a low of 49 to high of 523, with normal range of 90-120.
♦Failed to monitor and document blood-sugar levels of two residents according to facility policies.
♦Failure to ensure a stairwell door alarm was working properly.
♦Failure to ensure supplies were present and unexpired on a crash cart, which is used in cardiac arrest and other emergencies.
E Level: None
G Level: None
Substantiated complaints in 2005: One
Previous year: None
2005 findings:
♦Complaint substantiated but level of findings not high enough or no violation of state federal rules found to warrant deficiencies.
Federal Quality Initiative scores:
Staffing hours per resident per day for licensed nursing staff:
Byron: 1 hour, 9 minutes
Statewide average: 1 hour, 18 minutes
National average: 1 hour, 12 minutes
For nursing assistants:
Byron: 1 hour, 53 minutes
State average: 2 hours
National average: 2 hours, 18 minutes
National Nursing Home Compare Score (based on three years of data):
(the lower the score the better)
Byron: 40
State average: 134
State licensure actions this quarter: None
Federal actions imposed: None

Kingston Care Center
Address: 1010 S. Washington
Center Road
Phone: 489-2552
Owner: Kingston Healthcare Co., Toledo, Ohio
Officers: M. George Rumman, Frederick Wolfe, Larry Nirschl and Kent Libbe
Most recent change in ownership: None
Status: For-profit
Administrator: Monti Montgomery
Hire date: Feb. 2, 2004
Beds: 100
Census: 91 as of Sept. 13
Most recent annual survey : Sept. 20
In substantial compliance? No
When compliance met: Nov. 11
Deficiencies found in Levels D-L**: 2D; 1E
D Level findings:
♦Failed to develop care plans for two residents with histories of falls and for one resident with mental retardation who was to receive academic skills training. One resident fell in June and broke her right hip, then fell again in July and broke her right leg.
♦Failed to follow doctor’s orders regarding use of pain medication for one resident and to do dressing changes according to facility protocol for another resident. The narcotic pain medicine for the one resident was to be given every four hours, but nurses gave it more frequently at least nine times; on one occasion, after administration of the narcotic, the resident became dizzy, fell and broke her leg.
E Level findings:
♦Failed to prevent accidents by supervising two residents with risk of falling. Both received bone fractures in falls at the facility.
Other findings according to state rules (no deficiencies assigned):
♦Failed to provide dementia-specific training for 107 of 137 employees who had regular contact with residents with dementia; state rules require such training.
Substantiated complaints in 2005: One
Previous year: One
2005 findings: Two Level D deficiencies
♦Pertaining to notification on rights and services for residents and quality of care related to changes in a resident’s condition.
Federal Quality Initiative scores:
Staffing hours per resident per day for licensed nursing staff:
Kingston Care: 1 hour, 27 minutes
State average: 1 hour, 18 minutes
National average: 2 hours, 18 minutes
For nursing assistants:
Kingston Care: 2 hours, 2 minutes
State average: 2 hours
National average: 2 hours, 18 minutes
National Nursing Home Compare Score (based on three years of data):
(the lower the score the better)
Kingston Care: 123
State average: 134
State licensure actions this quarter: None
Federal actions imposed: None

Life Care Center of Fort Wayne
Address: 1649 Spy Run Ave.
Phone: 422-8520
Owner: Life Care Centers of America Inc., Cleveland, Tenn.
Officers: Forest Preston, Angelena Clayton, J. Stephen Ziegler, Cindy Cross and Don Giardina
Most recent change in ownership: None
Status: For-profit
Administrator: Timothy Theye
Hire date: Jan. 29
Beds: 125
Census: 79 as of July 28
Most recent annual survey : Aug. 3
In substantial compliance? No
When compliance met: Sept. 22
Deficiencies found in Levels D-L**: 9 D; 2 E
Findings:
D Level:
♦Failed to have system in place to identify, treat and monitor psychological conditions such as depression for two residents.
♦Failed to provide a clean, safe home-like environment. In one case, an incontinent resident’s room had an “intense odor of urine.” Surveyors noted her mattress was wet and stained. The facility had replaced the mattress twice before, and the administrator said it was not time to replace it again. There was dirt or dust on light and heating/cooling fixtures, stains and dried food on chairs, leakage of water in a ceiling and other problems.
♦Failed to provide assessment of one resident following pre/post kidney dialysis; failed to follow the care plan for two residents who needed padded bed rails.
♦Failed to follow care plan for a resident who was to have a cushion between her knees to prevent a hip dislocation if she crossed her legs.
♦Failed to help one resident feed herself; staff took over her feeding.
♦Failed to provide proper care for a resident with a bed sore; no pillow was to be used and resident was to be checked regularly for wetness.
♦Failed to provide assistive devices to prevent falls or accidents for three residents.
♦Nurses on three occasions failed to follow infection-control procedures for dressing changes; in one case.
♦Failed to accurately document the clinical records of two residents; in two cases, the doctor discontinued medications but nurses’ notes indicated the residents were still receiving the medicine.
E Level:
♦Failed to lock the therapy/gym area when the room was unsupervised.
♦Two dietary staff failed to wash their hands according to dietary policies before serving or preparing food.
Other findings according to state rules (no deficiencies cited):
♦One employee did not have the required TB test completed.
Substantiated complaints in 2005: 5
Previous year: 4
2005 findings: one level G; one level 2 D
♦Resident abuse issues: two nursing assistants struck a combative resident and used foul language toward him; although they were fired, the termination did not take place for three days.
♦Quality of care issues: a nursing assistant, in using a lift to transfer a patient, failed to position the woman properly; the resident fell and broke her leg; facility policy requires two aides when using the lift.
♦Physical environment issues related to large amounts of dust/dirt in patients’ rooms, hallways and the heating units.
♦Two other complaints substantiated but level of findings not high enough or no violation of state federal rules found to warrant deficiencies.
Federal Quality Initiative scores:
Staffing hours per resident per day for licensed nursing staff:
Life Care Center: 1 hour, 15 minutes
State average: 1 hour, 18 minutes
National average: 1 hour, 12 minutes
For nursing assistants:
Life Care Center: 1 hour, 20 minutes
State average: 2 hours
National average: 2 hours, 18 minutes
National Nursing Home Compare Score (based on three years of data):
(the lower the score the better)
Life Care Center: 198
State average: 134
State licensure actions this quarter: $7,500 fine levied April 4
Federal actions imposed: Civil penalty of $100/day imposed Jan. 24, ended Feb. 23.

Renaissance Village
Address: 6050 S. C.R. 800 E-92
Phone: 625-3545
Owner: Renaissance Health Care LLC, Fort Wayne
Officers: Michael Mohrman, Bill Ehinger and Gary Probst
Most recent change in ownership: None
Status: For-profit
Administrator: Deborah Mills
Hire date: Jan. 19, 1998
Beds: 96
Census: 93 as of Sept. 12
Most recent annual survey : Sept. 15
In substantial compliance? No
When compliance met: Oct. 4
Deficiencies found in Levels D-L**: 2E
Findings:
E Level:
♦Failed to monitor abnormal blood sugar levels for one diabetic resident; although the resident’s blood-sugar levels were abnormally high at least 20 times, the resident was not reassessed after insulin was given, and there were no doctor’s orders regarding treatment when the resident’s blood sugars were abnormally low.
♦Failed to ensure the ice machine was in proper working order to prevent contamination of the ice in the holding bin.
Substantiated complaints in 2005: One
Previous year: None
2005 findings:
♦Complaint substantiated but level of findings not high enough or no violation of state federal rules found to warrant deficiencies.
Federal Quality Initiative scores:
Staffing hours per resident per day for licensed nursing staff:
Renaissance Village: 1 hour, 20 minutes
State average: 1 hour, 18 minutes
National average: 1 hour, 12 minutes
For nursing assistants:
Renaissance Village: 2 hours, 11 minutes
State average: 2 hours
National average: 2 hours, 18 minutes
National Nursing Home Compare Score (based on three years of data):
(the lower the score the better)
Renaissance Village: 55
State average: 134
State licensure actions this quarter: None
Federal actions imposed: None