MCGIVNEY HEALTH CARE CENTER
The information listed below provides an in-depth look into the type and quality of care offered at Mcgivney Health Care Center. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.
Address
MCGIVNEY HEALTH CARE CENTER
2907 EAST 136TH STREET
CARMEL, IN 46033
(317) 846-0265
2907 EAST 136TH STREET
CARMEL, IN 46033
(317) 846-0265
Nursing Home Ratings
| Health Inspections | |
| Quality Measures | |
| Nursing Staff | |
| R.N. Staff Only | |
| Overall Rating | |
Percent of Beds Occupied
73%Number of Residents and Certified Beds
- Residents: 27
- Certified Beds: 37
This Facility Accepts
- Medicaid
Operational Details
- Operated By Non Profit - Corporation
- Offers Only Resident Counseling
- This Facility is Not Part of a Chain or Franchise
Rating Details For Mcgivney Health Care Center
Nursing Staff - 
The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.
| Nursing Hours Per Resident Per Day | Reported | Expected |
| Registered Nurse (RN) Hours | 1 Hour and 2 Minutes | 51 Minutes |
| Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 14 Minutes | 37 Minutes |
| Certified Nursing Assistant (CNA) Hours | 2 Hours and 48 Minutes | 2 Hours and 19 Minutes |
| Total Licensed Nurse Hours | 1 Hour and 16 Minutes | 1 Hour and 28 Minutes |
| Total Nurse Hours | 4 Hours and 4 Minutes | 3 Hours and 47 Minutes |
Quality of Care - 
Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Indiana are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.
| This Facility | Indiana Average |
Long-Term Stay Preventive Actions
| Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 89% |
| Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 92% |
Long-Term Stay Deficiencies
| Percent of Long-Stay Residents Who Have Moderate to Severe Pain | 13% | 3% |
| Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 24% | 12% |
| Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | - | 4% |
| Percent of Long-Stay Residents Who Are More Depressed or Anxious | 37% | 16% |
| Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 5% | 6% |
| Percent of Long-Stay Residents Who Were Physically Restrained | - | 4% |
| Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 12% | 9% |
| Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 13% | 10% |
| Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores | - | 3% |
| Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 36% | 20% |
| Percent of Long-Stay Residents Who Lose Too Much Weight | 12% | 8% |
| Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 32% | 50% |
Health Inspection Details - 
All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 03/18/2011.
Degree of Harm
- Potential for Minimal Harm
- Minimal Harm or Potential for Harm
- Resident Harmed
- Immediate Jeopardy to Resident Health
Residents Affected
- Isolated
- Some Residents
- Many Residents
| Deficiencies Found By Inspectors | Degree of Harm | Residents Affected |
Administration
Keep Accurate and Appropriate Medical Records.
|  |  |
Keep Accurate and Appropriate Medical Records.
| |  |
Environmental
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
|  | |
Provide Rooms That Are Big Enough for Each Resident.
| | |
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
| | |
Have a Program to Keep Infection from Spreading.
| | |
Provide Rooms That Are Big Enough for Each Resident.
| | |
Provide Rooms That Are Big Enough for Each Resident.
| | |
Nutrition and Dietary
Hire Enough Skilled Workers to Carry out Dietary Service.
| | |
Make Sure That Residents Are Well Nourished.
| | |
Provide Food in a Way That Meets a Resident's Needs.
| | |
Pharmacy Service
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.
| | |
Quality Care
Give Professional Services That Follow Each Resident's Written Care Plan.
| | |
Give Professional Services That Follow Each Resident's Written Care Plan.
| | |
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
| | |
Resident Assessment
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
| | |
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
| | |
Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health.
| | |
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
| | |
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.
| | |
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
| | |
Resident Rights
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.
| | |
Deficiencies from Complaints and Incidents
The table below lists incident reports by the nursing staff or administration for Mcgivney Health Care Center, as well as complaints by residents or their family in the previous three years.
Degree of Harm
- - Potential for Minimal Harm
- - Minimal Harm or Potential for Harm
- - Resident Harmed
- - Immediate Jeopardy to Resident Health
Residents Affected
- - Isolated
- - Some Residents
- - Many Residents
| Formal Complaints | Degree of Harm | Residents Affected |
Administration
Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents.
| | |
Keep Accurate and Appropriate Medical Records.
| | |
Environmental
Have a Program to Keep Infection from Spreading.
| | |
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
| | |
Mistreatment
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
| | |
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
| | |
Protect Residents from Mistreatment, Neglect, And/Or Theft of Personal Property.
| | |
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.
| | |
Nutrition and Dietary
Store, Cook, and Give out Food in a Safe and Clean Way.
| | |
Pharmacy Service
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
| | |
Quality Care
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
| | |
Give Professional Services That Follow Each Resident's Written Care Plan.
| | |
Resident Assessment
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
| | |
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
| | |
Resident Rights
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.
| | |
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.
| | |
Fire Safety
Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Mcgivney Health Care Center had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 03/22/2011.
Degree of Harm
- - Potential for Minimal Harm
- - Minimal Harm or Potential for Harm
- - Resident Harmed
- - Immediate Jeopardy to Resident Health
Residents Affected
- - Isolated
- - Some Residents
- - Many Residents
| Deficiencies Found By Inspectors | Degree of Harm | Residents Affected |
Automatic Sprinkler Systems
An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
| | |
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
| | |
Building Service Equipment
Properly Protected Cooking Facilities.
| | |
Emergency Plans and Fire Drills
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
| |  |
Source: Medicare Nursing Home Compare; Department of Health of Indiana - Long Term Care Division - Retrieved 2011
