EDGEMONT HEALTHCARE

The information listed below provides an in-depth look into the type and quality of care offered at Edgemont Healthcare. 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

EDGEMONT HEALTHCARE
323 WEBSTER AVENUE
CYNTHIANA, KY 41031
(859) 234-4595

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

88%

Number of Residents and Certified Beds

  • Residents: 60
  • Certified Beds: 68

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Partnership
  • Offers Both Resident and Family Counseling Services
  • This Facility is Not Part of a Chain or Franchise

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Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Very High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Edgemont Healthcare. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1627.3%
ADL Index Range: 6-1019.3%
ADL Index Range: 0-54.8%
Total Percent:51.4%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1619.6%
ADL Index Range: 6-103.9%
ADL Index Range: 0-54.5%
Total Percent:28.0%
 

Special Care High

  • Comatose
  • Septicemia
  • Diabetes with daily injections and a change of order two or more days
  • Quadriplegia with ADL score greater or equal to 5
  • Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
  • Fever with pneumonia, or vomiting, or weight loss, or feeding tube
  • Parenteral/IV feedings
  • Respiratory therapy for 7 days
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 15-16
- No Signs of depression
4.5%
ADL Index Range: 11-14
- No Signs of depression
8.7%
Total Percent:13.2%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 11-14
- No Signs of depression
0.3%
ADL Index Range: 6-10
- No Signs of depression
4.5%
Total Percent:4.8%
 

Behavioral Symptoms and Cognitive Performance

  • Cognitive impairment BIMS score less than or equal to 9
  • CPS great than or equal to 3
  • Hallucinations or delusions
  • Physical or verbal behavioral symptoms toward others
  • Other behavioral symptoms
  • Rejection of care or wandering
  • Activities of Daily Living (ADL) score of 5 or less
ADL Index Range: 2-5
- Less restorative nursing
2.6%
Total Percent:2.6%
 

Rating Details For Edgemont Healthcare

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 DayReportedExpected
Registered Nurse (RN) Hours34 Minutes1 Hour and 4 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours22 Minutes44 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 34 Minutes2 Hours and 41 Minutes
Total Licensed Nurse Hours56 Minutes1 Hour and 47 Minutes
Total Nurse Hours3 Hours and 30 Minutes4 Hours and 28 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 Kentucky are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityKentucky Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%93%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%93%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair22%9%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder65%53%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse5%12%
Percent of Long-Stay Residents Who Lose Too Much Weight9%9%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder9%6%
Percent of Long-Stay Residents Who Are More Depressed or Anxious19%17%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores3%3%
Percent of Long-Stay Residents Who Were Physically Restrained3%6%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased6%17%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores23%11%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection14%11%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain8%3%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%88%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%89%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain52%17%
Percent of Short-Stay Residents Who Have Pressure Sores19%11%
Percent of Short-Stay Residents Who Have Delirium4%2%

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 07/15/2010.

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 InspectorsDegree of HarmResidents Affected

Administration

Post Nurse Staffing Information.
  • Inspection Date: 10/09/2008
  • Correction Date: 11/08/2008
1) Set Up a Group That is Legally Responsible for Writing and Setting Up Policies for Leading and Running the Nursing Home; or 2) Hire a Properly Licensed Administrator.
  • Inspection Date: 10/09/2008
  • Correction Date: 11/08/2008
Quickly Tell the Resident's Doctor the Results of Lab Tests.
  • Inspection Date: 10/09/2008
  • Correction Date: 11/08/2008
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 10/09/2008
  • Correction Date: 11/08/2008

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 10/09/2008
  • Correction Date: 11/08/2008
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 10/09/2008
  • Correction Date: 11/08/2008
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests.
  • Inspection Date: 10/09/2008
  • Correction Date: 11/08/2008
Provide Clean Bed and Bath Linens That Are in Good Condition.
  • Inspection Date: 07/16/2009
  • Correction Date: 08/24/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 07/16/2009
  • Correction Date: 08/13/2009
Keep All Essential Equipment Working Safely.
  • Inspection Date: 07/16/2009
  • Correction Date: 08/14/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 07/16/2009
  • Correction Date: 08/29/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 07/15/2010
  • Correction Date: 08/12/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 07/15/2010
  • Correction Date: 08/04/2010

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Inspection Date: 07/16/2009
  • Correction Date: 08/24/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 07/15/2010
  • Correction Date: 08/04/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 07/16/2009
  • Correction Date: 08/06/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 07/15/2010
  • Correction Date: 10/18/2010

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 10/09/2008
  • Correction Date: 11/08/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 10/09/2008
  • Correction Date: 11/08/2008
Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable.
  • Inspection Date: 10/09/2008
  • Correction Date: 11/08/2008
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Inspection Date: 10/09/2008
  • Correction Date: 11/08/2008
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration.
  • Inspection Date: 10/09/2008
  • Correction Date: 11/08/2008
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 07/16/2009
  • Correction Date: 08/29/2009

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 10/09/2008
  • Correction Date: 11/08/2008
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.
  • Inspection Date: 10/09/2008
  • Correction Date: 11/08/2008
Keep Assessments Completed in the Preceding 15 Months in the Resident's Active Record.
  • Inspection Date: 07/16/2009
  • Correction Date: 08/29/2009
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.
  • Inspection Date: 07/15/2010
  • Correction Date: 08/28/2010

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.
  • Inspection Date: 10/09/2008
  • Correction Date: 11/08/2008
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.
  • Inspection Date: 07/16/2009
  • Correction Date: 08/24/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 07/15/2010
  • Correction Date: 08/04/2010

Enforcement

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

Action TakenDateAmount
Civil Money Penalty (CMP)07/15/2010$15,438

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Edgemont Healthcare, 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 ComplaintsDegree of HarmResidents Affected

Administration

Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident.
  • Complaint Filed: 07/16/2009
  • Correction Date: 08/24/2009
Choose a Doctor to Be the Medical Director.
  • Complaint Filed: 07/16/2009
  • Correction Date: 08/24/2009
Set Up or Keep a Group of People to Review and Ensure Quality.
  • Complaint Filed: 07/16/2009
  • Correction Date: 08/24/2009
Hire a Qualified Activities Director.
  • Complaint Filed: 07/16/2009
  • Correction Date: 08/24/2009
Set Up or Keep a Group of People to Review and Ensure Quality.
  • Complaint Filed: 07/15/2010
  • Correction Date: 10/18/2010

Quality Care

Give or Get Dental Care for Each Resident.
  • Complaint Filed: 04/10/2009
  • Correction Date: 05/06/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 04/10/2009
  • Correction Date: 05/06/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Complaint Filed: 04/10/2009
  • Correction Date: 05/06/2009
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
  • Complaint Filed: 07/16/2009
  • Correction Date: 08/29/2009
Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being.
  • Complaint Filed: 07/16/2009
  • Correction Date: 08/24/2009
Provide Activities to Meet the Needs of Each Resident.
  • Complaint Filed: 07/16/2009
  • Correction Date: 08/24/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 07/16/2009
  • Correction Date: 08/29/2009

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Complaint Filed: 07/16/2009
  • Correction Date: 08/29/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Complaint Filed: 07/16/2009
  • Correction Date: 08/29/2009
Electronically Record and Report Resident Status Assessments in a Timely Manner As Required in Order to Monitor Resident Health and Progress.
  • Complaint Filed: 07/15/2010
  • Correction Date: 08/28/2010
Check and Update (If Needed) Each Resident's Assessment Every 3 Months.
  • Complaint Filed: 07/15/2010
  • Correction Date: 08/28/2010

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Complaint Filed: 04/10/2009
  • Correction Date: 05/06/2009

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 Edgemont Healthcare 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 07/13/2010.

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 InspectorsDegree of HarmResidents Affected

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 07/13/2010
  • Correction Date: 08/03/2010

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 07/17/2009
  • Correction Date: 08/04/2009

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times.
  • Inspection Date: 07/13/2010
  • Correction Date: 08/03/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 07/13/2010
  • Correction Date: 08/03/2010

Laboratories

Emergency Showers.
  • Inspection Date: 10/07/2008
  • Correction Date: 11/06/2008
Emergency Showers.
  • Inspection Date: 07/17/2009
  • Correction Date: 08/14/2009

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 10/07/2008
  • Correction Date: 11/03/2008
Source: Medicare Nursing Home Compare; Office of Inspector General of Kentucky - Retrieved 2011