BLUE RIVER REHABILITATION CENTER

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 "Ultra-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 Blue River Rehabilitation Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Ultra-High Rehabilitation Plus Extensive Services

Very High Rehabilitation Plus Extensive Services

Ultra-High Rehabilitation

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

Special Care Low

Clinically Complex

Behavioral Symptoms and Cognitive Performance

Reduced Physical Function

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.

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 Missouri are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

Long-Term Stay Preventive Actions

Long-Term Stay Deficiencies

Short-Term Stay Preventive Actions

Short-Term Stay Deficiencies

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 02/09/2011.

Administration

Follow All Laws and Professional Standards. Inspection Date: 04/30/2009 Correction Date: 06/15/2009
Get Services Outside the Nursing Home That Meet Professional Standards. Inspection Date: 04/30/2009 Correction Date: 06/15/2009
Give or Get Lab Tests to Meet the Needs of Residents. Inspection Date: 04/14/2010 Correction Date: 05/14/2010
Keep Accurate and Appropriate Medical Records. Inspection Date: 04/14/2010 Correction Date: 05/14/2010

Environmental

Have a Program to Keep Infection from Spreading. Inspection Date: 04/30/2009 Correction Date: 06/15/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 04/30/2009 Correction Date: 05/03/2009
Keep Safe, Clean and Homelike Surroundings. Inspection Date: 04/14/2010 Correction Date: 05/14/2010
Provide Needed Housekeeping and Maintenance. Inspection Date: 04/14/2010 Correction Date: 05/14/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 04/14/2010 Correction Date: 05/14/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 04/14/2010 Correction Date: 05/14/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 02/09/2011 Correction Date: 03/31/2011
Have a Program to Keep Infection from Spreading. Inspection Date: 02/09/2011 Correction Date: 03/31/2011

Nutrition and Dietary

Provide Food in a Way That Meets a Resident's Needs. Inspection Date: 04/30/2009 Correction Date: 06/15/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 04/30/2009 Correction Date: 06/15/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 04/14/2010 Correction Date: 05/14/2010
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 02/09/2011 Correction Date: 03/31/2011

Pharmacy Service

Properly Mark Drugs and Other Similar Products. Inspection Date: 04/30/2009 Correction Date: 06/15/2009
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. Inspection Date: 04/14/2010 Correction Date: 05/14/2010
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 04/14/2010 Correction Date: 05/14/2010
Properly Mark Drugs and Other Similar Products. Inspection Date: 02/09/2011 Correction Date: 03/31/2011

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 04/30/2009 Correction Date: 06/15/2009
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 04/30/2009 Correction Date: 06/15/2009
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 04/30/2009 Correction Date: 06/15/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 04/14/2010 Correction Date: 05/14/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 04/14/2010 Correction Date: 05/14/2010
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 04/14/2010 Correction Date: 05/14/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 02/09/2011 Correction Date: 03/31/2011
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 02/09/2011 Correction Date: 03/31/2011
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 02/09/2011 Correction Date: 03/31/2011

Resident Assessment

Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health. Inspection Date: 04/30/2009 Correction Date: 06/15/2009
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them. Inspection Date: 04/30/2009 Correction Date: 06/15/2009
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 04/14/2010 Correction Date: 05/14/2010
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them. Inspection Date: 04/14/2010 Correction Date: 05/14/2010
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: 04/14/2010 Correction Date: 05/14/2010
Keep Assessments Completed in the Preceding 15 Months in the Resident's Active Record. Inspection Date: 04/14/2010 Correction Date: 05/14/2010
Electronically Record and Report Resident Status Assessments in a Timely Manner As Required in Order to Monitor Resident Health and Progress. Inspection Date: 04/14/2010 Correction Date: 05/14/2010
Make Sure That Doctors See a Resident's Plan of Care at Every Visit and Make Notes About Progress and Orders in Writing. Inspection Date: 04/14/2010 Correction Date: 05/14/2010

Resident Rights

Send and Promptly Deliver Unopened Mail to Residents. Inspection Date: 04/30/2009 Correction Date: 06/15/2009
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 04/30/2009 Correction Date: 06/15/2009
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: 04/14/2010 Correction Date: 05/14/2010
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home. Inspection Date: 04/14/2010 Correction Date: 05/14/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 02/09/2011 Correction Date: 03/31/2011

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.

The table below lists incident reports by the nursing staff or administration for Blue River Rehabilitation Center, as well as complaints by residents or their family in the previous three years.

Environmental

Provide Needed Housekeeping and Maintenance. Complaint Filed: 04/30/2009 Correction Date: 06/15/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 04/30/2009 Correction Date: 06/15/2009

Quality Care

Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Complaint Filed: 06/25/2008 Correction Date: 08/08/2008
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Complaint Filed: 04/30/2009 Correction Date: 06/15/2009
Give Professional Services That Meet a Professional Standard of Quality. Complaint Filed: 12/01/2009 Correction Date: 01/08/2010

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 Blue River Rehabilitation 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 02/09/2011.

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 04/30/2009 Correction Date: 06/01/2009
Portable Fire Extinguishers. Inspection Date: 04/30/2009 Correction Date: 05/20/2009
An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 04/14/2010 Correction Date: 05/14/2010

Building Construction

Approved Construction Type or Materials. Inspection Date: 04/14/2010 Correction Date: 05/14/2010

Building Service Equipment

Properly Protected Cooking Facilities. Inspection Date: 04/14/2010 Correction Date: 05/14/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 04/30/2009 Correction Date: 05/04/2009
Signs That State That Exit Doors Are to Be Kept Closed. Inspection Date: 04/30/2009 Correction Date: 05/29/2009
Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke. Inspection Date: 04/14/2010 Correction Date: 05/14/2010
Corridor and Hallway Doors That Block Smoke. Inspection Date: 04/14/2010 Correction Date: 05/14/2010

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 04/14/2010 Correction Date: 05/14/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 04/14/2010 Correction Date: 05/14/2010

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 04/14/2010 Correction Date: 05/14/2010
Exits That Are Accessible at All Times. Inspection Date: 02/09/2011 Correction Date: 03/31/2011

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 04/14/2010 Correction Date: 05/14/2010
A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 02/09/2011 Correction Date: 03/31/2011

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 04/14/2010 Correction Date: 05/14/2010

Laboratories

Emergency Showers. Inspection Date: 04/14/2010 Correction Date: 05/14/2010

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 04/30/2009 Correction Date: 05/03/2009
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 04/14/2010 Correction Date: 05/14/2010

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 04/14/2010 Correction Date: 05/14/2010