COMMUNITY NURSING AND REHABILITATION CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Community Nursing and Rehabilitation 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

COMMUNITY NURSING AND REHABILITATION CENTER
5600 EAST 16TH STREET
INDIANAPOLIS, IN 46218
(317) 356-0911

Nursing Home Ratings

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

Overall Rating

Percent of Beds Occupied

89%

Number of Residents and Certified Beds

Residents: 102
Certified Beds: 115

This Facility Accepts

Medicare
Medicaid

Operational Details

Operated By Government - County
Offers Only Resident Counseling
This Facility is Part of a Chain or Franchise

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Nearby Cities:

Beech Grove | Mc Cordsville | Fishers

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 Community Nursing and Rehabilitation Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident Services

Resident Conditions

Percent of Service Days

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week
A second rehabilitation discipline three days/week

ADL Index Range: 11-16	8.8%
ADL Index Range: 6-10	7.6%
ADL Index Range: 0-5	12.3%
Total Percent:	28.7%

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week

ADL Index Range: 11-16	8.4%
ADL Index Range: 6-10	14.8%
ADL Index Range: 0-5	7.8%
Total Percent:	30.9%

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week

ADL Index Range: 11-16	12.1%
ADL Index Range: 6-10	14.9%
ADL Index Range: 0-5	2.5%
Total Percent:	29.5%

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum

Five days any combination of three rehabilitation disciplines

ADL Index Range: 11-16	2.5%
ADL Index Range: 6-10	5.1%
ADL Index Range: 0-5	1.7%
Total Percent:	9.2%

Low Rehabilitation

Rehabilitation 45 Minutes Per Week Minimum

Three days any combination of three rehabilitation disciplines
Two services of restorative nursing six days per week

ADL Index Range: 0-10	0.5%
Total Percent:	0.5%

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	1.1%
Total Percent:	1.1%

Rating Details For Community Nursing and Rehabilitation 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	54 Minutes	1 Hour and 20 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours	1 Hour and 10 Minutes	48 Minutes
Certified Nursing Assistant (CNA) Hours	1 Hour and 43 Minutes	2 Hours and 40 Minutes
Total Licensed Nurse Hours	2 Hours and 4 Minutes	2 Hours and 8 Minutes
Total Nurse Hours	3 Hours and 47 Minutes	4 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	60%	89%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season	70%	92%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Are More Depressed or Anxious	14%	16%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder	7%	6%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse	22%	12%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased	28%	20%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection	4%	9%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder	37%	50%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores	4%	3%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair	2%	4%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores	8%	10%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain	1%	3%
Percent of Long-Stay Residents Who Were Physically Restrained	-	4%
Percent of Long-Stay Residents Who Lose Too Much Weight	7%	8%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	35%	81%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season	40%	84%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores	12%	10%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain	9%	18%
Percent of Short-Stay Residents Who Have Delirium	-	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 04/07/2011.

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

Give Lab Tests Only when the Attending Doctor Ordered Them. Inspection Date: 02/20/2009 Correction Date: 03/22/2009
Keep Accurate and Appropriate Medical Records. Inspection Date: 02/20/2009 Correction Date: 03/22/2009
Keep Accurate and Appropriate Medical Records. Inspection Date: 03/11/2010 Correction Date: 04/02/2010
Give or Get Lab Tests to Meet the Needs of Residents. Inspection Date: 04/07/2011 Correction Date: 05/02/2011
Give Lab Tests Only when the Attending Doctor Ordered Them. Inspection Date: 04/07/2011 Correction Date: 05/02/2011

Nutrition and Dietary

Make Sure That the Attending Doctor Orders Special Diets. Inspection Date: 02/20/2009 Correction Date: 03/22/2009
Make Sure That the Attending Doctor Orders Special Diets. Inspection Date: 03/11/2010 Correction Date: 04/02/2010
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 04/07/2011 Correction Date: 05/02/2011

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.

Inspection Date: 02/20/2009
Correction Date: 03/22/2009

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 02/20/2009 Correction Date: 03/22/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 02/20/2009 Correction Date: 03/22/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 02/20/2009 Correction Date: 03/22/2009
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Inspection Date: 02/20/2009 Correction Date: 03/22/2009
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 03/11/2010 Correction Date: 04/02/2010
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 04/07/2011 Correction Date: 05/02/2011
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 04/07/2011 Correction Date: 05/02/2011
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 04/07/2011 Correction Date: 05/02/2011

Resident Assessment

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: 02/20/2009 Correction Date: 03/22/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 02/20/2009 Correction Date: 03/22/2009

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: 02/20/2009 Correction Date: 03/22/2009
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: 04/07/2011 Correction Date: 05/02/2011

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Community Nursing and Rehabilitation 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