SUGAR CREEK REHABILITATION CONVALESCENT CENTER

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

SUGAR CREEK REHABILITATION CONVALESCENT CENTER
5430 WEST U.S. 40
GREENFIELD, IN 46140
(317) 894-3301

Nursing Home Ratings

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

Percent of Beds Occupied

78%

Number of Residents and Certified Beds

  • Residents: 47
  • Certified Beds: 60

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Only Resident Counseling
  • 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 Sugar Creek Rehabilitation Convalescent Center. 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: 11-1617.5%
ADL Index Range: 6-1016.4%
ADL Index Range: 0-531.1%
Total Percent:65.0%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1617.1%
ADL Index Range: 0-510.4%
Total Percent:27.4%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-160.5%
ADL Index Range: 0-56.5%
Total Percent:6.9%
 

Reduced Physical Function

  • Urinary and/or bowel training program
  • Passive and/or active range of motion (ROM)
  • Amputation/prosthesis training
  • Dressing or grooming training
  • Eating or swallowing training
  • Transfer training
  • Splint or brace assistance
  • Bed mobility and/or walking training
  • Communication training
ADL Index Range: 11-14
- Less restorative nursing
0.7%
Total Percent:0.7%
 

Rating Details For Sugar Creek Rehabilitation Convalescent 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 DayReportedExpected
Registered Nurse (RN) Hours48 Minutes56 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours1 Hour and 6 Minutes35 Minutes
Certified Nursing Assistant (CNA) Hours1 Hour and 35 Minutes2 Hours and 16 Minutes
Total Licensed Nurse Hours1 Hour and 54 Minutes1 Hour and 31 Minutes
Total Nurse Hours3 Hours and 29 Minutes3 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 FacilityIndiana Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%92%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%89%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased32%20%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-3%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder62%50%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores3%10%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse21%12%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain3%3%
Percent of Long-Stay Residents Who Lose Too Much Weight1%8%
Percent of Long-Stay Residents Who Were Physically Restrained6%4%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection6%9%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder2%6%
Percent of Long-Stay Residents Who Are More Depressed or Anxious11%16%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair1%4%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season78%84%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination84%81%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain27%18%
Percent of Short-Stay Residents Who Have Delirium-2%
Percent of Short-Stay Residents Who Have Pressure Sores11%10%

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 05/12/2011.

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 InspectorsDegree of HarmResidents Affected

Administration

Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents.
  • Inspection Date: 03/19/2009
  • Correction Date: 04/15/2009
Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents.
  • Inspection Date: 04/30/2010
  • Correction Date: 05/27/2010
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 05/12/2011
  • Correction Date: 07/12/2011

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 03/19/2009
  • Correction Date: 04/15/2009
Keep Safe, Clean and Homelike Surroundings.
  • Inspection Date: 04/30/2010
  • Correction Date: 05/27/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 04/30/2010
  • Correction Date: 05/27/2010
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area.
  • Inspection Date: 04/30/2010
  • Correction Date: 05/27/2010

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Inspection Date: 04/30/2010
  • Correction Date: 05/27/2010
Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others.
  • Inspection Date: 04/30/2010
  • Correction Date: 05/27/2010
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.
  • Inspection Date: 04/30/2010
  • Correction Date: 05/27/2010
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 04/30/2010
  • Correction Date: 05/27/2010

Nutrition and Dietary

1) Provide 3 Meals Daily at Regular Times; or 2) Serve Breakfast Within 14 Hours After Dinner; or 3) Offer a Snack at Bedtime Each Day.
  • Inspection Date: 04/30/2010
  • Correction Date: 05/27/2010
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 04/30/2010
  • Correction Date: 05/27/2010

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: 04/30/2010
  • Correction Date: 05/27/2010
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
  • Inspection Date: 04/30/2010
  • Correction Date: 05/27/2010

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 03/19/2009
  • Correction Date: 04/15/2009
Provide Activities to Meet the Needs of Each Resident.
  • Inspection Date: 04/30/2010
  • Correction Date: 05/27/2010
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
  • Inspection Date: 04/30/2010
  • Correction Date: 05/27/2010
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 04/30/2010
  • Correction Date: 05/27/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 04/30/2010
  • Correction Date: 05/27/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 04/30/2010
  • Correction Date: 05/27/2010
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Inspection Date: 04/30/2010
  • Correction Date: 05/27/2010
Use a Registered Nurse at Least 8 Hours a Day, 7 Days a Week.
  • Inspection Date: 04/30/2010
  • Correction Date: 05/27/2010
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 05/12/2011
  • Correction Date: 07/12/2011

Resident Assessment

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: 03/19/2009
  • Correction Date: 04/15/2009
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 04/30/2010
  • Correction Date: 05/27/2010
Check and Update (If Needed) Each Resident's Assessment Every 3 Months.
  • Inspection Date: 04/30/2010
  • Correction Date: 05/27/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 04/30/2010
  • Correction Date: 05/27/2010

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: 04/30/2010
  • Correction Date: 05/27/2010
Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 04/30/2010
  • Correction Date: 05/27/2010
Have a Private Telephone Available for Use.
  • Inspection Date: 04/30/2010
  • Correction Date: 05/27/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 04/30/2010
  • Correction Date: 05/27/2010

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)03/19/2009$1,690
Civil Money Penalty (CMP)03/19/2009$2,308
Civil Money Penalty (CMP)04/30/2010$4,200
Civil Money Penalty (CMP)04/30/2010$10,000

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Sugar Creek Rehabilitation Convalescent 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 ComplaintsDegree of HarmResidents Affected

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 06/15/2011
  • Correction Date: 07/12/2011

Mistreatment

Protect Residents from Mistreatment, Neglect, And/Or Theft of Personal Property.
  • Complaint Filed: 06/15/2011
  • Correction Date: 07/12/2011
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.
  • Complaint Filed: 06/15/2011
  • Correction Date: 07/22/2011
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Complaint Filed: 06/15/2011
  • Correction Date: 07/22/2011

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan.
  • Complaint Filed: 06/15/2011
  • Correction Date: 07/12/2011

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 Sugar Creek Rehabilitation Convalescent 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 06/14/2011.

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 InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 04/03/2009
  • Correction Date: 04/16/2009
An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 05/11/2010
  • Correction Date: 06/01/2010

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 04/03/2009
  • Correction Date: 04/16/2009
Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 06/14/2011
  • Correction Date: 07/14/2011

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 04/03/2009
  • Correction Date: 04/16/2009
Exits That Are Accessible at All Times.
  • Inspection Date: 06/14/2011
  • Correction Date: 07/14/2011

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 04/03/2009
  • Correction Date: 04/16/2009

Furnishings and Decorations

Restrictions on the Use of Flammable Curtains.
  • Inspection Date: 06/14/2011
  • Correction Date: 07/14/2011

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 06/14/2011
  • Correction Date: 07/14/2011

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 05/11/2010
  • Correction Date: 06/01/2010
Source: Medicare Nursing Home Compare; Department of Health of Indiana - Long Term Care Division - Retrieved 2011