RICHMOND PLACE REHABILITATION AND HEALTH CENTER

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

RICHMOND PLACE REHABILITATION AND HEALTH CENTER
2770 PALUMBO DRIVE
LEXINGTON, KY 40509
(859) 263-2410

Nursing Home Ratings

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

Percent of Beds Occupied

96%

Number of Residents and Certified Beds

  • Residents: 86
  • Certified Beds: 90

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Both Resident and Family Counseling Services
  • This Facility is 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 "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 Richmond Place Rehabilitation and Health 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

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: 11-1612.3%
ADL Index Range: 6-108.1%
ADL Index Range: 0-530.9%
Total Percent:51.3%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-169.1%
ADL Index Range: 6-104.3%
ADL Index Range: 0-510.4%
Total Percent:23.8%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1612.3%
ADL Index Range: 6-102.0%
ADL Index Range: 0-55.7%
Total Percent:20.0%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-163.0%
ADL Index Range: 0-51.0%
Total Percent:4.0%
 

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: 11-14
- No Signs of depression
0.06%
ADL Index Range: 6-10
- No Signs of depression
0.2%
ADL Index Range: 2-5
- No Signs of depression
0.4%
Total Percent:0.6%
 

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
0.1%
ADL Index Range: 0-1
- No Signs of depression
0.1%
Total Percent:0.2%
 

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: 6-10
- Less restorative nursing
0.06%
Total Percent:0.06%
 

Rating Details For Richmond Place Rehabilitation and Health 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) Hours31 Minutes1 Hour and 21 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours1 Hour45 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 29 Minutes2 Hours and 28 Minutes
Total Licensed Nurse Hours1 Hour and 31 Minutes2 Hours and 6 Minutes
Total Nurse Hours4 Hours4 Hours and 34 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 Given Influenza Vaccination During the Flu Season90-100%93%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%93%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse5%12%
Percent of Long-Stay Residents Who Are More Depressed or Anxious12%17%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain-3%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder65%53%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores5%11%
Percent of Long-Stay Residents Who Lose Too Much Weight12%9%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder7%6%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased12%17%
Percent of Long-Stay Residents Who Were Physically Restrained-6%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection5%11%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair9%9%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores2%3%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination86%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 Have Delirium-2%
Percent of Short-Stay Residents Who Have Pressure Sores8%11%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain14%17%

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 10/13/2010.

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

Administration

Set Up or Keep a Group of People to Review and Ensure Quality.
  • Inspection Date: 07/30/2009
  • Correction Date: 08/21/2009

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 07/30/2009
  • Correction Date: 08/21/2009

Mistreatment

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: 06/10/2008
  • Correction Date: 07/18/2008

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 06/10/2008
  • Correction Date: 07/18/2008
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 07/30/2009
  • Correction Date: 08/21/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 10/13/2010
  • Correction Date: 11/16/2010

Pharmacy Service

Make Sure That Residents Are Safe from Serious Medication Errors.
  • Inspection Date: 06/10/2008
  • Correction Date: 07/18/2008
Make Sure That Residents Are Safe from Serious Medication Errors.
  • Inspection Date: 07/30/2009
  • Correction Date: 08/21/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 07/30/2009
  • Correction Date: 08/21/2009

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 06/10/2008
  • Correction Date: 07/18/2008
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 06/10/2008
  • Correction Date: 07/18/2008
Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being.
  • Inspection Date: 06/10/2008
  • Correction Date: 07/18/2008
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 07/30/2009
  • Correction Date: 08/21/2009
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
  • Inspection Date: 07/30/2009
  • Correction Date: 08/21/2009
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 10/13/2010
  • Correction Date: 11/16/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 10/13/2010
  • Correction Date: 11/16/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 10/13/2010
  • Correction Date: 11/16/2010
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Inspection Date: 10/13/2010
  • Correction Date: 11/16/2010

Resident Assessment

Assess the Resident when the Resident Enters the Nursing Home, in a Timely Manner.
  • Inspection Date: 06/10/2008
  • Correction Date: 07/18/2008
Check and Update (If Needed) Each Resident's Assessment Every 3 Months.
  • Inspection Date: 06/10/2008
  • Correction Date: 07/18/2008
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: 06/10/2008
  • Correction Date: 07/18/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 06/10/2008
  • Correction Date: 07/18/2008
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: 06/10/2008
  • Correction Date: 07/18/2008
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: 07/30/2009
  • Correction Date: 08/21/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 07/30/2009
  • Correction Date: 08/21/2009

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: 06/10/2008
  • Correction Date: 07/18/2008
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey.
  • Inspection Date: 06/10/2008
  • Correction Date: 07/18/2008

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)07/30/2009$6,435

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Richmond Place Rehabilitation and Health 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

Administration

Give or Get Lab Tests to Meet the Needs of Residents.
  • Complaint Filed: 08/26/2008
  • Correction Date: 09/26/2008

Environmental

Keep Temperature Levels Comfortable and Safe.
  • Complaint Filed: 04/02/2008
  • Correction Date: 05/07/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 07/03/2008
  • Correction Date: 07/21/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 08/26/2008
  • Correction Date: 09/26/2008
Have a Program to Keep Infection from Spreading.
  • Complaint Filed: 01/22/2009
  • Correction Date: 02/25/2009

Quality Care

Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Complaint Filed: 04/02/2008
  • Correction Date: 05/07/2008
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Complaint Filed: 01/22/2009
  • Correction Date: 02/25/2009

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.
  • Complaint Filed: 04/02/2008
  • Correction Date: 05/07/2008

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.
  • Complaint Filed: 01/22/2009
  • Correction Date: 02/25/2009

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 Richmond Place Rehabilitation and Health 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 10/11/2010.

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

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 10/11/2010
  • Correction Date: 11/04/2010

Building Service Equipment

Properly Protected Cooking Facilities.
  • Inspection Date: 10/11/2010
  • Correction Date: 11/04/2010

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 06/03/2008
  • Correction Date: 07/25/2008

Fire Alarm Systems

Properly Maintained Smoke Detectors.
  • Inspection Date: 06/03/2008
  • Correction Date: 07/18/2008
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 10/11/2010
  • Correction Date: 11/04/2010

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times.
  • Inspection Date: 10/11/2010
  • Correction Date: 11/04/2010
Restrictions on the Use of Highly Flammable Materials.
  • Inspection Date: 10/11/2010
  • Correction Date: 11/04/2010

Laboratories

Emergency Showers.
  • Inspection Date: 06/03/2008
  • Correction Date: 07/18/2008

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 07/29/2009
  • Correction Date: 08/21/2009
Source: Medicare Nursing Home Compare; Office of Inspector General of Kentucky - Retrieved 2011