BROOKSIDE HAVEN

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 Indiana 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

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 09/23/2010.

Administration

Keep Accurate and Appropriate Medical Records. Inspection Date: 08/06/2008 Correction Date: 09/03/2008
Keep Accurate and Appropriate Medical Records. Inspection Date: 10/08/2009 Correction Date: 11/05/2009
Give or Get Lab Tests to Meet the Needs of Residents. Inspection Date: 09/23/2010 Correction Date: 10/22/2010
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 09/23/2010 Correction Date: 10/22/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 08/06/2008 Correction Date: 09/03/2008
Have a Program to Keep Infection from Spreading. Inspection Date: 10/08/2009 Correction Date: 11/05/2009

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: 08/06/2008 Correction Date: 09/03/2008
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 08/06/2008 Correction Date: 09/03/2008

Nutrition and Dietary

Provide Food in a Way That Meets a Resident's Needs. Inspection Date: 09/23/2010 Correction Date: 10/22/2010

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 09/23/2010 Correction Date: 10/22/2010

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 08/06/2008 Correction Date: 09/03/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 08/06/2008 Correction Date: 09/03/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 10/08/2009 Correction Date: 11/05/2009
Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable. Inspection Date: 10/08/2009 Correction Date: 11/05/2009
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 09/23/2010 Correction Date: 10/22/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 09/23/2010 Correction Date: 10/22/2010

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: 10/08/2009 Correction Date: 11/05/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 09/23/2010 Correction Date: 10/22/2010

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: 08/06/2008 Correction Date: 09/03/2008
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: 10/08/2009 Correction Date: 11/05/2009
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: 09/23/2010 Correction Date: 10/22/2010

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

Administration

Keep Accurate and Appropriate Medical Records. Complaint Filed: 01/23/2009 Correction Date: 02/13/2009

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. Complaint Filed: 07/20/2010 Correction Date: 08/02/2010

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Complaint Filed: 07/20/2010 Correction Date: 08/02/2010

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan. Complaint Filed: 01/23/2009 Correction Date: 02/13/2009

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 Brookside Haven 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 09/30/2010.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 09/09/2008 Correction Date: 09/30/2008

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 09/30/2010 Correction Date: 10/12/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 09/30/2010 Correction Date: 10/12/2010

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 09/09/2008 Correction Date: 09/10/2008

Medical Gases and Anesthetizing Areas

Proper Fire Barriers, Ventilation and Signs for the Transport of Oxygen. Inspection Date: 09/09/2008 Correction Date: 09/30/2008

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 09/09/2008 Correction Date: 09/30/2008