LANDMARK NURSING AND REHABILITATION

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

LANDMARK NURSING AND REHABILITATION
201 E ELM ST
NEW ALBANY, IN 47150
(812) 945-9517

Nursing Home Ratings

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

Overall Rating

Percent of Beds Occupied

49%

Number of Residents and Certified Beds

Residents: 60
Certified Beds: 122

This Facility Accepts

Medicare
Medicaid

Operational Details

Operated By For Profit - Corporation
Offers Only Resident Counseling
This Facility is Part of a Chain or Franchise

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Nearby Cities:

Clarksville | Jeffersonville | Sellersburg

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 Landmark Nursing and Rehabilitation. 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 Plus Extensive Services

Rehabilitation 720 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week
A second rehabilitation discipline three days/week
Tracheostomy care
Ventilator or respirator
Isolation for active infectious disease while a resident
Activities of Daily Living (ADL) score of 2 or more

ADL Index Range: 2-10	6.9%
Total Percent:	6.9%

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	22.6%
ADL Index Range: 6-10	26.6%
ADL Index Range: 0-5	25.2%
Total Percent:	74.5%

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week

ADL Index Range: 11-16	3.4%
ADL Index Range: 0-5	2.0%
Total Percent:	5.4%

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum

Five days any combination of three rehabilitation disciplines

ADL Index Range: 6-10	11.5%
ADL Index Range: 0-5	1.7%
Total Percent:	13.2%

Rating Details For Landmark Nursing and Rehabilitation

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	28 Minutes	1 Hour and 9 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours	1 Hour and 6 Minutes	39 Minutes
Certified Nursing Assistant (CNA) Hours	2 Hours and 7 Minutes	2 Hours and 23 Minutes
Total Licensed Nurse Hours	1 Hour and 33 Minutes	1 Hour and 48 Minutes
Total Nurse Hours	3 Hours and 40 Minutes	4 Hours and 11 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 Given Influenza Vaccination During the Flu Season	90-100%	92%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	90-100%	89%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder	7%	6%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection	12%	9%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain	5%	3%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores	1%	3%
Percent of Long-Stay Residents Who Were Physically Restrained	-	4%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased	22%	20%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder	34%	50%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores	9%	10%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair	3%	4%
Percent of Long-Stay Residents Who Are More Depressed or Anxious	28%	16%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse	6%	12%
Percent of Long-Stay Residents Who Lose Too Much Weight	8%	8%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	90-100%	81%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season	90-100%	84%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain	16%	18%
Percent of Short-Stay Residents Who Have Delirium	1%	2%
Percent of Short-Stay Residents Who Have Pressure Sores	14%	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 09/03/2010.

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 Inspectors

Degree of Harm

Residents Affected

Administration

Post Nurse Staffing Information. Inspection Date: 11/20/2009 Correction Date: 01/05/2010
Keep Accurate and Appropriate Medical Records. Inspection Date: 11/20/2009 Correction Date: 01/05/2010
Train All Employees on What to Do in an Emergency. Inspection Date: 11/20/2009 Correction Date: 01/05/2010
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 11/20/2009 Correction Date: 01/05/2010
Keep Accurate and Appropriate Medical Records. Inspection Date: 09/03/2010 Correction Date: 10/03/2010

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 01/30/2009 Correction Date: 02/28/2009
Provide Needed Housekeeping and Maintenance. Inspection Date: 11/20/2009 Correction Date: 02/09/2010
Put Firmly Secured Handrails on Each Side of Hallways. Inspection Date: 11/20/2009 Correction Date: 01/05/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 11/20/2009 Correction Date: 02/09/2010
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 09/03/2010 Correction Date: 10/03/2010

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: 01/30/2009 Correction Date: 02/28/2009
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 01/30/2009 Correction Date: 02/28/2009
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 11/20/2009 Correction Date: 01/05/2010
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 11/20/2009 Correction Date: 02/09/2010
Properly Mark Drugs and Other Similar Products. Inspection Date: 11/20/2009 Correction Date: 02/09/2010
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: 09/03/2010 Correction Date: 10/03/2010

Quality Care

Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 11/20/2009 Correction Date: 01/05/2010
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 11/20/2009 Correction Date: 02/09/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 11/20/2009 Correction Date: 01/05/2010
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 09/03/2010 Correction Date: 10/03/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 09/03/2010 Correction Date: 10/03/2010

Resident Assessment

Make Sure That Doctors Visit Residents Regularly, As Required. Inspection Date: 01/30/2009 Correction Date: 02/28/2009
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: 11/20/2009 Correction Date: 01/05/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 11/20/2009 Correction Date: 01/05/2010
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 09/03/2010 Correction Date: 10/03/2010

Resident Rights

Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 01/30/2009 Correction Date: 02/28/2009
Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help. Inspection Date: 11/20/2009 Correction Date: 01/05/2010
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: 11/20/2009 Correction Date: 02/09/2010
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home. Inspection Date: 11/20/2009 Correction Date: 01/05/2010
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey. Inspection Date: 11/20/2009 Correction Date: 01/05/2010
Honor All of the Resident's Rights As a Resident of the Nursing Home and As a Citizen or Resident of the United States. Inspection Date: 09/03/2010 Correction Date: 10/03/2010
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: 09/03/2010 Correction Date: 10/03/2010
Provide Enough Notice Before Discharging or Transferring a Resident. Inspection Date: 09/03/2010 Correction Date: 10/03/2010
Tell the Resident or the Resident's Representative in Writing How Long the Nursing Home Will Hold the Resident's Bed when the Resident Temporarily Leaves the Facility. Inspection Date: 09/03/2010 Correction Date: 10/03/2010

Deficiencies from Complaints and Incidents

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