CLARK REHABILITATION AND SKILLED NURSING CENTER

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

CLARK REHABILITATION AND SKILLED NURSING CENTER
517 N LITTLE LEAGUE BLVD
CLARKSVILLE, IN 47129
(812) 282-8406

Nursing Home Ratings

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

Percent of Beds Occupied

75%

Number of Residents and Certified Beds

  • Residents: 75
  • Certified Beds: 100

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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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 Clark Rehabilitation and Skilled Nursing 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 Plus Extensive Services

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five 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: 2-102.1%
Total Percent:2.1%
 

Medium Rehabilitation Plus Extensive Services

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
  • 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: 11-160.7%
Total Percent:0.7%
 

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: 11-166.3%
ADL Index Range: 6-102.6%
ADL Index Range: 0-511.1%
Total Percent:20.0%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1615.8%
ADL Index Range: 6-102.2%
ADL Index Range: 0-525.3%
Total Percent:43.3%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-163.5%
ADL Index Range: 6-101.2%
ADL Index Range: 0-58.7%
Total Percent:13.5%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-162.5%
ADL Index Range: 6-105.6%
ADL Index Range: 0-54.9%
Total Percent:13.0%
 

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
0.7%
ADL Index Range: 2-5
- No Signs of depression
0.7%
Total Percent:1.4%
 

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: 0-1
- No Signs of depression
4.2%
Total Percent:4.2%
 

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
1.8%
Total Percent:1.8%
 

Rating Details For Clark Rehabilitation and Skilled Nursing 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) Hours52 Minutes1 Hour and 23 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours1 Hour and 17 Minutes46 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours2 Hours and 33 Minutes
Total Licensed Nurse Hours2 Hours and 9 Minutes2 Hours and 9 Minutes
Total Nurse Hours4 Hours and 9 Minutes4 Hours and 42 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 Season78%92%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination63%89%

Long-Term Stay Deficiencies

Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-3%
Percent of Long-Stay Residents Who Were Physically Restrained2%4%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores13%10%
Percent of Long-Stay Residents Who Lose Too Much Weight7%8%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain5%3%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse23%12%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection10%9%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder59%50%
Percent of Long-Stay Residents Who Are More Depressed or Anxious30%16%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair5%4%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased23%20%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder-6%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season58%84%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination46%81%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain17%18%
Percent of Short-Stay Residents Who Have Pressure Sores12%10%
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 04/29/2011.

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

Quickly Tell the Resident's Doctor the Results of X-Rays and Other Tests.
  • Inspection Date: 06/19/2009
  • Correction Date: 07/29/2009
Get Services Outside the Nursing Home That Meet Professional Standards.
  • Inspection Date: 07/01/2010
  • Correction Date: 07/23/2010
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 07/01/2010
  • Correction Date: 07/23/2010
Have Licensed, Certified, or Registered Staff to Give Needed Services.
  • Inspection Date: 04/29/2011
  • Correction Date: 07/07/2011

Environmental

Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 06/19/2009
  • Correction Date: 09/09/2009
Keep All Essential Equipment Working Safely.
  • Inspection Date: 06/19/2009
  • Correction Date: 07/29/2009

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 06/19/2009
  • Correction Date: 09/09/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 06/19/2009
  • Correction Date: 09/09/2009
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: 07/01/2010
  • Correction Date: 07/23/2010

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 06/19/2009
  • Correction Date: 09/09/2009
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 07/01/2010
  • Correction Date: 07/23/2010

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: 06/19/2009
  • Correction Date: 07/29/2009
Develop a Plan with the Resident and Family for the Resident's Care After Leaving the Nursing Home.
  • Inspection Date: 06/19/2009
  • Correction Date: 07/29/2009
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: 07/01/2010
  • Correction Date: 07/23/2010
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 04/29/2011
  • Correction Date: 07/07/2011
Make Sure That Doctors Visit Residents Regularly, As Required.
  • Inspection Date: 04/29/2011
  • Correction Date: 07/07/2011

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: 06/19/2009
  • Correction Date: 09/09/2009
Quickly Give a Resident's Personal Money to the Heads of His or Her Estate After the Resident's Death.
  • Inspection Date: 06/19/2009
  • Correction Date: 07/29/2009
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey.
  • Inspection Date: 06/19/2009
  • Correction Date: 07/29/2009
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: 07/01/2010
  • Correction Date: 07/23/2010
Provide Enough Notice Before Discharging or Transferring a Resident.
  • Inspection Date: 07/01/2010
  • Correction Date: 07/23/2010
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: 07/01/2010
  • Correction Date: 07/23/2010

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)06/23/2010$2,925
Denial of Payment for New Admission (DPNA)06/04/2009-

Deficiencies from Complaints and Incidents

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

Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 12/03/2008
  • Correction Date: 01/02/2009
Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 04/13/2009
  • Correction Date: 05/01/2009
Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 06/04/2009
  • Correction Date: 07/29/2009
Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 03/15/2010
  • Correction Date: 04/14/2010
Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 09/29/2010
  • Correction Date: 10/12/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 05/30/2008
  • Correction Date: 06/29/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 04/13/2009
  • Correction Date: 05/01/2009
Provide Needed Housekeeping and Maintenance.
  • Complaint Filed: 07/29/2009
  • Correction Date: 09/09/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 03/15/2010
  • Correction Date: 04/14/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 02/16/2011
  • Correction Date: 03/03/2011
Have a Program to Keep Infection from Spreading.
  • Complaint Filed: 05/13/2011
  • Correction Date: 07/07/2011
Have a Program to Keep Infection from Spreading.
  • Complaint Filed: 06/07/2011
  • Correction Date: 07/07/2011

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: 05/13/2011
  • Correction Date: 07/19/2011
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Complaint Filed: 05/13/2011
  • Correction Date: 07/19/2011

Pharmacy Service

Make Sure That Residents Are Safe from Serious Medication Errors.
  • Complaint Filed: 05/13/2011
  • Correction Date: 07/07/2011

Quality Care

Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
  • Complaint Filed: 05/30/2008
  • Correction Date: 06/29/2008
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
  • Complaint Filed: 12/03/2008
  • Correction Date: 01/02/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Complaint Filed: 04/13/2009
  • Correction Date: 05/01/2009
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Complaint Filed: 07/29/2009
  • Correction Date: 09/09/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Complaint Filed: 06/23/2010
  • Correction Date: 07/23/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 06/23/2010
  • Correction Date: 07/23/2010
Provide Activities to Meet the Needs of Each Resident.
  • Complaint Filed: 09/29/2010
  • Correction Date: 10/12/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 05/13/2011
  • Correction Date: 07/07/2011
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Complaint Filed: 05/13/2011
  • Correction Date: 07/19/2011
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Complaint Filed: 06/07/2011
  • Correction Date: 07/19/2011
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 06/07/2011
  • Correction Date: 07/07/2011
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Complaint Filed: 06/07/2011
  • Correction Date: 07/07/2011
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Complaint Filed: 06/07/2011
  • Correction Date: 07/07/2011
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Complaint Filed: 06/07/2011
  • Correction Date: 07/07/2011

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Complaint Filed: 04/13/2009
  • Correction Date: 05/01/2009
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Complaint Filed: 07/29/2009
  • Correction Date: 09/09/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Complaint Filed: 06/07/2011
  • Correction Date: 07/07/2011
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Complaint Filed: 06/07/2011
  • Correction Date: 07/07/2011

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: 07/29/2009
  • Correction Date: 09/09/2009
Make Sure Each Resident Has the Right to Choose Activities, Schedules and Health Care According to His or Her Interests, Assessment, and Plan of Care.
  • Complaint Filed: 09/29/2010
  • Correction Date: 10/12/2010
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.
  • Complaint Filed: 09/29/2010
  • Correction Date: 10/12/2010
Let Residents Give Themselves Their Drugs if They Are Able.
  • Complaint Filed: 02/16/2011
  • Correction Date: 03/03/2011
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: 05/13/2011
  • Correction Date: 07/07/2011
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: 06/07/2011
  • Correction Date: 07/07/2011
Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Complaint Filed: 06/07/2011
  • Correction Date: 07/07/2011
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Complaint Filed: 06/07/2011
  • Correction Date: 07/07/2011

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 Clark Rehabilitation and Skilled Nursing 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 05/16/2011.

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

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 07/08/2010
  • Correction Date: 07/23/2010

Fire Alarm Systems

Properly Maintained Smoke Detectors.
  • Inspection Date: 07/14/2009
  • Correction Date: 08/03/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 07/14/2009
  • Correction Date: 08/03/2009

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 07/14/2009
  • Correction Date: 08/03/2009
Source: Medicare Nursing Home Compare; Department of Health of Indiana - Long Term Care Division - Retrieved 2011