Abuse.com - FEDERAL HILL MANOR

Abuse.com Nursing Home Profile

Detailed information for FEDERAL HILL MANOR

Nursing Home Results

Contact Information:
  Long Term Care Ombudsman Not Available
  State Survey Agency Not Available
  State Quality Improvement Organization Not Available

FEDERAL HILL MANOR As of 05/29/2003
120 FEDERAL HILL MANOR
BARDSTOWN, KY 40004
(502) 348-4220
 Not located within a Hospital
Both Resident and Family Councils
100 Certified Beds
Initial Date of Certification: 02/13/1978
Type of Ownership: For profit - Partnership
Not a Multi-Nursing home (chain) Ownership
Medicare Certified
Medicaid Certified

Medicare.gov is pleased to provide information about Quality Measures, Inspection Results and Nursing Home Staffing for the nursing home you have selected.

Quality Measures information comes from resident assessment data that nursing homes routinely collect on all residents at specific intervals during their stay. The information collected pertains to the resident’s physical, clinical conditions and abilities.

Inspection Results information refers to the regulatory requirement that the nursing home failed to meet but does not reflect the entire inspection report.

Nursing Home Staffing information comes from reports that the nursing home reports to its state survey agency. It contains the nursing staff hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts the reported information into the number of staff hours per resident per day.

Quality Measures

Quality Measures Percentage for FEDERAL HILL MANOR Average in National Average
Percent of Residents Whose Need for Help With Daily Activities Has Increased 23%   16%
Percent of Residents Who Have Moderate to Severe Pain 13%   6%
Percent of High-Risk Residents Who Have Pressure Sores 18%   14%
Percent of Low-Risk Residents Who Have Pressure Sores 0%   3%
Percent of Residents Who Were Physically Restrained 8%   8%
Percent of Residents Who are More Depressed or Anxious 11%   15%
Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder 33%   47%
Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder 3%   6%
Percent of Residents Who Spend Most of Their Time in Bed or in a Chair 9%   4%
Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse 26%   13%
Percent of Residents With a Urinary Tract Infection 12%   8%
Percent of Short-Stay Residents With Delirium 0%   3%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain 33%   22%
Percent of Short-Stay Residents With Pressure Sores NOT AVAILABLE   21%

Inspection Results

FEDERAL HILL MANOR
120 FEDERAL HILL MANOR
BARDSTOWN, KY 40004
(502) 348-4220
Date of this inspection: 05/29/2003
Complaint Investigations During: 04/01/2003 - 06/30/2004
Total number of health deficiencies for this nursing home: 30
Average number of Health Deficiencies in : 5
Average number of Health Deficiencies in the United States: 7
Range of Health Deficiencies in : 1 - 12
View Previous Inspection Results
Mistreatment Deficiencies
Inspectors determined that the nursing home failed to: Date of Correction Level of Harm

(Least -> Most)

 Residents Affected

(Few -> Some -> Many)
1. Keep each resident free from drugs that restrain them, unless needed for medical treatment.

(05/29/2003) 		06/29/2003
 2 = Minimal harm or potential for actual harm

Minimal harm or potential for actual harm
 Few
2. Keep each resident free from physical restraints, unless needed for medical treatment.

(05/29/2003) 		06/29/2003
 2 = Minimal harm or potential for actual harm

Minimal harm or potential for actual harm
 Few
Quality Care Deficiencies
Inspectors determined that the nursing home failed to: Date of Correction Level of Harm

(Least -> Most)

 Residents Affected

(Few -> Some -> Many)
3. Give each resident care and services to get or keep the highest quality of life possible.

(04/17/2003) 		05/23/2003
 4 = Immediate jeopardy to resident health or safety

Immediate jeopardy to resident health or safety
 Some
4. Give professional services that follow each resident's written care plan.

(05/29/2003) 		06/29/2003
 3 = Actual harm

Actual harm
 Few
5. Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.

(05/29/2003) 		06/29/2003
 3 = Actual harm

Actual harm
 Few
6. Make sure that each resident's nutritional needs were met.

(05/29/2003) 		06/29/2003
 3 = Actual harm

Actual harm
 Few
7. Provide activities to meet the needs of each resident.

(05/29/2003) 		06/29/2003
 2 = Minimal harm or potential for actual harm

Minimal harm or potential for actual harm
 Some
8. Make sure each resident is being watched and has assistance devices when needed, to prevent accidents.

(07/31/2003) 		08/14/2003
 4 = Immediate jeopardy to resident health or safety

Immediate jeopardy to resident health or safety
 Some
9. Give each resident care and services to get or keep the highest quality of life possible.

(08/21/2003) 		09/19/2003
 3 = Actual harm

Actual harm
 Few
10. Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary.

(08/21/2003) 		09/19/2003
 2 = Minimal harm or potential for actual harm

Minimal harm or potential for actual harm
 Few
11. Give each resident care and services to get or keep the highest quality of life possible.

(03/24/2004) 		04/28/2004
 4 = Immediate jeopardy to resident health or safety

Immediate jeopardy to resident health or safety
 Few
Resident Assessment Deficiencies
Inspectors determined that the nursing home failed to: Date of Correction Level of Harm

(Least -> Most)

 Residents Affected

(Few -> Some -> Many)
12. 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.

(05/29/2003) 		06/29/2003
 2 = Minimal harm or potential for actual harm

Minimal harm or potential for actual harm
 Few
13. Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.

(05/29/2003) 		06/29/2003
 2 = Minimal harm or potential for actual harm

Minimal harm or potential for actual harm
 Few
Resident Rights Deficiencies
Inspectors determined that the nursing home failed to: Date of Correction Level of Harm

(Least -> Most)

 Residents Affected

(Few -> Some -> Many)
14. 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.

(04/17/2003) 		04/23/2003
 4 = Immediate jeopardy to resident health or safety

Immediate jeopardy to resident health or safety
 Few
15. Keep each resident's personal and medical records private and confidential.

(05/29/2003) 		06/29/2003
 2 = Minimal harm or potential for actual harm

Minimal harm or potential for actual harm
 Few
16. Make sure that each resident has the right to join in social, religious, and community activities.

(05/29/2003) 		06/29/2003
 2 = Minimal harm or potential for actual harm

Minimal harm or potential for actual harm
 Some
17. Make sure that private space is available in the nursing home for resident groups or residents' families to meet.

(05/29/2003) 		06/29/2003
 2 = Minimal harm or potential for actual harm

Minimal harm or potential for actual harm
 Some
18. Provide care in a way that keeps or builds each resident's dignity and self respect.

(05/29/2003) 		06/29/2003
 2 = Minimal harm or potential for actual harm

Minimal harm or potential for actual harm
 Some
19. Provide services to meet the needs and preferences of each resident.

(05/29/2003) 		06/29/2003
 2 = Minimal harm or potential for actual harm

Minimal harm or potential for actual harm
 Few
20. Send and promptly deliver unopened mail to residents.

(05/29/2003) 		06/29/2003
 1 = Potential for minimal harm

Potential for minimal harm
 Many
Nutrition and Dietary Deficiencies
Inspectors determined that the nursing home failed to: Date of Correction Level of Harm

(Least -> Most)

 Residents Affected

(Few -> Some -> Many)
21. 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.

(05/29/2003) 		06/29/2003
 2 = Minimal harm or potential for actual harm

Minimal harm or potential for actual harm
 Some
22. Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.

(05/29/2003) 		06/29/2003
 2 = Minimal harm or potential for actual harm

Minimal harm or potential for actual harm
 Many
23. Store, cook, and give out food in a safe and clean way.

(05/29/2003) 		06/29/2003
 2 = Minimal harm or potential for actual harm

Minimal harm or potential for actual harm
 Many
Environmental Deficiencies
Inspectors determined that the nursing home failed to: Date of Correction Level of Harm

(Least -> Most)

 Residents Affected

(Few -> Some -> Many)
24. Have a program to keep infection from spreading.

(05/29/2003) 		06/29/2003
 2 = Minimal harm or potential for actual harm

Minimal harm or potential for actual harm
 Some
25. Make sure that a working call system is available in each resident's room or bathroom and bathing area.

(05/29/2003) 		06/29/2003
 2 = Minimal harm or potential for actual harm

Minimal harm or potential for actual harm
 Few
Administration Deficiencies
Inspectors determined that the nursing home failed to: Date of Correction Level of Harm

(Least -> Most)

 Residents Affected

(Few -> Some -> Many)
26. Hold committee meetings every 3 months to review and ensure quality in the nursing home.

(04/17/2003) 		05/23/2003
 2 = Minimal harm or potential for actual harm

Minimal harm or potential for actual harm
 Some
27. Hire a qualified activities director.

(05/29/2003) 		06/29/2003
 2 = Minimal harm or potential for actual harm

Minimal harm or potential for actual harm
 Some
28. Hold committee meetings every 3 months to review and ensure quality in the nursing home.

(05/29/2003) 		06/29/2003
 2 = Minimal harm or potential for actual harm

Minimal harm or potential for actual harm
 Many
29. Keep accurate and appropriate medical records.

(05/29/2003) 		06/29/2003
 2 = Minimal harm or potential for actual harm

Minimal harm or potential for actual harm
 Few
30. Hold committee meetings every 3 months to review and ensure quality in the nursing home.

(03/24/2004) 		04/28/2004
 2 = Minimal harm or potential for actual harm

Minimal harm or potential for actual harm
 Some

Nursing Home Staffing

Nursing Staff Hours Per Resident Per Day
  FEDERAL HILL MANOR State Average in National Average
Number of Residents 90 42.8 89.2
RN Hours per Resident per Day* 0.36 1.7 0.7
LPN/LVN Hours per Resident per Day* 0.74 0.7 0.8
CNA Hours per Resident per Day* 2.06 4 2.4
Total Number of Nursing Staff Hours per Resident per Day* 3.16 6.4 3.9
*Hours per resident per day is the average daily work (in hours) given by the entire group of nurses or nursing assistants divided by total number of residents. The amount of care given to each resident varies.

Please use our Nursing Home Checklist for help with narrowing your nursing homes choices. The checklist provides questions and observations that are important to keep in mind as you visit nursing homes and will help you make a good choice for you or your relative.

Page Last Updated: January 22, 2004
Data Last Updated: August 2, 2004


 

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