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Cypress Grove Rehabilitation Center

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About Cypress Grove Rehabilitation Center

General Information

Legal Business NameThe Health And Hospital Corporation Of Marion County
Ownership TypeGovernment - County
Changed Ownership In The Last 12 MonthsYes
First Accepted MedicareJanuary 10, 1986 (31 years)
Capacity90
Residents74
Percent Occupied82%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Cypress Grove Rehabilitation Center

Cypress Grove Rehabilitation Center
was reviewed by Medicare to have a rating of 1 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Indiana Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Note that this facility has changed ownership within the past 12 months.

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

September 9, 2015 - 15 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.

August 5, 2015 - 16 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
ESomePotential for HarmHealth InspectionMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
DFewPotential for HarmHealth InspectionGive or get specialized rehabilitative services per the patient's assessment or plan of care.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmHealth InspectionConduct initial and periodic assessments of each resident's functional capacity.
DFewPotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

May 13, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmComplaintProperly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
GFewActual HarmComplaintEnsure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
DFewPotential for HarmComplaintMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
DFewPotential for HarmComplaintGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.

April 13, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$10,010 fine
GFewActual HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmComplaintHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmComplaintEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
DFewPotential for HarmComplaintGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.

September 9, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmFire Safety InspectionProperly protected cooking facilities.

August 27, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionMake sure that doctors visit residents regularly, as required.
ESomePotential for HarmHealth InspectionMake sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed.
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth InspectionMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
ESomePotential for HarmHealth InspectionProvide activities to meet the interests and needs of each resident.
DFewPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmHealth InspectionEnsure residents maintain acceptable nutritional status.
DFewPotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmHealth InspectionConduct initial and periodic assessments of each resident's functional capacity.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionEnsure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
DFewPotential for HarmHealth InspectionEnsure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion.
DFewPotential for HarmHealth InspectionEnsure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.

March 5, 2013 - 4 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$2,340 fine

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Cypress Grove Rehabilitation Center require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

1hr 55min
2hr 20min
ReportedExpected
CNA
20min
40min
ReportedExpected
LPN
1hr 10min
1hr 15min
ReportedExpected
RN
3hr 30min
4hr 20min
ReportedExpected
Total Nursing

This facility also provides approximately 25min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

75.0%
71.4%
71.4%
94.7%
Q1 2015Q2 2015Q3 2015IN
Assessed and Appropriately Given the Seasonal Influenza Vaccine
73.8%
69.1%
61.6%
93.7%
Q1 2015Q2 2015Q3 2015IN
Assessed and Appropriately Given the Pneumococcal Vaccine
41.7%
56.4%
41.7%
48.7%
Q1 2015Q2 2015Q3 2015IN
Low Risk Residents Who Lose Control of Their Bowel or Bladder
24.6%
29.7%
23.5%
17.4%
Q1 2015Q2 2015Q3 2015IN
Received an Antipsychotic Medication
13.1%
15.3%
25.4%
16.6%
Q1 2015Q2 2015Q3 2015IN
Need for Help with ADLs has Increased
14.2%
35.4%
26.4%
7.1%
Q1 2015Q2 2015Q3 2015IN
Self Report Moderate to Severe Pain
3.2%
13.6%
5.6%
8.0%
Q1 2015Q2 2015Q3 2015IN
Lose Too Much Weight
6.5%
8.0%
6.8%
6.5%
Q1 2015Q2 2015Q3 2015IN
High Risk Residents With Pressure Ulcers
10.0%
3.0%
9.1%
6.5%
Q1 2015Q2 2015Q3 2015IN
Have Depressive Symptoms
0.0%
2.9%
1.4%
4.8%
Q1 2015Q2 2015Q3 2015IN
With a Urinary Tract Infection
4.6%
2.9%
2.7%
3.5%
Q1 2015Q2 2015Q3 2015IN
Experiencing One or More Falls with Major Injury
13.2%
12.5%
6.7%
2.9%
Q1 2015Q2 2015Q3 2015IN
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
0.0%
0.7%
Q1 2015Q2 2015Q3 2015IN
Were Physically Restrained

Quality Measures for Short Stay Residents

39.5%
35.7%
54.5%
81.7%
Q1 2015Q2 2015Q3 2015IN
Assessed and Appropriately Given the Pneumococcal Vaccine
49.3%
44.2%
44.2%
82.3%
Q1 2015Q2 2015Q3 2015IN
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
19.6%
30.0%
-
16.7%
Q1 2015Q2 2015Q3 2015IN
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
6.1%
6.2%
-
2.4%
Q1 2015Q2 2015Q3 2015IN
* The data for this facility for some quarters is unavailable.
Newly Received an Antipsychotic Medication
2.3%
4.7%
5.8%
1.6%
Q1 2015Q2 2015Q3 2015IN
With Pressure Ulcers That Are New or Worsened