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Manderley Health Care Center

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About Manderley Health Care Center

General Information

Legal Business NameRush Memorial Hospital
Ownership TypeGovernment - City
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareFebruary 4, 2004 (13 years)
Capacity71
Residents51
Percent Occupied72%
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 Manderley Health Care Center

Manderley Health Care Center
was reviewed by Medicare to have a rating of 3 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

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

May 21, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionHeating and ventilation systems that have been properly installed according to the manufacturer's instructions.

April 17, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
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 InspectionProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

January 21, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintHave a program that investigates, controls and keeps infection from spreading.

July 14, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionOther fire safety features required by fire safety codes.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Manderley Health Care 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.

2hr 55min
2hr 45min
ReportedExpected
CNA
30min
40min
ReportedExpected
LPN
60min
1hr 5min
ReportedExpected
RN
4hr 25min
4hr 30min
ReportedExpected
Total Nursing

This facility also provides approximately 5min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

100.0%
100.0%
100.0%
94.7%
Q1 2015Q2 2015Q3 2015IN
Assessed and Appropriately Given the Seasonal Influenza Vaccine
100.0%
100.0%
100.0%
93.7%
Q1 2015Q2 2015Q3 2015IN
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
48.7%
Q1 2015Q2 2015Q3 2015IN
* The data for this facility for some quarters is unavailable.
Low Risk Residents Who Lose Control of Their Bowel or Bladder
15.4%
13.0%
19.6%
17.4%
Q1 2015Q2 2015Q3 2015IN
Received an Antipsychotic Medication
4.2%
7.1%
5.0%
16.6%
Q1 2015Q2 2015Q3 2015IN
Need for Help with ADLs has Increased
7.5%
13.8%
11.0%
7.1%
Q1 2015Q2 2015Q3 2015IN
Self Report Moderate to Severe Pain
16.7%
14.9%
6.5%
8.0%
Q1 2015Q2 2015Q3 2015IN
Lose Too Much Weight
6.5%
5.1%
7.7%
6.5%
Q1 2015Q2 2015Q3 2015IN
High Risk Residents With Pressure Ulcers
2.1%
4.4%
2.3%
6.5%
Q1 2015Q2 2015Q3 2015IN
Have Depressive Symptoms
20.4%
21.3%
23.9%
4.8%
Q1 2015Q2 2015Q3 2015IN
With a Urinary Tract Infection
11.1%
8.5%
13.0%
3.5%
Q1 2015Q2 2015Q3 2015IN
Experiencing One or More Falls with Major Injury
5.3%
10.1%
9.3%
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

100.0%
100.0%
100.0%
81.7%
Q1 2015Q2 2015Q3 2015IN
Assessed and Appropriately Given the Pneumococcal Vaccine
100.0%
100.0%
100.0%
82.3%
Q1 2015Q2 2015Q3 2015IN
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
-
-
-
16.7%
Q1 2015Q2 2015Q3 2015IN
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
-
-
-
2.4%
Q1 2015Q2 2015Q3 2015IN
* The data for this facility for some quarters is unavailable.
Newly Received an Antipsychotic Medication
2.7%
0.0%
0.0%
1.6%
Q1 2015Q2 2015Q3 2015IN
With Pressure Ulcers That Are New or Worsened