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Elizabethtown Nursing And Rehabilitation Center

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About Elizabethtown Nursing And Rehabilitation Center

General Information

Legal Business NameElizabethtown Health Facilities Lp
Ownership TypeFor Profit - Partnership
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareMay 29, 1991 (26 years)
Capacity65
Residents57
Percent Occupied88%
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 Elizabethtown Nursing And Rehabilitation Center

Elizabethtown Nursing And 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 Kentucky 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 22, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
ESomePotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmHealth InspectionProvide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible.
ESomePotential for HarmHealth InspectionTry to resolve each resident's complaints quickly.
DFewPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionMake sure that each residents' abilities in activities of daily living do not decline, unless unavoidable.
DFewPotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
DFewPotential for HarmHealth InspectionMaintain comfortable and safe temperature levels.
BSomePotential for Minimal HarmHealth InspectionHonor a residents' rights as a residents of the nursing home, free of coercion and reprisal, and as citizens or residents of the United States.

May 20, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionWeekly inspections and monthly testing of generators.
FManyPotential for HarmFire Safety InspectionSmoke barrier doors that can resist smoke for at least 20 minutes.
FManyPotential for HarmFire Safety InspectionWalls that prevent smoke from passing through and would resist fire for at least one hour.
ESomePotential for HarmFire Safety InspectionExits that are free from obstructions and can be used at all times.
DFewPotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
DFewPotential for HarmFire Safety InspectionPortable fire extinguishers.
DFewPotential for HarmFire Safety InspectionAn approved installation, maintenance and testing program for fire alarm systems.
DFewPotential for HarmFire Safety InspectionProper backup exit lighting.
DFewPotential for HarmFire Safety InspectionRecord of quarterly fire drills for each shift under varying conditions.
DFewPotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.

October 13, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$130,358 fine
KSomeImmediate JeopardyComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.
KSomeImmediate JeopardyComplaintSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
KSomeImmediate JeopardyComplaintMake sure that the facility is administered in an acceptable way that maintains the well-being of each resident .
KSomeImmediate JeopardyComplaintMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
KSomeImmediate JeopardyComplaintProtect each resident from mistreatment, neglect and misappropriation of personal property.
DFewPotential for HarmComplaintCompletely assess the resident at least every twelve months.

July 31, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmHealth InspectionProvide housekeeping and maintenance services.
DFewPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Elizabethtown Nursing And 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.

2hr
2hr 35min
ReportedExpected
CNA
60min
45min
ReportedExpected
LPN
45min
1hr 25min
ReportedExpected
RN
3hr 45min
4hr 40min
ReportedExpected
Total Nursing

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

Quality Measures for Long Stay Residents

100.0%
92.1%
92.1%
96.0%
Q1 2015Q2 2015Q3 2015KY
Assessed and Appropriately Given the Seasonal Influenza Vaccine
100.0%
100.0%
100.0%
96.0%
Q1 2015Q2 2015Q3 2015KY
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
49.2%
Q1 2015Q2 2015Q3 2015KY
* The data for this facility for some quarters is unavailable.
Low Risk Residents Who Lose Control of Their Bowel or Bladder
15.7%
21.7%
19.1%
20.6%
Q1 2015Q2 2015Q3 2015KY
Received an Antipsychotic Medication
47.9%
10.4%
10.6%
16.8%
Q1 2015Q2 2015Q3 2015KY
Need for Help with ADLs has Increased
6.5%
13.0%
0.0%
9.5%
Q1 2015Q2 2015Q3 2015KY
Self Report Moderate to Severe Pain
4.0%
12.2%
9.8%
8.3%
Q1 2015Q2 2015Q3 2015KY
Lose Too Much Weight
0.0%
0.0%
2.9%
6.6%
Q1 2015Q2 2015Q3 2015KY
High Risk Residents With Pressure Ulcers
13.7%
13.0%
12.5%
3.4%
Q1 2015Q2 2015Q3 2015KY
Have Depressive Symptoms
4.0%
6.1%
5.9%
6.3%
Q1 2015Q2 2015Q3 2015KY
With a Urinary Tract Infection
5.7%
8.0%
7.8%
3.5%
Q1 2015Q2 2015Q3 2015KY
Experiencing One or More Falls with Major Injury
2.1%
4.8%
7.8%
3.8%
Q1 2015Q2 2015Q3 2015KY
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
0.0%
1.7%
Q1 2015Q2 2015Q3 2015KY
Were Physically Restrained

Quality Measures for Short Stay Residents

100.0%
100.0%
95.7%
85.6%
Q1 2015Q2 2015Q3 2015KY
Assessed and Appropriately Given the Pneumococcal Vaccine
93.9%
88.6%
88.6%
85.3%
Q1 2015Q2 2015Q3 2015KY
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
-
-
-
20.2%
Q1 2015Q2 2015Q3 2015KY
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
-
4.5%
4.3%
3.2%
Q1 2015Q2 2015Q3 2015KY
* The data for this facility for some quarters is unavailable.
Newly Received an Antipsychotic Medication
0.0%
0.0%
2.1%
1.2%
Q1 2015Q2 2015Q3 2015KY
With Pressure Ulcers That Are New or Worsened