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Christian Heights Nursing And Rehabilitation Cente

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About Christian Heights Nursing And Rehabilitation Cente

General Information

Legal Business NamePembroke Health Facilities Lp
Ownership TypeFor Profit - Partnership
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJune 1, 1992 (25 years)
Capacity60
Residents39
Percent Occupied65%
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 Christian Heights Nursing And Rehabilitation Cente

Christian Heights Nursing And Rehabilitation Cente
was reviewed by Medicare to have a rating of 2 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

August 26, 2015 - 16 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
DFewPotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

August 25, 2015 - 16 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
ESomePotential for HarmFire Safety InspectionWalls that prevent smoke from passing through and would resist fire for at least one hour.
DFewPotential for HarmFire Safety InspectionProperly sized and located linen or trash receptacles.

February 25, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmComplaintProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmComplaintProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

June 13, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$172,802 fine
---Payment DenialPayment denial for 61 days
LManyImmediate JeopardyHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
LManyImmediate JeopardyHealth InspectionProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
LManyImmediate JeopardyHealth InspectionEnsure that residents are safe from serious medication errors.
LManyImmediate JeopardyHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
LManyImmediate JeopardyHealth InspectionImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
LManyImmediate JeopardyHealth InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
LManyImmediate JeopardyHealth InspectionMake sure that the facility is administered in an acceptable way that maintains the well-being of each resident .
LManyImmediate JeopardyHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
GFewActual HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmHealth InspectionKeep residents' personal and medical records private and confidential.
DFewPotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
DFewPotential for HarmHealth InspectionGive or get quality laboratory services/tests in a timely manner to meet the needs of residents.

May 29, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionWeekly inspections and monthly testing of generators.
FManyPotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
FManyPotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
ESomePotential for HarmFire Safety InspectionProper fire barriers, ventilation and signs for the transfilling of oxygen.

December 13, 2013 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmComplaintGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
GFewActual HarmComplaintProvide care by qualified persons according to each resident's written plan of care.
GFewActual HarmComplaintAllow residents the right to participate in the planning or revision of care and treatment.
DFewPotential for HarmComplaintImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

April 25, 2013 - 4 years ago

 Residents AffectedSeveritySource/TypeDescription
---Payment DenialPayment denial for 87 days
---Fine$36,034 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 Christian Heights Nursing And Rehabilitation Cente 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.

3hr
2hr 40min
ReportedExpected
CNA
1hr 5min
40min
ReportedExpected
LPN
40min
1hr 15min
ReportedExpected
RN
4hr 50min
4hr 35min
ReportedExpected
Total Nursing

This facility also provides approximately 10min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

100.0%
100.0%
100.0%
96.0%
Q1 2015Q2 2015Q3 2015KY
Assessed and Appropriately Given the Seasonal Influenza Vaccine
100.0%
97.1%
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
23.5%
-
-
20.6%
Q1 2015Q2 2015Q3 2015KY
* The data for this facility for some quarters is unavailable.
Received an Antipsychotic Medication
20.5%
26.5%
11.4%
16.8%
Q1 2015Q2 2015Q3 2015KY
Need for Help with ADLs has Increased
1.5%
2.4%
6.4%
9.5%
Q1 2015Q2 2015Q3 2015KY
Self Report Moderate to Severe Pain
18.9%
2.9%
0.0%
8.3%
Q1 2015Q2 2015Q3 2015KY
Lose Too Much Weight
9.7%
3.2%
3.2%
6.6%
Q1 2015Q2 2015Q3 2015KY
High Risk Residents With Pressure Ulcers
0.0%
0.0%
2.9%
3.4%
Q1 2015Q2 2015Q3 2015KY
Have Depressive Symptoms
2.7%
0.0%
2.9%
6.3%
Q1 2015Q2 2015Q3 2015KY
With a Urinary Tract Infection
2.6%
2.9%
2.8%
3.5%
Q1 2015Q2 2015Q3 2015KY
Experiencing One or More Falls with Major Injury
7.2%
2.6%
2.7%
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

-
34.8%
-
85.6%
Q1 2015Q2 2015Q3 2015KY
* The data for this facility for some quarters is unavailable.
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
85.3%
Q1 2015Q2 2015Q3 2015KY
* The data for this facility for some quarters is unavailable.
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
-
-
-
3.2%
Q1 2015Q2 2015Q3 2015KY
* The data for this facility for some quarters is unavailable.
Newly Received an Antipsychotic Medication
-
0.0%
-
1.2%
Q1 2015Q2 2015Q3 2015KY
* The data for this facility for some quarters is unavailable.
With Pressure Ulcers That Are New or Worsened