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Hamilton Trace Of Fishers

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About Hamilton Trace Of Fishers

General Information

Legal Business NameHendricks County Hospital
Ownership TypeGovernment - County
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareOctober 25, 2011 (6 years)
Capacity108
Residents102
Percent Occupied94%
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 Hamilton Trace Of Fishers

Hamilton Trace Of Fishers
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

April 19, 2016 - 15 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
DFewPotential for HarmComplaintEnsure that residents are safe from serious medication errors.
DFewPotential for HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmComplaintProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmComplaintAllow residents the right to participate in the planning or revision of care and treatment.

March 10, 2016 - 17 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmHealth InspectionProvide routine and 24-hour emergency dental care for each resident.
DFewPotential for HarmHealth InspectionGive or get x-rays and other tests in a timely manner to meet the needs of residents.
DFewPotential for HarmHealth InspectionGive or get specialized rehabilitative services per the patient's assessment or plan of care.
DFewPotential for HarmHealth InspectionMake sure that doctors visit residents regularly, as required.
DFewPotential for HarmHealth InspectionDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
DFewPotential for HarmHealth InspectionGive residents a notice of rights, rules, services and charges.

February 11, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmComplaint+InspectionEnsure residents maintain acceptable nutritional status.
DFewPotential for HarmComplaint+InspectionProperly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
DFewPotential for HarmComplaint+InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
DFewPotential for HarmComplaint+InspectionProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
DFewPotential for HarmComplaint+InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmComplaint+InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmComplaint+InspectionImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DFewPotential for HarmComplaint+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.
DFewPotential for HarmComplaint+InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.

January 15, 2015 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$16,673 fine
GFewActual HarmComplaintGive each resident enough fluids to keep them healthy and prevent dehydration.

October 7, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
DFewPotential for HarmComplaint1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.
DFewPotential for HarmComplaintImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Hamilton Trace Of Fishers 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 5min
2hr 30min
ReportedExpected
CNA
1hr 10min
40min
ReportedExpected
LPN
1hr 10min
1hr 15min
ReportedExpected
RN
4hr 25min
4hr 30min
ReportedExpected
Total Nursing

This facility also provides approximately 1hr 35min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

93.4%
94.3%
94.3%
94.3%
93.3%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
91.0%
86.4%
89.1%
87.3%
92.8%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
66.7%
62.1%
67.7%
62.1%
49.5%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of low risk long-stay residents who lose control of their bowels or bladder
17.7%
14.5%
19.4%
17.9%
22.5%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of long-stay residents who received an antianxiety or hypnotic medication
29.1%
21.7%
24.7%
17.7%
18.3%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of long-stay residents whose ability to move independently worsened
7.6%
9.1%
6.5%
8.2%
15.9%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of long-stay residents who received an antipsychotic medication
25.0%
17.5%
14.0%
30.4%
16.7%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of long-stay residents whose need for help with daily activities has increased
10.4%
12.1%
7.8%
9.3%
6.6%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of long-stay residents who self-report moderate to severe pain
10.6%
12.3%
8.1%
6.6%
7.6%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of long-stay residents who lose too much weight
10.3%
5.2%
3.5%
5.3%
6.1%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of high risk long-stay residents with pressure ulcers
1.5%
3.2%
0.0%
1.8%
8.5%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of long-stay residents who have depressive symptoms
1.5%
4.5%
3.1%
1.6%
3.9%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of long-stay residents with a urinary tract infection
4.5%
4.5%
6.2%
6.3%
3.6%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of long-stay residents experiencing one or more falls with major injury
2.4%
0.0%
0.0%
0.0%
2.2%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of long-stay residents with a catheter inserted and left in their bladder
0.0%
0.0%
0.0%
0.0%
0.5%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

77.1%
75.5%
84.2%
82.0%
81.1%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
92.9%
81.9%
81.9%
81.9%
80.2%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
79.5%
70.8%
64.1%
67.3%
63.3%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of short-stay residents who made improvements in function
15.6%
23.4%
30.1%
29.8%
15.7%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of short-stay residents who self-report moderate to severe pain
2.6%
2.4%
0.6%
0.5%
2.2%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of short-stay residents who newly received an antipsychotic medication
1.8%
0.9%
1.1%
1.3%
1.5%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of short-stay residents with pressure ulcers that are new or worsened