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Pyramid Point Post-Acute Rehabilitation Center

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About Pyramid Point Post-Acute Rehabilitation Center

General Information

Legal Business NameLegal Business Name Not Available
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareMay 18, 1987 (30 years)
Capacity135
Residents33
Percent Occupied24%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityYes
Auto Sprinkler System In Required AreasYes

Ratings for Pyramid Point Post-Acute Rehabilitation Center

Pyramid Point Post-Acute Rehabilitation Center
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 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

June 29, 2016 - 9 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintProtect each resident from mistreatment, neglect and misappropriation of personal property.

April 18, 2016 - 12 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
DFewPotential for HarmHealth InspectionProperly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
DFewPotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
DFewPotential for HarmHealth InspectionEnsure residents maintain acceptable nutritional status.
DFewPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
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 InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmHealth InspectionMake sure that residents receive treatments/services to maintain or improve their ability to care for themselves.
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 InspectionImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

November 16, 2015 - 17 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintProvide medically-related social services to help each resident achieve the highest possible quality of life.
DFewPotential for HarmComplaintImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

October 20, 2015 - 18 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmComplaint+InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmComplaint+InspectionGive or get quality laboratory services/tests in a timely manner to meet the needs of residents.
DFewPotential for HarmComplaint+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 InspectionKeep residents' personal and medical records private and confidential.
DFewPotential for HarmHealth InspectionProvide activities to meet the interests and needs of each resident.
DFewPotential for HarmHealth InspectionProperly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
DFewPotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

June 18, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
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 HarmComplaintGive or get quality laboratory services/tests in a timely manner to meet the needs of residents.
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.

April 13, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmComplaintProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
DFewPotential for HarmComplaintEnsure that residents are safe from serious medication errors.

February 23, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionProvide medically-related social services to help each resident achieve the highest possible quality of life.
ESomePotential for HarmHealth InspectionEnsure 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.
ESomePotential for HarmHealth InspectionKeep all essential equipment working safely.
ESomePotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
DFewPotential for HarmHealth InspectionProvide or obtain dental services for each resident.
DFewPotential for HarmHealth InspectionMaintain comfortable and safe temperature levels.
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 InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmHealth InspectionKeep each resident free from physical restraints, unless needed for medical treatment.
BSomePotential for Minimal HarmHealth InspectionLet residents refuse treatment, refuse to take part in an experiment, or formulate advance directives.

November 26, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
JFewImmediate JeopardyComplaintGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
GFewActual HarmComplaintGive each resident enough fluids to keep them healthy and prevent dehydration.
ESomePotential for HarmComplaintProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmComplaintImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DFewPotential for HarmComplaintPrevent a loss in range of motion among residents who entered the nursing home with a full range of motion, unless it is unavoidable due to residentís clinical condition.

October 23, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmComplaintGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
DFewPotential for HarmComplaintProperly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
DFewPotential for HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmComplaintProvide written records when a resident is transferred or discharged.

October 20, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$115,960 fine
GFewActual HarmComplaintEnsure residents maintain acceptable nutritional status.
ESomePotential for HarmComplaintImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DFewPotential for HarmComplaintProperly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
DFewPotential for HarmComplaintHonor a residents' rights as a residents of the nursing home, free of coercion and reprisal, and as citizens or residents of the United States.
DFewPotential for HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

May 23, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmComplaintEnsure residents maintain acceptable nutritional status.
GFewActual HarmComplaintGive each resident enough fluids to keep them healthy and prevent dehydration.
ESomePotential for HarmComplaintProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.

March 21, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$26,878 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 Pyramid Point Post-Acute 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 30min
ReportedExpected
CNA
45min
40min
ReportedExpected
LPN
1hr 30min
60min
ReportedExpected
RN
4hr 15min
4hr 10min
ReportedExpected
Total Nursing

Quality Measures for Long Stay Residents

96.9%
100.0%
100.0%
100.0%
93.3%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
89.2%
100.0%
84.8%
83.9%
92.8%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
-
-
-
-
49.5%
Q4 2015Q1 2016Q2 2016Q3 2016IN
* The data for this facility for some quarters is unavailable.
Percentage of low risk long-stay residents who lose control of their bowels or bladder
27.8%
31.4%
18.2%
20.0%
22.5%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of long-stay residents who received an antianxiety or hypnotic medication
18.2%
30.8%
16.6%
8.6%
18.3%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of long-stay residents whose ability to move independently worsened
8.6%
9.1%
9.7%
10.3%
15.9%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of long-stay residents who received an antipsychotic medication
26.5%
12.1%
15.4%
45.8%
16.7%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of long-stay residents whose need for help with daily activities has increased
6.1%
5.7%
-
3.7%
6.6%
Q4 2015Q1 2016Q2 2016Q3 2016IN
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents who self-report moderate to severe pain
2.7%
0.0%
9.4%
3.2%
7.6%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of long-stay residents who lose too much weight
2.9%
0.0%
0.0%
0.0%
6.1%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of high risk long-stay residents with pressure ulcers
2.9%
3.2%
3.4%
0.0%
8.5%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of long-stay residents who have depressive symptoms
2.7%
0.0%
6.1%
0.0%
3.9%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of long-stay residents with a urinary tract infection
0.0%
0.0%
0.0%
0.0%
3.6%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of long-stay residents experiencing one or more falls with major injury
2.0%
2.6%
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

-
-
-
64.0%
81.1%
Q4 2015Q1 2016Q2 2016Q3 2016IN
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
53.8%
-
-
-
80.2%
Q4 2015Q1 2016Q2 2016Q3 2016IN
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
-
-
-
-
63.3%
Q4 2015Q1 2016Q2 2016Q3 2016IN
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who made improvements in function
-
-
-
-
15.7%
Q4 2015Q1 2016Q2 2016Q3 2016IN
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who self-report moderate to severe pain
-
-
-
-
2.2%
Q4 2015Q1 2016Q2 2016Q3 2016IN
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who newly received an antipsychotic medication
-
-
-
0.0%
1.5%
Q4 2015Q1 2016Q2 2016Q3 2016IN
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents with pressure ulcers that are new or worsened