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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 NameHenry County Memorial Hospital
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareMay 18, 1987 (31 years)
Capacity135
Residents41
Percent Occupied30%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsNone
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
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 stars.

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

August 14, 2017 - 14 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
CManyPotential for Minimal HarmComplaintPost nurse staffing information/data on a daily basis.
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 necessary care and services to maintain or improve the highest well being of each resident .
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 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 HarmComplaintKeep residents' personal and medical records private and confidential.

June 14, 2017 - 16 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmComplaintMaintain comfortable and safe temperature levels.

May 22, 2017 - 17 months ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual 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.
GFewActual HarmComplaintImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

March 30, 2017 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmHealth InspectionTell the attending physician the results of x-rays and other tests, in a timely manner.
DFewPotential for HarmHealth InspectionMake sure that residents receive treatments/services to maintain or improve their ability to care for themselves.
DFewPotential for HarmHealth InspectionReasonably accommodate the needs and preferences of each resident.

October 11, 2016 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth Inspection1) Receive registry verification that a nurse aide has met the required training and skills that the State requires; and 2) ensure nurse aides receive the required retraining after 24 months if nursing related services were not provided for monetary compe
CManyPotential for Minimal HarmHealth InspectionPost nurse staffing information/data on a daily basis.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionMake sure that a working call system is available in each resident's room or bathroom and bathing area.
DFewPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential 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.
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 InspectionAllow residents the right to participate in the planning or revision of care and treatment.
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 InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
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 InspectionReasonably accommodate the needs and preferences of each resident.

June 29, 2016 - 2 years ago

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

April 18, 2016 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
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 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 InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
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 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 - 3 years 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 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
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 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 HarmComplaintAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.

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 15min
2hr 30min
ReportedExpected
CNA
40min
45min
ReportedExpected
LPN
45min
1hr 15min
ReportedExpected
RN
3hr 35min
4hr 25min
ReportedExpected
Total Nursing

This facility also provides approximately 55min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

100.0%
96.8%
96.8%
96.8%
94.2%
Q4 2016Q1 2017Q2 2017Q3 2017IN
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
96.6%
100.0%
96.8%
92.8%
Q4 2016Q1 2017Q2 2017Q3 2017IN
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
-
-
-
-
51.5%
Q4 2016Q1 2017Q2 2017Q3 2017IN
* 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
15.4%
11.1%
13.8%
20.0%
22.1%
Q4 2016Q1 2017Q2 2017Q3 2017IN
Percentage of long-stay residents who received an antianxiety or hypnotic medication
0.0%
12.6%
4.9%
0.0%
17.2%
Q4 2016Q1 2017Q2 2017Q3 2017IN
Percentage of long-stay residents whose ability to move independently worsened
12.0%
0.0%
0.0%
0.0%
15.4%
Q4 2016Q1 2017Q2 2017Q3 2017IN
Percentage of long-stay residents who received an antipsychotic medication
20.0%
29.2%
20.0%
9.1%
16.3%
Q4 2016Q1 2017Q2 2017Q3 2017IN
Percentage of long-stay residents whose need for help with daily activities has increased
0.0%
10.3%
0.0%
0.0%
7.8%
Q4 2016Q1 2017Q2 2017Q3 2017IN
Percentage of long-stay residents who lose too much weight
0.0%
0.0%
0.0%
4.8%
5.8%
Q4 2016Q1 2017Q2 2017Q3 2017IN
Percentage of high risk long-stay residents with pressure ulcers
0.0%
0.0%
8.5%
6.4%
5.0%
Q4 2016Q1 2017Q2 2017Q3 2017IN
Percentage of long-stay residents who self-report moderate to severe pain
0.0%
11.1%
3.8%
4.5%
8.3%
Q4 2016Q1 2017Q2 2017Q3 2017IN
Percentage of long-stay residents who have depressive symptoms
3.7%
0.0%
0.0%
0.0%
3.1%
Q4 2016Q1 2017Q2 2017Q3 2017IN
Percentage of long-stay residents with a urinary tract infection
0.0%
0.0%
0.0%
0.0%
3.7%
Q4 2016Q1 2017Q2 2017Q3 2017IN
Percentage of long-stay residents experiencing one or more falls with major injury
0.0%
0.0%
0.0%
0.0%
1.5%
Q4 2016Q1 2017Q2 2017Q3 2017IN
Percentage of long-stay residents with a catheter inserted and left in their bladder
0.0%
0.0%
0.0%
0.0%
0.3%
Q4 2016Q1 2017Q2 2017Q3 2017IN
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

71.4%
87.5%
80.4%
79.6%
81.8%
Q4 2016Q1 2017Q2 2017Q3 2017IN
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
-
87.5%
87.5%
87.5%
80.5%
Q4 2016Q1 2017Q2 2017Q3 2017IN
* 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
-
-
-
-
66.2%
Q4 2016Q1 2017Q2 2017Q3 2017IN
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who made improvements in function
-
0.0%
4.2%
-
13.4%
Q4 2016Q1 2017Q2 2017Q3 2017IN
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who self-report moderate to severe pain
5.0%
7.1%
4.0%
0.0%
2.1%
Q4 2016Q1 2017Q2 2017Q3 2017IN
Percentage of short-stay residents who newly received an antipsychotic medication
0.0%
0.0%
0.0%
0.0%
1.1%
Q4 2016Q1 2017Q2 2017Q3 2017IN
Percentage of short-stay residents with pressure ulcers that are new or worsened