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Cypress Grove Rehabilitation Center

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  2. Indiana
  3. Newburgh Skilled Nursing Home Facilities
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Reviews
Overall Rating 5.0 / 5.0 ★★★★★

  • Ricardo Sanchez
    ★★★★★ 3 years ago

    Nice place to retire all staff friendly

About Cypress Grove Rehabilitation Center

General Information

Legal Business NameThe Health And Hospital Corporation Of Marion County
Ownership TypeGovernment - County
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJanuary 10, 1986 (33 years)
Capacity90
Residents74
Percent Occupied82%
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 Cypress Grove Rehabilitation Center

Cypress Grove 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

September 19, 2017 - 10 months ago

 Residents AffectedSeveritySource/TypeDescription
KSomeImmediate JeopardyHealth InspectionLet residents refuse treatment, refuse to take part in an experiment, or formulate advance directives.
ESomePotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
ESomePotential for HarmHealth InspectionMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
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 InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
DFewPotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
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.
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 InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
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 care by qualified persons according to each resident's written plan of care.

August 31, 2017 - 11 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .

April 6, 2017 - 16 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.
ESomePotential for HarmComplaintProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
CManyPotential for Minimal HarmComplaintPost nurse staffing information/data on a daily basis.
DFewPotential for HarmComplaintEnsure each resident receives an accurate assessment by a qualified health professional.

August 25, 2016 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
ESomePotential for HarmHealth InspectionProvide activities to meet the interests and needs of each resident.
ESomePotential for HarmComplaint+InspectionHave enough nurses to care for every resident in a way that maximizes the resident's well being.
ESomePotential for HarmComplaint+InspectionMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
ESomePotential for HarmComplaint+InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
ESomePotential for HarmComplaint+InspectionStore, cook, and serve food in a safe and clean way.
DFewPotential for HarmComplaint+InspectionProvide timely notification to the resident before transfer or discharge.
DFewPotential for HarmHealth InspectionProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
DFewPotential for HarmComplaint+InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmComplaint+InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
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 each resident receives an accurate assessment by a qualified health professional.
DFewPotential for HarmComplaint+InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmComplaint+InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
DFewPotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
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.

February 2, 2016 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
DFewPotential for HarmComplaintImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

November 19, 2015 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintProvide or obtain laboratory services only when ordered by the attending physician.

August 5, 2015 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
ESomePotential for HarmHealth InspectionMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
DFewPotential for HarmHealth InspectionGive or get specialized rehabilitative services per the patient's assessment or plan of care.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
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 InspectionConduct initial and periodic assessments of each resident's functional capacity.
DFewPotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
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 InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

April 13, 2015 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$10,010 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 Cypress Grove 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 25min
2hr 25min
ReportedExpected
CNA
45min
40min
ReportedExpected
LPN
60min
1hr 15min
ReportedExpected
RN
4hr 10min
4hr 25min
ReportedExpected
Total Nursing

This facility also provides approximately 20min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

94.7%
95.1%
95.1%
95.1%
94.2%
Q4 2016Q1 2017Q2 2017Q3 2017IN
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
79.7%
93.4%
86.6%
85.9%
92.8%
Q4 2016Q1 2017Q2 2017Q3 2017IN
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
29.0%
36.0%
-
65.4%
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
30.9%
28.4%
29.0%
21.3%
22.1%
Q4 2016Q1 2017Q2 2017Q3 2017IN
Percentage of long-stay residents who received an antianxiety or hypnotic medication
7.3%
7.1%
4.3%
16.9%
17.2%
Q4 2016Q1 2017Q2 2017Q3 2017IN
Percentage of long-stay residents whose ability to move independently worsened
15.9%
10.1%
17.2%
16.1%
15.4%
Q4 2016Q1 2017Q2 2017Q3 2017IN
Percentage of long-stay residents who received an antipsychotic medication
23.2%
23.8%
32.6%
21.2%
16.3%
Q4 2016Q1 2017Q2 2017Q3 2017IN
Percentage of long-stay residents whose need for help with daily activities has increased
10.8%
6.6%
14.9%
7.8%
7.8%
Q4 2016Q1 2017Q2 2017Q3 2017IN
Percentage of long-stay residents who lose too much weight
4.5%
9.5%
7.3%
4.9%
5.8%
Q4 2016Q1 2017Q2 2017Q3 2017IN
Percentage of high risk long-stay residents with pressure ulcers
0.0%
-
6.5%
15.5%
5.0%
Q4 2016Q1 2017Q2 2017Q3 2017IN
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents who self-report moderate to severe pain
40.6%
28.8%
4.7%
5.7%
8.3%
Q4 2016Q1 2017Q2 2017Q3 2017IN
Percentage of long-stay residents who have depressive symptoms
2.7%
0.0%
4.5%
0.0%
3.1%
Q4 2016Q1 2017Q2 2017Q3 2017IN
Percentage of long-stay residents with a urinary tract infection
1.4%
2.6%
3.0%
1.6%
3.7%
Q4 2016Q1 2017Q2 2017Q3 2017IN
Percentage of long-stay residents experiencing one or more falls with major injury
3.0%
3.6%
0.8%
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

73.0%
70.7%
52.0%
48.3%
81.8%
Q4 2016Q1 2017Q2 2017Q3 2017IN
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
76.2%
78.0%
78.0%
78.0%
80.5%
Q4 2016Q1 2017Q2 2017Q3 2017IN
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
-
-
50.9%
-
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
-
-
-
-
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
-
4.2%
3.7%
3.4%
2.1%
Q4 2016Q1 2017Q2 2017Q3 2017IN
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who newly received an antipsychotic medication
0.0%
0.0%
2.8%
5.0%
1.1%
Q4 2016Q1 2017Q2 2017Q3 2017IN
Percentage of short-stay residents with pressure ulcers that are new or worsened



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