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Bluegrass Care & Rehabilitation Center

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About Bluegrass Care & Rehabilitation Center

General Information

Legal Business NameLp Lexington Pimlico, LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareSeptember 22, 2000 (17 years)
Capacity124
Residents106
Percent Occupied85%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsBoth
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Bluegrass Care & Rehabilitation Center

Bluegrass Care & Rehabilitation Center
was reviewed by Medicare to have a rating of 1 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 11, 2016 - 11 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
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 InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

September 3, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

December 8, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
DFewPotential for HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmComplaintAllow residents the right to participate in the planning or revision of care and treatment.

September 10, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmComplaintMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
GFewActual HarmComplaintImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
GFewActual HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .
GFewActual HarmComplaintAllow residents the right to participate in the planning or revision of care and treatment.
DFewPotential for HarmComplaintGive or get quality laboratory services/tests in a timely manner to meet the needs of residents.
DFewPotential for HarmComplaintHave a program that investigates, controls and keeps infection from spreading.

August 22, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
JFewImmediate JeopardyComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.
JFewImmediate JeopardyComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .
JFewImmediate JeopardyComplaintEnsure services provided by the nursing facility meet professional standards of quality.
JFewImmediate JeopardyComplaintDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

August 1, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
---Payment DenialPayment denial for 4 days
---Fine$175,371 fine
KSomeImmediate JeopardyHealth InspectionTrain all employees on what to do in an emergency, and carry out unannounced staff drills.
KSomeImmediate JeopardyHealth InspectionHave enough nurses to care for every resident in a way that maximizes the resident's well being.
KSomeImmediate JeopardyHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
KSomeImmediate JeopardyHealth InspectionMake sure that the facility is administered in an acceptable way that maintains the well-being of each resident .
KSomeImmediate JeopardyHealth InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
KSomeImmediate JeopardyHealth 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.
KSomeImmediate JeopardyHealth InspectionProtect each resident from mistreatment, neglect and misappropriation of personal property.
KSomeImmediate JeopardyHealth Inspection1) 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.
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
GFewActual HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
GFewActual HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
ESomePotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
ESomePotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
ESomePotential for HarmHealth InspectionTry to resolve each resident's complaints quickly.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmHealth InspectionAssure that each residentís assessment is updated at least once every 3 months.
DFewPotential for HarmHealth InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
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.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Bluegrass Care & 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 10min
2hr 40min
ReportedExpected
CNA
45min
50min
ReportedExpected
LPN
50min
1hr 20min
ReportedExpected
RN
3hr 40min
4hr 45min
ReportedExpected
Total Nursing

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

Quality Measures for Long Stay Residents

91.1%
96.5%
96.5%
96.5%
95.5%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
86.3%
82.5%
90.9%
97.1%
95.1%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
71.0%
74.3%
80.5%
82.5%
48.8%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of low risk long-stay residents who lose control of their bowels or bladder
20.9%
31.0%
20.0%
25.5%
31.9%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of long-stay residents who received an antianxiety or hypnotic medication
25.5%
26.9%
23.5%
29.4%
21.2%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of long-stay residents whose ability to move independently worsened
33.0%
25.5%
27.1%
34.3%
20.1%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of long-stay residents who received an antipsychotic medication
27.3%
15.2%
27.2%
22.4%
16.8%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of long-stay residents whose need for help with daily activities has increased
3.3%
8.1%
4.2%
6.3%
8.5%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of long-stay residents who self-report moderate to severe pain
6.8%
8.0%
7.4%
11.1%
7.5%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of long-stay residents who lose too much weight
5.3%
6.3%
4.8%
4.7%
6.2%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of high risk long-stay residents with pressure ulcers
9.0%
3.2%
0.0%
0.0%
3.1%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of long-stay residents who have depressive symptoms
3.4%
3.0%
6.2%
5.0%
5.5%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of long-stay residents with a urinary tract infection
2.1%
1.9%
5.1%
3.8%
3.8%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of long-stay residents experiencing one or more falls with major injury
2.0%
0.0%
0.0%
2.0%
3.0%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of long-stay residents with a catheter inserted and left in their bladder
0.0%
0.0%
0.0%
0.0%
1.3%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

50.0%
65.9%
69.8%
78.8%
84.7%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
73.1%
75.0%
75.0%
75.0%
82.9%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
-
-
-
-
57.3%
Q4 2015Q1 2016Q2 2016Q3 2016KY
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who made improvements in function
22.2%
17.2%
11.5%
0.0%
18.3%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of short-stay residents who self-report moderate to severe pain
4.5%
3.6%
4.2%
5.0%
2.8%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of short-stay residents who newly received an antipsychotic medication
0.9%
0.0%
1.4%
0.0%
1.3%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of short-stay residents with pressure ulcers that are new or worsened