BRIARWOOD HEALTH AND REHABILITATION CENTER - INDIANAPOLIS, IN

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Addresss:

3640 N CENTRAL AVE
INDIANAPOLIS, IN, 46205

Phone (make sure to verify first before calling): (317) 920-7888

Number of Certified Beds: 113
Total Number of Residents: 92
Percent of Occupied Beds: 81%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: For profit - Corporation
Located Within a Hospital?: No
Multi Nursing Home Ownership?: No
Resident and Family Councils: Resident
Continuing Care Retirement Community?: No
Quality Indicator Survey?: Yes
Special Focus Facility?: No
Type: Skilled Nursing Facilities

Overall Star Rating: 4 Stars
Health Inspections Star Rating: 3 Stars
Nurse Staffing Star Rating: 4 Stars
Quality Measures Star Rating: 4 Stars
RN Only Star Rating: 4 Stars

Other nearby hospitals and nursing homes

CENTRAL HEALTHCARE CENTER (0.64 miles)
FAIRFIELD HEALLTH CARE FACITLTY INC (0.02 miles)
FMC - MIDTOWN (1.09 miles)
MOUNT ZION HEALTH CARE CENTER (0.77 miles)
SUMMERBROOK HEALTHCARE CENTER (1.10 miles)
CAREGIVERS INC (0.20 miles)
WINONA MEMORIAL HOSPITAL (0.66 miles)

Employment Full-Time Equivalent

Activities Professionals - Under Contract: 0.21

Administrative Staff - Full Time: 4.73

Administrative Staff - Part Time: 0.97

Certified Nurse Aides - Full Time: 19.09

Certified Nurse Aides - Part Time: 13.44

Dietitians - Under Contract: 0.23

Food Service Personnel - Full Time: 5.87

Food Service Personnel - Part Time: 3.64

Housekeeping Personnel - Full Time: 4.40

Licensed Practical/ Vocational Nurses - Full Time: 13.09

Licensed Practical/ Vocational Nurses - Part Time: 4.76

Medical Directors - Under Contract: 0.36

Mental Health Services Personnel - Under Contract: 0.51

Nurses With Administrative Duties - Full Time: 3.36

Persons Not Included In Any Other Categories - Full Time: 2.51

Physical Therapists - Under Contract: 1.49

Registered Nurses - Full Time: 1.67

Rn Director Of Nursing - Full Time: 1.14

Social Workers - Full Time: 2.14

Dentists - Under Contract: 0.11

Nurses With Administrative Duties - Part Time: 1.71

Occupational Therapists - Under Contract: 0.69

Pharmacists - Under Contract: 0.09

Podiatrists - Under Contract: 0.04

Speech Pathologists - Under Contract: 1.14

Other Physicians - Under Contract: 0.03

Physician Extenders - Under Contract: 0.69

Persons Not Included In Any Other Categories - Part Time: 0.90

Registered Nurses - Part Time: 1.00

Housekeeping Personnel - Part Time: 5.36

Nurses With Administrative Duties - Under Contract: 0.21

Medication Aides/ Technicians - Part Time: 0.74

Medication Aides/ Technicians - Full Time: 3.04

Number Of Beds

Total: 113

Total Certified: 113

Provided Services

Activities Services Are Provided Onsite To Residents

Administration And Storage Of Blood Services Are Provided Offsite To Residents

Clinical Laboratory Services Are Provided Offsite To Residents

Dental Services Are Provided Onsite To Residents

Diagnostic Xray Services Are Provided Offsite To Residents

Diagnostic Xray Services Are Provided Onsite To Residents

Dietary Services Are Provided Onsite To Non Residents

Dietary Services Are Provided Onsite To Residents

Housekeeping Services Are Provided Onsite To Residents

Mental Health Services Are Provided Onsite To Residents

Nursing Services Are Provided Onsite To Residents

Occupational Therapy Services Are Provided Onsite To Residents

Pharmacy Services Are Provided Onsite To Residents

Physical Therapy Services Are Provided Onsite To Residents

Physician Extender Services Are Provided Onsite To Residents

Physician Services Are Provided Onsite To Residents

Podiatry Services Are Provided Onsite To Residents

Social Work Services Are Provided Onsite To Residents

Speech/Language Pathology Services Are Provided Onsite To Residents

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased

Here:	22.1%
State:	19.7%

Percent of long-stay residents who self-report moderate to severe pain

Here:	10.8%
Indiana:	10.6%

Percent of long-stay high-risk residents with pressure ulcers

Here:	8.6%
Indiana:	6.3%

Percent of long-stay residents who lose too much weight

This Nursing Home:	3.9%
Indiana:	7.8%

Percent of long-stay residents who have had a catheter inserted and left in their bladder

Here:	3.6%
State:	4.3%

Percent of long-stay residents who were physically restrained

Here:	1.3%
Indiana:	1.3%

Percent of long-stay residents experiencing one or more falls with major injury

Here:	1.3%
State:	3.8%

Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine

Here:	98.7%
State:	95.2%

Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine

Here:	78.9%
State:	94.0%

Percent of short-stay residents who self-report moderate to severe pain

This Nursing Home:	34.2%
State:	22.0%

Percent of short-stay residents with Pressure ulcers that are new or worsened

Here:	6.3%
Indiana:	2.0%

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine

This Nursing Home:	23.5%
State:	84.1%

Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine

This Nursing Home:	27.5%
Indiana:	82.2%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	9.7%
Indiana:	22.6%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	0.930
State:	0.691

Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day

Here:	1.230
Indiana:	0.981

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	2.160
State:	1.672

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

Here:	0.080
State:	0.096

Number Therapy Hours Per Resident Per Day

This Nursing Home:	0.080
State:	0.103

Complaint Deficiency

Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed
- Harm: Minimal harm or potential for actual harm
- Scope: Few
A two-hour-resistant firewall in common walls
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Signs that state that exit doors are to be kept closed
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Keep accurate, complete and organized clinical records on each resident that meet professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Provide care by qualified persons according to each resident's written plan of care
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Keep accurate, complete and organized clinical records on each resident that meet professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Fire-resistant interior walls
- Harm: Minimal harm or potential for actual harm
- Scope: Some
At least two remote exits on each floor or fire section of the building
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Exits that are accessible at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Record of quarterly fire drills for each shift under varying conditions
- Harm: Minimal harm or potential for actual harm
- Scope: Many
An approved automatic sprinkler system connected to the fire alarm system
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Automatic sprinkler systems that have been maintained in working order
- Harm: Potential for minimal harm
- Scope: Many
Properly protected cooking facilities
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Immediately tell the resident, the resident's doctor and a family member of the resident of situations (injury/decline/room, etc.) that affect the resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Keep each resident free from physical restraints, unless needed for medical treatment
- Harm: Minimal harm or potential for actual harm
- Scope: Few
1) 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
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide care by qualified persons according to each resident's written plan of care
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Make sure that residents are safe from serious medication errors
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Give or get quality lab services/tests in a timely manner to meet the needs of residents
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Keep accurate, complete and organized clinical records on each resident that meet professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Few
1) 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
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Construction that can resist fire for one hour or an approved fire extinguishing system
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Record of quarterly fire drills for each shift under varying conditions
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Proper medical gas storage and administration areas
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Proper fire barriers, ventilation and signs for the transport of oxygen
- Harm: Minimal harm or potential for actual harm
- Scope: Some

BRIARWOOD HEALTH AND REHABILITATION CENTER - INDIANAPOLIS, IN

Quality Measures

Staff Information

Complaint Deficiency

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