HOLY CROSS VILLAGE AT NOTRE DAME INC (NOTRE DAME, IN) Detailed Nursing Home Profile

HOLY CROSS VILLAGE AT NOTRE DAME INC - NOTRE DAME, IN

Addresss:

54515 SR 933 N
NOTRE DAME, IN, 46556

Phone (make sure to verify first before calling): (574) 287-1838

Number of Certified Beds: 39
Total Number of Residents: 33
Percent of Occupied Beds: 85%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: Non profit - Church related
Located Within a Hospital?: No
Multi Nursing Home Ownership?: No
Resident and Family Councils: Resident
Continuing Care Retirement Community?: Yes
Quality Indicator Survey?: No
Special Focus Facility?: No
Type: Skilled Nursing Facilities

Overall Star Rating: 5 Stars
Health Inspections Star Rating: 5 Stars
Nurse Staffing Star Rating: 5 Stars
Quality Measures Star Rating: 4 Stars
RN Only Star Rating: 5 Stars

Employment Full-Time Equivalent

Administrative Staff - Full Time: 10.29

Certified Nurse Aides - Full Time: 17.14

Certified Nurse Aides - Part Time: 3.89

Dietitians - Under Contract: 0.69

Housekeeping Personnel - Full Time: 9.14

Licensed Practical/ Vocational Nurses - Full Time: 8.00

Licensed Practical/ Vocational Nurses - Part Time: 4.11

Medical Directors - Under Contract: 0.23

Nurses With Administrative Duties - Full Time: 2.29

Physical Therapists - Under Contract: 0.29

Registered Nurses - Full Time: 1.14

Rn Director Of Nursing - Full Time: 1.14

Social Workers - Full Time: 1.14

Activities Professionals - Full Time: 1.14

Occupational Therapists - Under Contract: 0.14

Pharmacists - Under Contract: 0.09

Food Service Personnel - Under Contract: 13.14

Speech Pathologists - Under Contract: 0.69

Other Physicians - Under Contract: 2.06

Registered Nurses - Part Time: 1.37

Occupational Therapy Assistants - Under Contract: 1.14

Housekeeping Personnel - Part Time: 0.91

Number Of Beds

Total: 124

Total Certified: 30

Provided Services

Activities Services Are Provided Onsite To Residents

Clinical Laboratory Services Are Provided Onsite To Residents

Dental Services Are Provided Offsite 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 Offsite To Residents

Mental Health Services Are Provided Onsite To Residents

Nursing Services Are Provided Onsite To Residents

Occupational Therapy Services Are Provided Offsite To Residents

Occupational Therapy Services Are Provided Onsite To Residents

Pharmacy Services Are Provided Onsite To Residents

Physical Therapy Services Are Provided Offsite To Residents

Physical Therapy Services Are Provided Onsite To Residents

Physician Services Are Provided Onsite To Non Residents

Physician Services Are Provided Onsite To Residents

Podiatry Services Are Provided Offsite To Residents

Podiatry Services Are Provided Onsite To Residents

Social Work Services Are Provided Onsite To Residents

Speech/Language Pathology Services Are Provided Offsite To Residents

Speech/Language Pathology Services Are Provided Onsite To Residents

Complaint Deficiency

Conduct initial and periodic assessments of each resident's functional capacity

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: Immediate jeopardy to resident health or safety
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

Safely provide drugs and other similar products available, which are needed every day and in emergencies, by a licensed pharmacist

Harm: Minimal harm or potential for actual harm
Scope: Some

An approved installation, maintenance and testing program for fire alarm systems

Harm: Potential for minimal harm
Scope: Many

Proper fire barriers, ventilation and signs for the transport of oxygen

Harm: Minimal harm or potential for actual harm
Scope: Some

Weekly inspections and monthly testing of generators

Harm: Minimal harm or potential for actual harm
Scope: Many

A fire alarm system that can be heard throughout the facility

Harm: Minimal harm or potential for actual harm
Scope: Some

An approved installation, maintenance and testing program for fire alarm systems

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

Proper fire barriers, ventilation and signs for the transport of oxygen

Harm: Minimal harm or potential for actual harm
Scope: Some

Properly installed electrical wiring and equipment

Harm: Minimal harm or potential for actual harm
Scope: Some

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	1.350
Indiana:	0.691

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

This Nursing Home:	1.300
State:	0.981

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	2.650
State:	1.672

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	0.170
State:	0.096

Number Therapy Hours Per Resident Per Day

This Nursing Home:	0.170
Indiana:	0.103

Quality Measures

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

This Nursing Home:	7.1%
Indiana:	22.0%

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

Here:	1.8%
State:	2.0%

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

This Nursing Home:	95.2%
Indiana:	84.1%

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

Here:	88.0%
Indiana:	82.2%

Percent of short-stay residents who newly received an antipsychotic medication

Here:	2.3%
Indiana:	2.9%

HOLY CROSS VILLAGE AT NOTRE DAME INC - NOTRE DAME, IN

Complaint Deficiency

Staff Information

Quality Measures

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