SACRED HEART VILLAGE (LOUISVILLE, KY) Detailed Nursing Home Profile

Quality Measures

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

Here:	23.0%
State:	16.4%

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

Here:	4.9%
Kentucky:	13.2%

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

Here:	14.0%
State:	6.9%

Percent of long-stay residents who lose too much weight

This Nursing Home:	4.8%
State:	8.3%

Percent of long-stay low-risk residents who lose control of their bowels or bladder

Here:	51.4%
Kentucky:	44.9%

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

This Nursing Home:	4.9%
Kentucky:	5.1%

Percent of long-stay residents with a urinary tract infection

Here:	8.3%
State:	8.7%

Percent of long-stay residents who have depressive symptoms

Here:	3.6%
Kentucky:	6.4%

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

This Nursing Home:	3.4%
State:	3.5%

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

This Nursing Home:	100.0%
State:	95.5%

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

This Nursing Home:	100.0%
Kentucky:	96.8%

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

This Nursing Home:	2.6%
Kentucky:	25.0%

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

Here:	2.3%
State:	1.6%

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

Here:	98.9%
Kentucky:	88.6%

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

Here:	98.9%
Kentucky:	87.8%

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

This Nursing Home:	1.5%
Kentucky:	3.4%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	18.6%
Kentucky:	25.6%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	0.550
Kentucky:	0.690

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

This Nursing Home:	1.290
State:	0.901

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.840
Kentucky:	1.591

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

Here:	0.140
Kentucky:	0.070

Number Therapy Hours Per Resident Per Day

This Nursing Home:	0.140
Kentucky:	0.074

Complaint Deficiency

Exits that are accessible at all times
- Harm: Actual harm
- Scope: Few
Properly installed electrical wiring and equipment
- Harm: Actual harm
- Scope: Few
An approved installation, maintenance and testing program for fire alarm systems
- 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
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
Provide housekeeping and maintenance services
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Conduct initial and periodic assessments of each resident's functional capacity
- 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
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: Many
Exits that are accessible at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Emergency lighting that can last at least 1 1/2 hours
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Restrictions on the use of highly flammable materials
- 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
Properly installed electrical wiring and equipment
- 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
Review or revise the resident's care plan after any major change in a resident's physical or mental health
- 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
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Some
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: Few
Corridor and hallway doors that block smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Smoke barrier doors that can resist smoke for at least 20 minutes
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Construction that can resist fire for one hour or an approved fire extinguishing system
- 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: Many
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Exits that are free from obstructions and can be used at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly installed electrical wiring and equipment
- 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

SACRED HEART VILLAGE - LOUISVILLE, KY

Quality Measures

Staff Information

Complaint Deficiency

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