HILLSIDE VILLA CARE AND REHABILITATION CENTER (MADISONVILLE, KY) Detailed Nursing Home Profile

Quality Measures

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

Here:	25.0%
Kentucky:	16.4%

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

Here:	24.8%
Kentucky:	13.2%

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

Here:	6.7%
Kentucky:	6.9%

Percent of long-stay residents who lose too much weight

Here:	1.8%
Kentucky:	8.3%

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

This Nursing Home:	3.1%
State:	5.1%

Percent of long-stay residents with a urinary tract infection

This Nursing Home:	1.8%
State:	8.7%

Percent of long-stay residents who have depressive symptoms

Here:	13.2%
State:	6.4%

Percent of long-stay residents who were physically restrained

This Nursing Home:	5.2%
Kentucky:	3.4%

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

Here:	6.9%
State:	3.5%

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

Here:	91.4%
Kentucky:	95.5%

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

Here:	91.4%
State:	96.8%

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

This Nursing Home:	73.3%
Kentucky:	88.6%

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

Here:	77.4%
Kentucky:	87.8%

Percent of long-stay residents who received an antipsychotic medication

Here:	28.8%
State:	25.6%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	0.590
Kentucky:	0.690

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

This Nursing Home:	1.020
State:	0.901

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.610
Kentucky:	1.591

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

Here:	0.020
State:	0.070

Number Therapy Hours Per Resident Per Day

This Nursing Home:	0.020
Kentucky:	0.074

Complaint Deficiency

A two-hour-resistant firewall in common walls
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Exits that are accessible at all times
- 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: Actual harm
- Scope: Few
Exits that are accessible at all times
- Harm: Actual harm
- Scope: Few
Construction that can resist fire for one hour or an approved fire extinguishing system
- Harm: Potential for minimal harm
- Scope: Many
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
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Proper facilities for the use and storage of combustible liquids
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Provide care by qualified persons according to each resident's written plan of care
- 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
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: Potential for minimal harm
- Scope: Many
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
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Corridors that are separated from common areas by walls constructed to limit the passage of smoke
- 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
Smoke barrier doors that can resist smoke for at least 20 minutes
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Construction that can resist fire for one hour or an approved fire extinguishing system
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Resident room doors of proper design and width
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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: Minimal harm or potential for actual harm
- Scope: Many
Restrictions on the use of portable space heaters
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Proper facilities for the use and storage of combustible liquids
- 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: Many
Properly installed hallway dispensers for alcohol-based hand rub
- Harm: Minimal harm or potential for actual harm
- Scope: Many
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
Allow the resident the right to participate in the planning or revision of the resident's care plan
- Harm: Minimal harm or potential for actual harm
- Scope: Few

HILLSIDE VILLA CARE AND REHABILITATION CENTER - MADISONVILLE, KY

Quality Measures

Staff Information

Complaint Deficiency

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