PARKVIEW NURSING AND REHABILITATION CENTER KY DEFICIENCY REPORT

	Nursing Home Deficiency Report current as of November 25, 2009
Date	Deficiency	Scope	Level of Harm
02/03/2011	Allow residents to easily see the results of the nursing home's most recent survey.	Widespread	Potential for minimal harm
02/03/2011	Help and prepare each resident for a safe and easy discharge and transfer from the nursing home.	Isolated	Minimal harm or potential for actual harm
02/03/2011	1) Hire only people who have 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.	Isolated	Minimal harm or potential for actual harm
02/03/2011	Provide social services for related medical problems to help each resident achieve the highest possible quality of life.	Isolated	Minimal harm or potential for actual harm
02/03/2011	Give professional services that meet a professional standard of quality.	Isolated	Minimal harm or potential for actual harm
02/03/2011	Give each resident care and services to get or keep the highest quality of life possible.	Isolated	Minimal harm or potential for actual harm
02/03/2011	Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.	Pattern	Minimal harm or potential for actual harm
02/03/2011	Get rid of garbage properly.	Pattern	Minimal harm or potential for actual harm
02/03/2011	Properly mark drugs and other similar products.	Isolated	Minimal harm or potential for actual harm
02/03/2011	Make sure that the nursing home area is safe, easy to use, clean and comfortable.	Pattern	Minimal harm or potential for actual harm
02/03/2011	Put firmly secured handrails on each side of hallways.	Pattern	Minimal harm or potential for actual harm
02/03/2011	Make sure there is a program to prevent/deal with mice, insects, or other pests.	Isolated	Minimal harm or potential for actual harm
02/03/2011	Give or get lab tests to meet the needs of residents.	Isolated	Minimal harm or potential for actual harm
02/03/2011	Set up or keep a group of people to review and ensure quality.	Widespread	Minimal harm or potential for actual harm
02/02/2011	an approved installation, maintenance and testing program for fire alarm systems.	Widespread	Minimal harm or potential for actual harm
02/02/2011	properly installed electrical wiring and equipment.	Widespread	Minimal harm or potential for actual harm
09/01/2010	Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged.	Isolated	Minimal harm or potential for actual harm
09/01/2010	Keep each resident's personal and medical records private and confidential.	Widespread	Minimal harm or potential for actual harm
09/01/2010	Provide services to meet the needs and preferences of each resident.	Isolated	Minimal harm or potential for actual harm
09/01/2010	Give professional services that meet a professional standard of quality.	Isolated	Minimal harm or potential for actual harm
09/01/2010	Develop/implement required procedures for the administration of immunizations.	Isolated	Minimal harm or potential for actual harm
09/01/2010	Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.	Isolated	Minimal harm or potential for actual harm
09/01/2010	Store, cook, and give out food in a safe and clean way.	Pattern	Minimal harm or potential for actual harm
09/01/2010	Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly.	Pattern	Minimal harm or potential for actual harm
09/01/2010	Properly mark drugs and other similar products.	Isolated	Minimal harm or potential for actual harm
09/01/2010	Make sure that the nursing home area is safe, easy to use, clean and comfortable.	Widespread	Minimal harm or potential for actual harm
09/01/2010	corridor and hallway doors that block smoke.	Isolated	Minimal harm or potential for actual harm
09/01/2010	walls or barriers that prevent smoke from passing through and would resist fire for at least one hour.	Widespread	Minimal harm or potential for actual harm
09/01/2010	automatic sprinkler systems that have been maintained in working order.	Widespread	Minimal harm or potential for actual harm
09/01/2010	properly installed electrical wiring and equipment.	Isolated	Minimal harm or potential for actual harm
09/30/2009	Honor all of the resident's rights as a resident of the nursing home and as a citizen or resident of the United States.	Pattern	Minimal harm or potential for actual harm
09/30/2009	Keep each resident's personal and medical records private and confidential.	Pattern	Potential for minimal harm
09/30/2009	1) Hire only people who have 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.	Isolated	Minimal harm or potential for actual harm
09/30/2009	Provide services to meet the needs and preferences of each resident.	Isolated	Minimal harm or potential for actual harm
09/30/2009	Provide needed housekeeping and maintenance.	Pattern	Minimal harm or potential for actual harm
09/30/2009	1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan.	Isolated	Minimal harm or potential for actual harm
09/30/2009	Give each resident care and services to get or keep the highest quality of life possible.	Isolated	Minimal harm or potential for actual harm
09/30/2009	Make sure that the nursing home area is free of dangers that cause accidents.	Pattern	Minimal harm or potential for actual harm
09/30/2009	Make sure that residents are well nourished.	Pattern	Minimal harm or potential for actual harm
09/30/2009	Offer other nutritional food to each resident who will not eat the food served.	Widespread	Minimal harm or potential for actual harm
09/30/2009	Provide special eating equipment and utensils for each resident who needs them.	Isolated	Minimal harm or potential for actual harm
09/30/2009	Store, cook, and give out food in a safe and clean way.	Widespread	Minimal harm or potential for actual harm
09/30/2009	Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly.	Isolated	Minimal harm or potential for actual harm
09/30/2009	Properly mark drugs and other similar products.	Isolated	Minimal harm or potential for actual harm
09/30/2009	Have a program to keep infection from spreading.	Pattern	Minimal harm or potential for actual harm
09/30/2009	Keep all essential equipment working safely.	Isolated	Minimal harm or potential for actual harm
09/30/2009	Provide bedrooms that don't allow residents to see each other when privacy is needed.	Isolated	Minimal harm or potential for actual harm
09/30/2009	Have enough outside airflow.	Isolated	Minimal harm or potential for actual harm
09/30/2009	Put firmly secured handrails on each side of hallways.	Isolated	Minimal harm or potential for actual harm
09/30/2009	Make sure there is a program to prevent/deal with mice, insects, or other pests.	Pattern	Minimal harm or potential for actual harm

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Where does this data come from?

The data on this website describes nursing home characteristics, quality measures, inspection results, and nursing staff information.

The data come from 2 sources:

1. Centers for Medicare & Medicaid Services (CMS) have an Online Survey, Certification, and Reporting (OSCAR) database - Includes the nursing home characteristics and health deficiencies issued during the three most recent state inspections and recent complaint investigations.

   The survey inspection results are collected by the state survey agencies, who perform onsite visits to nursing homes . The inspections occur at least once during a 15-month period, or any time in between as a result of a complaint received by the state. The inspections ensure that the nursing home residents receive quality care and services in a safe and comfortable environment in accordance with rules established by CMS. Complaints may be reported and inspected during the year (outside of the 9-15 month survey cycle). Inspections about a complaint that result in the citation of a health deficiency are reported to CMS and included in this website. Sometimes the inspection finds a problem that the nursing home identified and corrected before the inspection occurred. The fact and the nature of these prior problems (deficiencies) may be included in this website.

   The information on the nursing homes' characteristics derived from OSCAR are prepared by each nursing home at the beginning of the regular State inspection. This information is reported by the nursing homes themselves. It is reviewed by nursing home inspectors, but not formally audited to ensure data accuracy. In addition, this information changes frequently as residents are discharged and admitted, or resident conditions change.

2. National database known as the Minimum Data Set (MDS) Repository

   The data for the quality measures come from the MDS Repository. The MDS is collected on regular intervals for every resident in a Medicare or Medicaid certified nursing home. Information is collected on the resident's health, physical functioning, mental status, and general well-being. These data are used by the nursing home to access the needs and develop a plan of care unique to each resident.

   Regulations require that a MDS assessment be performed at admission, quarterly, annually, and whenever the resident experiences a significant change in status. For residents in a Medicare Part A stay, the MDS is also used to determine the Medicare reimbursement rate. These assessments are performed on the 5th, 14th, 30th, 60th and 90th day of admission.

   All of this data is reported by the nursing homes themselves. It is reviewed by nursing home inspectors, but not formally audited to ensure that it is accurate. Every attempt is made to assure the accuracy and timeliness of this information. However, this information changes frequently as residents are discharged and admitted, or resident conditions change. We advise interpreting this information cautiously and supplementing it with information from the Ombudsman's office, the State Survey Agency, or other sources.

   Some MDS items used to calculate the quality measures consider the resident's condition during previous days prior to the assessment date. The following table provides these "observation" or "look back" time frames.

Signs of Nursing Home Abuse:

• Unexplained injuries or bruises
• Over or under medication
• Visible cuts, bruises, or welts
• Rapid weight loss or weight gain
• Dehydration, malnutrition, and bedsores
• Unsanitary living conditions
• Infections
• Broken bones
• Sudden death