Indianapolis, IN

Hooverwood

1-star overall rating with 1-star inspections with abuse icon flag with $25,124 in total fines with 11 recent health deficiencies with 15 fire-safety deficiencies in the latest cycle

7001 Hoover Rd, Indianapolis, IN

(317) 251-2261

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

155

Certified beds

Average residents

129

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1967-01-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.00

Registered nurse staffing

LPN hours / resident day

0.00

Licensed practical nurse staffing

Aide hours / resident day

0.00

Nurse aide staffing

Total nurse hours

0.00

All reported nurse hours

Licensed hours

0.00

RN + LPN hours

Weekend hours

0.00

Weekend nurse staffing

Weekend RN hours

0.00

Weekend registered nurse coverage

Physical therapist

0.00

Reported PT staffing

Adjusted RN hours

0.00

CMS adjusted RN staffing hours

Adjusted total hours

0.00

CMS adjusted total nurse staffing hours

Case-mix index

0.00

Higher values indicate more complex resident acuity

RN turnover

Annual RN turnover

Total nurse turnover

Annual nurse turnover

SNF VBP

Value-based purchasing

Program rank

3,303

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

44.97

Composite VBP score used to determine payment impact.

Payment multiplier

0.9981

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

7.25

Baseline 18.95% · Performance 18.07% · Measure score 7.25 · Achievement 7.25 · Improvement 4.09

Healthcare-associated infections

3.73

Baseline 4.42% · Performance 6.72% · Measure score 3.73 · Achievement 3.73 · Improvement 0

Total nurse turnover

3.08

Baseline 33.73% · Performance 51.09% · Measure score 3.08 · Achievement 3.08 · Improvement 0

Adjusted total nurse staffing

3.93

Baseline 3.84 hours · Performance 4.20 hours · Measure score 3.93 · Achievement 3.93 · Improvement 1.33

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.85%	10.72% 1.1 pts worse	No Different than the National Rate · Eligible stays 211 · Observed rate 13.27% · Lower 95% interval 8.89%
Discharge to community	56.87%	50.57% 6.3 pts better	No Different than the National Rate · Eligible stays 173 · Observed rate 50.87% · Lower 95% interval 49.81%
Medicare spending per beneficiary	0.99	1.02 About the same
Drug regimen review with follow-up	98.9%	95.27% 3.6 pts better	Numerator 90 · Denominator 91
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 91
Discharge self-care score	44.74%	53.69% 8.9 pts worse	Numerator 34 · Denominator 76
Discharge mobility score	36.84%	50.94% 14.1 pts worse	Numerator 28 · Denominator 76
Pressure ulcers or injuries, new or worsened	2.2%	2.29% 0.1 pts better	Numerator 2 · Denominator 91 · Adjusted rate 2.38%
Healthcare-associated infections requiring hospitalization	6.72%	7.12% 0.4 pts better	No Different than the National Rate · Eligible stays 119 · Observed rate 5.88% · Lower 95% interval 4.26%
Staff COVID-19 vaccination coverage	Not Available	8.2%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Staff flu vaccination coverage	Not Available	42%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge function score	59.21%	56.45% 2.8 pts better	Numerator 45 · Denominator 76
Transfer of health information to provider	86.36%	95.95% 9.6 pts worse	Numerator 19 · Denominator 22
Transfer of health information to patient	93.02%	96.28% 3.3 pts worse	Numerator 40 · Denominator 43
Resident COVID-19 vaccinations up to date	10.81%	25.2% 14.4 pts worse	Numerator 4 · Denominator 37

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.0	1.6 0.4 pts worse	1.9 0.1 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.4 · Expected 1.3 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0.7	1.5 0.8 pts better	1.8 1.1 pts better	Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.5 · Expected 1.3 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.2%	93.6% 5.6 pts better	93.4% 5.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 99.3% · Q2 99.3% · Q3 98.4% · Q4 100.0% · 4Q avg 99.2%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	97.9%	95.4% 2.5 pts better	95.5% 2.4 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 97.9%
Percentage of long-stay residents experiencing one or more falls with major injury	3.9%	3.8% 0.1 pts worse	3.3% 0.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 4.4% · Q3 4.0% · Q4 2.6% · 4Q avg 3.9% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	2.9%	24.6% 21.7 pts better	11.4% 8.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 3.1% · Q3 3.5% · Q4 1.9% · 4Q avg 2.9%
Percentage of long-stay residents who lose too much weight	9.5%	5.6% 3.9 pts worse	5.4% 4.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 19.0% · Q2 12.4% · Q3 3.8% · Q4 1.1% · 4Q avg 9.5%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	18.8%	23.5% 4.7 pts better	19.6% 0.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.8% · Q2 21.3% · Q3 19.6% · Q4 19.6% · 4Q avg 18.8%
Percentage of long-stay residents who received an antipsychotic medication	17.6%	14.8% 2.8 pts worse	16.7% 0.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 16.5% · Q2 17.5% · Q3 17.6% · Q4 18.8% · 4Q avg 17.6% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.0% About the same	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	33.4%	13.3% 20.1 pts worse	16.3% 17.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 29.6% · Q2 38.9% · Q3 29.2% · Q4 34.8% · 4Q avg 33.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	35.8%	11.7% 24.1 pts worse	14.9% 20.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 29.5% · Q2 33.7% · Q3 44.9% · Q4 34.1% · 4Q avg 35.8% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.8%	0.4% 0.4 pts worse	1.0% 0.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 0.7% · Q3 0.0% · Q4 2.0% · 4Q avg 0.8% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.2%	1.2% About the same	1.7% 0.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 1.5% · Q3 0.8% · Q4 0.9% · 4Q avg 1.2% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	28.8%	24.2% 4.6 pts worse	19.8% 9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 23.3% · Q2 30.4% · Q3 29.9% · Q4 32.5% · 4Q avg 28.8%
Percentage of long-stay residents with pressure ulcers	4.7%	4.1% 0.6 pts worse	5.1% 0.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 4.3% · Q3 4.4% · Q4 6.0% · 4Q avg 4.7% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	91.2%	81.6% 9.6 pts better	81.7% 9.5 pts better	Short Stay · 2024Q4-2025Q3 · Q1 83.3% · Q2 92.6% · Q3 98.4% · Q4 93.2% · 4Q avg 91.2%
Percentage of short-stay residents who had an outpatient emergency department visit	20.1%	10.5% 9.6 pts worse	12.0% 8.1 pts worse	Short Stay · 20240701-20250630 · Adjusted 20.1% · Observed 19.5% · Expected 10.8% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.3% 1.3 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	81.2%	79.0% 2.2 pts better	79.7% 1.5 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 81.2%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	27.6%	22.4% 5.2 pts worse	23.9% 3.7 pts worse	Short Stay · 20240701-20250630 · Adjusted 27.6% · Observed 24.7% · Expected 21.3% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-26 · Fire 2025-03-26

11 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

15 fire-safety deficiencies

Top issue: Smoke (6 deficiencies)

Cycle 2 Health 2024-03-06 · Fire 2024-03-06

18 health deficiencies

Top issue: Quality of Life and Care (7 deficiencies)

12 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2022-12-21 · Fire 2022-12-21

16 health deficiencies

Top issue: Quality of Life and Care (7 deficiencies)

10 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-03-26

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2025-06-30

F · Potential for more than minimal harm 2025-03-26

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-06-30

F · Potential for more than minimal harm 2025-03-26

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-06-30

F · Potential for more than minimal harm 2025-03-26

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-06-30

F · Potential for more than minimal harm 2025-03-26

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2025-06-30

F · Potential for more than minimal harm 2025-03-26

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-06-30

E · Potential for more than minimal harm 2025-03-26

K100 · Construction Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2025-06-30

E · Potential for more than minimal harm 2025-03-26

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2025-06-30

E · Potential for more than minimal harm 2025-03-26

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-06-30

E · Potential for more than minimal harm 2025-03-26

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-06-30

E · Potential for more than minimal harm 2025-03-26

K531 · Services Deficiencies

Fire Safety

Have elevators that firefighters can control in the event of a fire.

Corrected 2025-06-30

E · Potential for more than minimal harm 2025-03-26

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-06-30

D · Potential for more than minimal harm 2025-03-26

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2025-06-30

D · Potential for more than minimal harm 2025-03-26

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2025-06-30

D · Potential for more than minimal harm 2025-03-26

K541 · Services Deficiencies

Fire Safety

Install properly constructed and protected linen or trash chutes.

Corrected 2025-06-30

F · Potential for more than minimal harm 2024-03-06

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2024-06-28

F · Potential for more than minimal harm 2024-03-06

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2024-06-28

F · Potential for more than minimal harm 2024-03-06

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-06-28

F · Potential for more than minimal harm 2024-03-06

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2024-05-31

F · Potential for more than minimal harm 2024-03-06

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Not marked corrected

F · Potential for more than minimal harm 2024-03-06

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-05-31

F · Potential for more than minimal harm 2024-03-06

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2024-05-31

F · Potential for more than minimal harm 2024-03-06

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2024-05-31

F · Potential for more than minimal harm 2024-03-06

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-06-28

E · Potential for more than minimal harm 2024-03-06

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2024-06-28

E · Potential for more than minimal harm 2024-03-06

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-05-31

E · Potential for more than minimal harm 2024-03-06

K541 · Services Deficiencies

Fire Safety

Install properly constructed and protected linen or trash chutes.

Not marked corrected

F · Potential for more than minimal harm 2022-12-21

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2023-03-27

F · Potential for more than minimal harm 2022-12-21

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-03-27

F · Potential for more than minimal harm 2022-12-21

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2023-03-01

F · Potential for more than minimal harm 2022-12-21

K916 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have a battery powered remote alarm panel in a location accessible by operating personnel.

Corrected 2023-03-01

F · Potential for more than minimal harm 2022-12-21

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-03-27

E · Potential for more than minimal harm 2022-12-21

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2023-03-01

E · Potential for more than minimal harm 2022-12-21

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2023-03-01

E · Potential for more than minimal harm 2022-12-21

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2023-03-01

E · Potential for more than minimal harm 2022-12-21

K531 · Services Deficiencies

Fire Safety

Have elevators that firefighters can control in the event of a fire.

Corrected 2023-03-01

E · Potential for more than minimal harm 2022-12-21

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-03-27

Inspection history

Recent health citations

J · Immediate jeopardy 2025-12-30

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2026-01-16

D · Potential for more than minimal harm 2025-12-22

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Not marked corrected

D · Potential for more than minimal harm 2025-12-22

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from the wrongful use of the resident's belongings or money.

Not marked corrected

E · Potential for more than minimal harm 2025-03-26

F625 · Resident Rights Deficiencies

Health

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2025-04-28

D · Potential for more than minimal harm 2025-03-26

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2025-04-28

D · Potential for more than minimal harm 2025-03-26

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2025-04-28

D · Potential for more than minimal harm 2025-03-26

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-04-28

D · Potential for more than minimal harm 2025-03-26

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-04-28

D · Potential for more than minimal harm 2025-03-26

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2025-04-28

D · Potential for more than minimal harm 2025-03-26

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2025-04-28

D · Potential for more than minimal harm 2025-03-26

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2025-04-28

D · Potential for more than minimal harm 2025-01-22

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-11-05

D · Potential for more than minimal harm 2025-01-22

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-11-11

D · Potential for more than minimal harm 2025-01-22

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-10-15

J · Immediate jeopardy 2024-12-27

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-12-22

D · Potential for more than minimal harm 2024-10-11

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-09-23

D · Potential for more than minimal harm 2024-10-11

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2024-08-23

D · Potential for more than minimal harm 2024-10-11

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-09-30

G · Actual harm 2024-03-06

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-04-01

E · Potential for more than minimal harm 2024-03-06

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2024-04-01

E · Potential for more than minimal harm 2024-03-06

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2024-04-01

E · Potential for more than minimal harm 2024-03-06

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-04-01

D · Potential for more than minimal harm 2024-03-06

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2024-04-01

D · Potential for more than minimal harm 2024-03-06

F642 · Resident Assessment and Care Planning Deficiencies

Health

Ensure a qualified health professional conducts resident assessments.

Corrected 2024-04-01

D · Potential for more than minimal harm 2024-03-06

F676 · Quality of Life and Care Deficiencies

Health

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Corrected 2024-04-01

D · Potential for more than minimal harm 2024-03-06

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-04-01

D · Potential for more than minimal harm 2024-03-06

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-04-01

D · Potential for more than minimal harm 2024-03-06

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-04-01

D · Potential for more than minimal harm 2024-03-06

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-04-01

D · Potential for more than minimal harm 2023-10-12

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2023-11-13

G · Actual harm 2023-07-17

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-08-09

G · Actual harm 2022-12-21

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2023-01-21

G · Actual harm 2022-12-21

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2023-01-21

E · Potential for more than minimal harm 2022-12-21

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-01-21

E · Potential for more than minimal harm 2022-12-21

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-01-21

D · Potential for more than minimal harm 2022-12-21

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2023-01-21

D · Potential for more than minimal harm 2022-12-21

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-01-21

D · Potential for more than minimal harm 2022-12-21

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2023-01-21

D · Potential for more than minimal harm 2022-12-21

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-01-21

D · Potential for more than minimal harm 2022-12-21

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-01-21

D · Potential for more than minimal harm 2022-12-21

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2023-01-21

D · Potential for more than minimal harm 2022-12-21

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2023-01-12

D · Potential for more than minimal harm 2022-12-21

F758 · Pharmacy Service Deficiencies

Health

Corrected 2023-01-21

D · Potential for more than minimal harm 2022-12-21

F761 · Pharmacy Service Deficiencies

Health

Corrected 2023-01-21

D · Potential for more than minimal harm 2022-12-21

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2023-01-21

Penalties and ownership

What sits behind the stars

$16,300 2024-12-27

Fine

Fine · fine $16,300

Fine

$8,824 2024-03-06

Fine

Fine · fine $8,824

Fine

Ownership

Hancock Regional Hospital

5% Or Greater Direct Ownership Interest · Organization

100% 28 facilities 2013-05-10

Abrams Tobe, Leslie