Castleton Health Care Center

7630 E 86th St
Indianapolis, IN 46256
Marion County
Phone: 317-845-0032
Provider Number: 155245
Last Inspection: 11/13/2015

About the Nursing Home About the Staff

Number of Beds
Number of
Beds
109
Number of Residents
Number of
Residents
41
Number of Beds Available
Beds Available
68
Percent Occupancy
Percent Occupancy
38%
Accepts Insurance
Insurance Accepted
Medicare & Medicaid
Types of Councils
Types of Councils
Resident
Type of Ownership
Type of Ownership
Non profit - Corporation
Within a Hospital?
Within Hospital?
NO

State Inspection Deficiencies About State Inspection Deficiencies

Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home. We suggest you use our Nursing Home Checklist to help evaluate the nursing homes you plan to visit.


Deficiency Ratings what is a deficiency rating?
By Region


  • Facility
  • County
  • IN
  • USA
  • 61
  • 20
  • 18
  • 20
Lower Numbers are Better

Deficiency Ratings what is a deficiency rating?
By Year


  • 2015
  • 2014
  • 2013
  • 61
  • 58
  • 22
Lower Numbers are Better

Details by Inspection Date

 

11/13/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Isolated : Minimal 3 12/13/2015
Failed To: Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. Isolated : Minimal 3 12/13/2015
Failed To: Provide resident groups or resident family groups with private space to meet. Pattern : Minimal 4 12/13/2015
Failed To: Ensure that each resident has the right to join in social, religious, and community activities. Pattern : Minimal 4 12/13/2015
Failed To: Provide activities to meet the interests and needs of each resident. Isolated : Minimal 3 12/13/2015
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated : Minimal 3 12/13/2015
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 1/25/2016
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated : Minimal 3 12/13/2015
Failed To: Ensure that residents receive proper treatment and assistive devices to maintain their vision and hearing. Isolated : Minimal 3 12/13/2015
Failed To: Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. Isolated : Minimal 3 12/13/2015
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 12/13/2015
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Isolated : Minimal 3 12/13/2015
Failed To: Post nurse staffing information/data on a daily basis. Widespread : Potential 4 12/13/2015
Failed To: Provide routine and 24-hour emergency dental care for each resident. Isolated : Minimal 3 12/13/2015
Failed To: At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. Isolated : Minimal 3 12/13/2015
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 12/13/2015
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 12/13/2015
Failed To: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Isolated : Minimal 3 12/13/2015
Failed To: Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. Isolated : Minimal 3 12/13/2015
 

9/12/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. Isolated : Minimal 3 10/12/2014
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Isolated : Minimal 3 10/28/2014
Failed To: Provide medically-related social services to help each resident achieve the highest possible quality of life. Isolated : Minimal 3 10/12/2014
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated : Minimal 3 10/12/2014
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 10/12/2014
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 10/12/2014
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 10/12/2014
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated : Minimal 3 10/12/2014
Failed To: Ensure that residents receive proper treatment and assistive devices to maintain their vision and hearing. Isolated : Minimal 3 10/12/2014
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Minimal 3 10/12/2014
Failed To: Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. Isolated : Actual 4 10/12/2014
Failed To: Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. Isolated : Minimal 3 10/12/2014
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 10/12/2014
Failed To: Ensure residents maintain acceptable nutritional status. Isolated : Minimal 3 10/12/2014
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Isolated : Minimal 3 10/12/2014
Failed To: Develop policies and procedures for influenza and pneumococcal immunizations. Isolated : Minimal 3 10/12/2014
Failed To: Have a program that investigates, controls and keeps infection from spreading. Widespread : Minimal 5 10/12/2014
Failed To: Make sure that a working call system is available in each resident's room or bathroom and bathing area. Pattern : Minimal 4 10/12/2014
 

7/16/2013 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Review or revise the resident's care plan after any major change in physical or mental health. Isolated : Minimal 3 8/15/2013
Failed To: Completely assess the resident at least every twelve months. Isolated : Minimal 3 8/15/2013
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 8/15/2013
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Minimal 3 8/15/2013
Failed To: Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. Isolated : Minimal 3 8/15/2013
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Isolated : Minimal 3 8/15/2013
Failed To: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Widespread : Potential 4 8/15/2013


 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

 

9/29/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Send unopened mail from residents and promptly deliver unopened mail to residents. Isolated : Minimal 3 10/16/2015
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Actual 4 10/16/2015
 

4/1/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Pattern : Minimal 4 5/1/2015
 

12/3/2014 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated : Minimal 3 1/2/2015
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 1/2/2015
 

10/21/2014 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Isolated : Minimal 3 10/28/2014
 

7/1/2014 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Actual 4 7/31/2014
 

2/5/2014 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated : Minimal 3 2/28/2014
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 2/28/2014
 

1/3/2014 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Isolated : Minimal 3 2/2/2014
Failed To: Try to resolve each resident's complaints quickly. Isolated : Minimal 3 2/2/2014
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 2/2/2014
Failed To: Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. Isolated : Actual 4 2/2/2014
 

10/7/2013 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide medically-related social services to help each resident achieve the highest possible quality of life. Isolated : Minimal 3 11/6/2013
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Pattern : Minimal 4 11/6/2013

 

About The Staff About the Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg IN State Avg
Number of Residents 41 78.67 72.40
Registered Nurses 0.43 1.21 0.94
Licensed Practical / Vocational Nurses 0.96 1.02 0.93
Certified Nursing Assistants 1.10 2.39 2.20
Total Staff Hours 2.48 4.62 4.07

About the Residents About the Staff

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% IN State Avg%
High Risk Long Stay Residents With Pressure Ulcers 7 6 6
Long Stay Residents Experiencing One or More Falls with Major Injury 7 2 3
Long Stay Residents Who Have Depressive Symptoms 0 9 6
Long Stay Residents Who Lose Too Much Weight 8 8 8
Long Stay Residents Who Received an Antipsychotic Medication 9 17 17
Long Stay Residents Who Self Report Moderate to Severe Pain 4 6 7
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 0 7 6
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 3 7 5
Long Stay Residents Who Were Physically Restrained 0 0 0
Long Stay Residents Whose Need for Help with ADLs has Increased 27 16 16
Long Stay Residents with a Catheter Inserted and Left in Their Bladder 1 2 2
Long Stay Residents With a Urinary Tract Infection 5 3 4
Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 46 54 48
Short Stay Residents Who Newly Received an Antipsychotic Medication 2 2 2
Short Stay Residents Who Self Report Moderate to Severe Pain 25 16 16
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 15 20 18
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 26 19 17
Short Stay Residents With Pressure Ulcers That Are New or Worsened 0 1 1