NAZARETH HOME

Nursing Home Inspector

2000 NEWBURG ROAD
LOUISVILLE, KY 40205
Jefferson County
Phone: 502-459-9681
Provider Number: 185138
Last Inspection: 09/21/2017

About the Nursing Home

Number of Beds: 118
Number of Residents: 112
Beds Available: 6
Percent Occupancy: 95%
Insurance Accepted: Medicare & Medicaid
Types of Councils: None
Ownership: For profit - Corporation
Within Hospital?: NO

About State Inspection Deficiencies

Nursing Homes that are Medicare and/or Medicaid certified are licensed by the state and are required to comply with rigid standards enforced by regular facility inspections and extensive evaluations.

The state inspection deficiencies provided here are accounts reported by state inspectors of every discrepancy found where the home failed to meet the minimum standards set forth by state and federal regulations. If a home does not show any deficiencies, it has met the minimum standards required.

Please note: 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.


Deficiency Ratings

Our nursing home inspector tool compares the severity of deficiences rather than the number of deficiences. We calculate the severity of each deficiency using the formula:

Severity Rating = Scope + Level of Harm.

Deficiency Rating= Sum of ALL Severity Ratings

Severity Scope Level of Harm
2 1-Isolated 1-Potential for minimal harm
3 2-Pattern 1-Potential for minimal harm
3 1-Isolated 2-Minimal harm or potential for actual harm
4 3-Widespread 1-Potential for minimal harm
4 2-Pattern 2-Minimal harm or potential for actual harm
4 1-Isolated 3-Actual harm
5 3-Widespread 2-Minimal harm or potential for actual harm
5 2-Pattern 3-Actual harm
5 1-Isolated 4-Immediate jeopardy to resident health or safety
6 3-Widespread 3-Actual harm
6 2-Pattern 4-Immediate jeopardy to resident health or safety
7 3-Widespread 4-Immediate jeopardy to resident health or safety

Deficiency Ratings
By Region

Lower Numbers Are Better

 

11

Facility
13

County
12

KY
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

11

2017
6

2016
3

2015

Medicare Ratings

Overall Rating: Overall Rating
Health Rating: Health Rating
Staff Rating: Staff Rating
Quality Rating: Quality Rating

 

Details by Inspection Date

9/21/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 10/24/2017
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 10/24/2017
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 10/24/2017
 

8/4/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 9/9/2016
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 9/9/2016
 

7/2/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Store, cook, and serve food in a safe and clean way. Isolated : Minimal 3 7/31/2015
 

Complaint Investigation Deficiencies

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

No Complaint Deficiencies Reported

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg KY State Avg
Number of Residents 112 93.77 79.68
Registered Nurses 0.59 0.84 0.86
Licensed Practical / Vocational Nurses 2.50 1.10 0.87
Certified Nursing Assistants 3.17 2.33 2.40
Total Staff Hours 6.26 4.27 4.13

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% KY State Avg%
of high risk long-stay residents with pressure ulcers 1 6 5
of long-stay residents assessed and appropriately given the pneumococcal vaccine 100 90 95
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 94 91 95
of long-stay residents experiencing one or more falls with major injury 3 3 3
of long-stay residents who have depressive symptoms 2 1 2
of long-stay residents who lose too much weight 7 7 7
of long-stay residents who received an antianxiety or hypnotic medication 15 26 31
of long-stay residents who received an antipsychotic medication 15 13 19
of long-stay residents who self-report moderate to severe pain 13 6 6
of long-stay residents who were physically restrained 1 0 0
of long-stay residents whose ability to move independently worsened 15 23 21
of long-stay residents whose need for help with daily activities has increased 11 18 16
of long-stay residents with a catheter inserted and left in their bladder 0 2 2
of long-stay residents with a urinary tract infection 4 5 4
of low risk long-stay residents who lose control of their bowels or bladder 59 61 49
of short-stay residents assessed and appropriately given the pneumococcal vaccine 99 79 84
of short-stay residents who had an outpatient emergency department visit 4 10 14
of short-stay residents who made improvements in function 52 61 59
of short-stay residents who newly received an antipsychotic medication 0 2 2
of short-stay residents who self-report moderate to severe pain 28 16 16
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 96 79 83
of short-stay residents who were rehospitalized after a nursing home admission 8 22 22
of short-stay residents who were successfully discharged to the community 80 57 46
of short-stay residents with pressure ulcers that are new or worsened 1 1 1