Provider Name: LANDMARK OF DANVILLE REHABILITATION AND NURSING CE
Address: 203 BRUCE COURT, DANVILLE, KY 40422
Phone: (859) 236-9292
County: Boyle (100)
Ownership Type: For profit - Corporation
Certified Beds: 90
Average Residents Per Day: 85.0 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: LANDMARK OF DANVILLE REHABILITATION AND NURSING CENTER LLC
First Approved Date: May 20, 1991
Affiliated Entity: INFINITY HEALTHCARE MANAGEMENT (283)
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Resident
Sprinkler System Status: Yes
Overall Rating: 1 ()
Health Inspection Rating: 2 ()
QM Rating: 2 ()
Long Stay QM Rating: 4 ()
Short Stay QM Rating: 1 ()
Staffing Rating: 1 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.37898, LPN Staff Hours Per Day: 0.7524, RN Staff Hours Per Day: 0.3719, Licensed Staff Hours Per Day: 1.1244
Total Nurse Staff Hours Per Day, per resident: 3.50339
Weekend Nurse Staff Hours: 2.97530, Weekend RN Staff Hours: 0.2880
PT Staff Hours Per Day, per resident: 0.0237
Nurse Staff Turnover: 62.1, Nurse Turnover Note:
RN Turnover: 50.0, RN Turnover Note:
Admin Left Number: , Admin Turnover Note: 6
Case Mix Nurse Aide Hours Per Day, per resident: 2.5513, Case Mix LPN Hours Per Day: 0.7736, Case Mix RN Hours Per Day: 0.3977
Adjusted Nurse Aide Hours Per Day, per resident: 1.89961, Adjusted LPN Hours Per Day: 0.7177, Adjusted RN Hours Per Day: 0.3523
Total Adjusted Nurse Hours Per Day, per resident: 2.96626
Adjusted Weekend Nurse Hours Per Day, per resident: 2.51914
Health Survey Dates and Scores: Cycle 1: 2019-04-18 (Score: 4), Cycle 2: 2018-01-25 (Score: 16), Cycle 3: 2016-11-17 (Score: 335)
Total Weighted Health Score: 63.167
Reported Incidents: 2, Substantiated Complaints: 1
Infection Control Citations: 3
Fines and Penalties: Number of Fines: 17, Total Fines in Dollars: 72547.18, Payment Denials Number: 0, Total Penalties Number: 17
Location and GPS: 203 BRUCE COURT,DANVILLE,KY,40422 (37.6436, -84.760)
Process Date: 2024-03-01
Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Health, Deficiency: 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.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-05-17
Type: Health, Deficiency: Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2018-02-07
Type: Health, Deficiency: Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2018-02-07
Type: Health, Deficiency: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Severity: J - Level 4: Immediate jeopardy to resident health or safety. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-06-19
Type: Health, Deficiency: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity: J - Level 4: Immediate jeopardy to resident health or safety. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-06-19
Type: Health, Deficiency: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity: G - Level 3: Actual harm that is not immediate jeopardy. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-06-19
Type: Health, Deficiency: Provide enough food/fluids to maintain a resident's health.
Severity: J - Level 4: Immediate jeopardy to resident health or safety. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-06-19
Type: Health, Deficiency: Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Severity: J - Level 4: Immediate jeopardy to resident health or safety. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-06-19
Type: Health, Deficiency: Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Severity: J - Level 4: Immediate jeopardy to resident health or safety. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-06-19
Type: Health, Deficiency: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-04-17
Type: Health, Deficiency: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-04-17
Type: Health, Deficiency: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-04-17
Type: Health, Deficiency: Provide care by qualified persons according to each resident's written plan of care.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2016-12-03
Type: Health, Deficiency: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2016-12-03
Type: Health, Deficiency: Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2016-12-03
Type: Health, Deficiency: Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2016-12-03
Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Fire Safety, Tag: 0232, Version: New
Description: Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-05-17
Type: Fire Safety, Tag: 0363, Version: New
Description: Install corridor and hallway doors that block smoke.
Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-05-17
Type: Fire Safety, Tag: 0351, Version: New
Description: Install an approved automatic sprinkler system.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2016-11-24
Type: Fire Safety, Tag: 0355, Version: New
Description: Properly select, install, inspect, or maintain portable fire extinguishes.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2016-11-24
Type: Fire Safety, Tag: 0511, Version: New
Description: Have properly installed electrical wiring and gas equipment.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2016-11-16