Waters of Dillsboro-Ross Manor, The

Contact Information:
12803 Lenover St
Dillsboro, Indiana 47018
Phone Number: (812) 432-5226

Waters of Dillsboro-Ross Manor, The Facility Information

Number of Certified Beds	123	Sprinkler Systems	Fully Sprinklered
Total Residents	111	Part of a Chain	Yes
Precent of Beds Occupied	90%	Located Within Hospital	No
Resident and Family Conseling	Resident Counseling	Company Type	For profit - Corporation
Medicare/Medicaid	Participating in Medicare and Medicaid

Waters of Dillsboro-Ross Manor, The Nursing Home Staff

Average number of registered nurse (rn) hours per day per resident.	0.38
Average number of licensed practical or vocational nurse hours per day per nursing home resident.	0.83
Total number of hours worked by nursing staff for each resident in the nursing home.	1.21
Average number of certified nursing assistant (CNA) hours worked each week per resident.	1.93

Waters of Dillsboro-Ross Manor, The Resident Information

Percent of High Risk Long Term Nursing Home Residents Who Have Pressure Sores: 15%

Percent of Long Term Nursing Home Residents Given Influenza Vaccination During the Flu Season: 90+%

Percent of Long Term Nursing Home Residents Who are More Depressed or Anxious: 11%

Percent of Long Term Nursing Home Residents Who Have Moderate to Severe Pain: 4%

Percent of Long Term Nursing Home Residents Who Have/Had a Catheter Inserted and Left in Their Bladder: 11%

Percent of Long Term Nursing Home Residents Who Lose Too Much Weight: 8%

Percent of Long Term Nursing Home Residents Who Spend Most of Their Time in Bed or in a Chair: 4%

Percent of Long Term Nursing Home Residents Who Were Assessed and Given Pneumococcal Vaccination: 90+%

Percent of Long Term Nursing Home Residents Who Were Physically Restrained: 6%

Percent of Long Term Nursing Home Residents Whose Ability to Move About in and Around Their Room Got Worse: 5%

Percent of Long Term Nursing Home Residents Whose Need for Help With Daily Activities Has Increased: 21%

Percent of Long Term Nursing Home Residents With a Urinary Tract Infection: 7%

Percent of Low-Risk Long Term Nursing Home Residents Who Have Pressure Sores: 0%

Percent of Low-Risk Long Term Nursing Home Residents Who Lose Control of Their Bowels or Bladder: 35%

Percent of Short Term Nursing Home Residents Given Influenza Vaccination During the Flu Season: 85%

Percent of Short Term Nursing Home Residents Who Had Moderate to Severe Pain: 26%

Percent of Short Term Nursing Home Residents Who Were Assessed and Given Pneumococcal Vaccination: 90%

Percent of Short Term Nursing Home Residents With Delirium: 2%

Percent of Short Term Nursing Home Residents With Pressure Sores: 16%

Nursing Home Violations by Waters of Dillsboro-Ross Manor, The

Health Violations:
Category:	Date:	Specific Violation:	Scope:	Level of Harm Caused:
Environmental Deficiencies	07/10/2003	Make sure that the nursing home area is free of dangers that cause accidents.	Isolated	Minimal harm or potential for actual harm
Environmental Deficiencies	07/10/2003	Provide bedrooms that don't allow residents to see each other when privacy is needed.	Isolated	Minimal harm or potential for actual harm
Environmental Deficiencies	07/10/2003	Make sure that the nursing home area is safe, easy to use, clean and comfortable.	Pattern	Minimal harm or potential for actual harm
Mistreatment Deficiencies	07/10/2003	Protect residents from mistreatment, neglect, and/or theft of personal property.	Isolated	Minimal harm or potential for actual harm
Quality Care Deficiencies	07/10/2003	Give each resident care and services to get or keep the highest quality of life possible.	Pattern	Minimal harm or potential for actual harm
Quality Care Deficiencies	07/10/2003	Make sure each resident is being watched and has assistance devices when needed, to prevent accidents.	Isolated	Actual harm
Administration Deficiencies	07/07/2004	Keep accurate and appropriate medical records.	Pattern	Minimal harm or potential for actual harm
Environmental Deficiencies	07/07/2004	Provide needed housekeeping and maintenance.	Pattern	Minimal harm or potential for actual harm
Environmental Deficiencies	07/07/2004	Have a program to keep infection from spreading.	Isolated	Minimal harm or potential for actual harm
Environmental Deficiencies	07/07/2004	Move, clean and store sheets, towels and other linens in a way that prevents the spread of infection.	Pattern	Minimal harm or potential for actual harm
Environmental Deficiencies	07/07/2004	Keep all essential equipment working safely.	Isolated	Minimal harm or potential for actual harm
Environmental Deficiencies	07/07/2004	Make sure that the nursing home area is safe, easy to use, clean and comfortable.	Isolated	Minimal harm or potential for actual harm
Environmental Deficiencies	07/07/2004	Make sure there is a program to prevent/deal with mice, insects, or other pests.	Isolated	Minimal harm or potential for actual harm
Nutrition and Dietary Deficiencies	07/07/2004	Store, cook, and give out food in a safe and clean way.	Pattern	Minimal harm or potential for actual harm
Pharmacy Service Deficiencies	07/07/2004	1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects.	Isolated	Minimal harm or potential for actual harm
Pharmacy Service Deficiencies	07/07/2004	Make sure that the pharmacist reports anything unusual to the doctor on duty and the director of nursing.	Isolated	Minimal harm or potential for actual harm
Quality Care Deficiencies	07/07/2004	Give professional services that meet a professional standard of quality.	Isolated	Minimal harm or potential for actual harm
Resident Assessment Deficiencies	07/07/2004	Make a complete assessment that covers all questions for areas that are listed in official regulations.	Isolated	Minimal harm or potential for actual harm
Resident Assessment Deficiencies	07/07/2004	Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them.	Isolated	Minimal harm or potential for actual harm
Resident Assessment Deficiencies	07/07/2004	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
Resident Assessment Deficiencies	07/07/2004	Develop a plan with the resident and family for the resident's care after leaving the nursing home.	Isolated	Minimal harm or potential for actual harm
Resident Rights Deficiencies	07/07/2004	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
Resident Rights Deficiencies	07/07/2004	Let residents give themselves their drugs if they are able.	Isolated	Minimal harm or potential for actual harm
Quality Care Deficiencies	08/16/2005	Give professional services that meet a professional standard of quality.	Isolated	Minimal harm or potential for actual harm
Quality Care Deficiencies	08/16/2005	Make sure each resident is being watched and has assistance devices when needed, to prevent accidents.	Isolated	Actual harm
Resident Rights Deficiencies	08/16/2005	Keep each resident's personal and medical records private and confidential.	Pattern	Minimal harm or potential for actual harm
Fire Safety Violations:
Category:	Date:	Specific Violation:	Scope:	Level of Harm Caused:
Fire Alarm Systems Deficiencies	07/03/2003	properly maintained smoke detectors.	Isolated	Minimal harm or potential for actual harm
Miscellaneous Deficiencies	07/06/2004	fire safety features required by current fire safety codes.	Widespread	Minimal harm or potential for actual harm
Corridor Walls and Doors Deficiencies	08/17/2005	corridors that are separated from common areas by walls constructed to limit the passage of smoke.	Isolated	Minimal harm or potential for actual harm
Electrical Deficiencies	08/17/2005	properly installed electrical wiring and equipment.	Isolated	Minimal harm or potential for actual harm
Smoke Compartmentation and Control Deficiencies	08/17/2005	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
Smoke Compartmentation and Control Deficiencies	08/17/2005	smoke barrier doors that can resist smoke for at least 20 minutes.	Isolated	Minimal harm or potential for actual harm

Waters of Dillsboro-Ross Manor, The

Waters of Dillsboro-Ross Manor, The Facility Information

Waters of Dillsboro-Ross Manor, The Nursing Home Staff

Waters of Dillsboro-Ross Manor, The Resident Information

Nursing Home Violations by Waters of Dillsboro-Ross Manor, The