Bremen Health Care Center Ratings

Ratings

Overall 2 Stars

From ratings in health inspections, nurse staffing, and measures of medical-care quality.

Health Inspections 1 Star

How well this home met health and safety standards for food preparation and other nursing-home activities in the latest three state inspections. Such inspections are conducted at least every 15 months.

Deficiencies found in standard inspection(s) and complaint investigations 9/1/2010 to 11/30/2011

Total number of health deficiencies for this nursing home:
29
Average number of health deficiencies (Indiana):
10
Average number of health deficiencies (U.S.):
8
Range of health deficiencies (Indiana):
1-56

Administration Deficiencies

What the nursing
home failed to do
Inspection Date Date Corrected Level of
Harm (least to most)
Residents Affected (few to many)
Keep accurate and appropriate medical records. 5/24/2011 6/23/2011
Keep clinical information safe, so that it will not be lost, destroyed or used by the wrong person. 5/24/2011 6/23/2011

Environmental Deficiencies

What the nursing
home failed to do
Inspection Date Date Corrected Level of
Harm (least to most)
Residents Affected (few to many)
Have a program to keep infection from spreading. 5/24/2011 6/23/2011
Keep safe, clean and homelike surroundings. 5/24/2011 6/23/2011
Make sure that the nursing home area is free of dangers that cause accidents. 5/24/2011 6/23/2011
Make sure that the nursing home area is safe, easy to use, clean and comfortable. 5/24/2011 6/23/2011
Provide needed housekeeping and maintenance. 5/24/2011 6/23/2011

Mistreatment Deficiencies

What the nursing
home failed to do
Inspection Date Date Corrected Level of
Harm (least to most)
Residents Affected (few to many)
Keep each resident free from physical restraints, unless needed for medical treatment. 5/24/2011 6/23/2011

Nutrition and Dietary Deficiencies

What the nursing
home failed to do
Inspection Date Date Corrected Level of
Harm (least to most)
Residents Affected (few to many)
Make sure that residents are well nourished. 5/24/2011 6/23/2011
Store, cook, and give out food in a safe and clean way. 5/24/2011 6/23/2011

Pharmacy Service Deficiencies

What the nursing
home failed to do
Inspection Date Date Corrected Level of
Harm (least to most)
Residents Affected (few to many)
Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. 5/24/2011 6/23/2011
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. 5/24/2011 6/23/2011
Properly mark drugs and other similar products. 5/24/2011 6/23/2011

Quality Care Deficiencies

What the nursing
home failed to do
Inspection Date Date Corrected Level of
Harm (least to most)
Residents Affected (few to many)
Give each resident care and services to get or keep the highest quality of life possible. 5/24/2011 6/23/2011
Give professional services that follow each resident's written care plan. 5/24/2011 6/23/2011
Give professional services that meet a professional standard of quality. 5/24/2011 6/23/2011
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. 5/24/2011 6/23/2011
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 5/24/2011 6/23/2011
Have enough nurses to care for every resident in a way that maximizes the resident's well being. 5/24/2011 6/23/2011
Make sure that each resident's nutritional needs were met. 5/24/2011 6/23/2011
Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. 5/24/2011 6/23/2011
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. 5/24/2011 6/23/2011
Provide activities to meet the needs of each resident. 5/24/2011 6/23/2011

Resident Assessment Deficiencies

What the nursing
home failed to do
Inspection Date Date Corrected Level of
Harm (least to most)
Residents Affected (few to many)
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. 5/24/2011 6/23/2011
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. 5/24/2011 6/23/2011
Make a complete assessment that covers all questions for areas that are listed in official regulations. 5/24/2011 6/23/2011

Resident Rights Deficiencies

What the nursing
home failed to do
Inspection Date Date Corrected Level of
Harm (least to most)
Residents Affected (few to many)
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. 5/24/2011 6/23/2011
Provide care in a way that keeps or builds each resident's dignity and self respect. 5/24/2011 6/23/2011
Try to resolve each resident's complaints quickly. 5/24/2011 6/23/2011

NA: Not available, not applicable, insufficient data, or did not report.

Note: Deficiencies (totals and ranges) and averages (state and national) may not match those shown on the federal Nursing Home Compare Web site. The Centers for Medicare and Medicaid Services, which runs the site, reviewed and approved the U.S. News method.

View previous inspections

Nurse Staffing 2 Stars

Average number of hours per day of care received per resident from nurses at all levels.

This Nursing Home State Average National Average
RN staffing 3 out of 5 stars NA NA
Number of residents 94 76 88
Hours per resident (all nurses) 1 hour 23 minutes 1 hour 43 minutes 1 hour 35 minutes
Hours per resident (RNs only) 38 minutes 44 minutes 44 minutes
Hours per resident (LPNs, LVNs) 45 minutes 59 minutes 50 minutes
Hours per resident (CNAs) 1 hour 47 minutes 2 hours 11 minutes 2 hours 28 minutes
RN:
registered nurse
LPN:
licensed practical nurse
LVN:
licensed vocational nurse
CNA:
certified nurse assistant

NA: Not available, not applicable, insufficient data, or did not report.

Note: Deficiencies (totals and ranges) and averages (state and national) may not match those shown on the federal Nursing Home Compare Web site. The Centers for Medicare and Medicaid Services, which runs the site, reviewed and approved the U.S. News method.

Quality Measures 5 Stars

Percentages of residents who got recommended care, such as flu vaccinations, and percentages of residents who had pain, bedsores, urinary tract infections, and other care‑related problems.

Long-stay preventive measures (Higher percentages are better)

This Nursing Home State Average National Average
Percent of long-stay residents given influenza vaccination during the flu season 90 - 100% 91% 90%
Percent of long-stay residents who were assessed and given pneumococcal vaccination 90 - 100% 87% 88%

Long-stay deficiencies (Lower percentages are better)

This Nursing Home State Average National Average
Percent of long-stay residents whose need for help with daily activities has increased 20% 20% 14%
Percent of long-stay residents who have moderate to severe pain 0% 2% 3%
Percent of high-risk long-stay residents who have pressure sores 1% 10% 10%
Percent of low-risk long-stay residents who have pressure sores 0% 1% 1%
Percent of long-stay residents who were physically restrained 0% 2% 2%
Percent of long-stay residents who are more depressed or anxious 31% 16% 14%
Percent of low-risk long-stay residents who lose control of their bowels or bladder 54% 50% 51%
Percent of long-stay residents who have/had a catheter inserted and left in their bladder 6% 5% 5%
Percent of long-stay residents who spend most of their time in bed or in a chair 2% 3% 4%
Percent of long-stay residents whose ability to move about in and around their room got worse 4% 12% 11%
Percent of long-stay residents who had a urinary tract infection 4% 9% 8%
Percent of long-stay residents who lose too much weight 4% 8% 7%

Short-stay preventive measures (Higher percentages are better)

This Nursing Home State Average National Average
Percent of short-stay residents given influenza vaccination during the flu season 90 - 100% 83% 84%
Percent of short-stay residents who were assessed and given pneumococcal vaccination 90 - 100% 80% 82%

Short-stay deficiencies (Lower percentages are better)

This Nursing Home State Average National Average
Percent of short-stay residents who have delirium 4% 0% 1%
Percent of short-stay residents who had moderate to severe pain 10% 17% 19%
Percent of short-stay residents who have pressure sores 2% 9% 12%

NA: Not available, not applicable, insufficient data, or did not report.

Note: Deficiencies (totals and ranges) and averages (state and national) may not match those shown on the federal Nursing Home Compare Web site. The Centers for Medicare and Medicaid Services, which runs the site, reviewed and approved the U.S. News method.

Fire Safety Deficiencies

How well this home met National Fire Protection Agency standards in the most recent inspection.

Deficiencies found in standard inspection(s) and complaint investigations 9/1/2010 to 11/30/2011

Total number of fire safety deficiencies for this nursing home:
2
Average number of fire safety deficiencies (Indiana):
4
Average number of fire safety deficiencies (U.S.):
4
Range of fire safety deficiencies (Indiana):
1-19

Furnishings and Decorations Deficiencies

What the nursing
home did not have
Inspection Date Date Corrected Level of Harm (least to most) Residents Affected (few to many)
Restrictions on the use of flammable curtains. 6/17/2011 7/17/2011

Medical Gases and Anesthetizing Areas Deficiencies

What the nursing
home did not have
Inspection Date Date Corrected Level of Harm (least to most) Residents Affected (few to many)
Proper fire barriers, ventilation and signs for the transport of oxygen. 6/17/2011 7/17/2011

NA: Not available, not applicable, insufficient data, or did not report.

Note: Deficiencies (totals and ranges) and averages (state and national) may not match those shown on the federal Nursing Home Compare Web site. The Centers for Medicare and Medicaid Services, which runs the site, reviewed and approved the U.S. News method.

View previous inspections

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