| Spring Mill Meadows | |
| 2140 W 86th St, Indianapolis, Indiana 46260 | |
| (317) 872-7211 | |
| Name | Spring Mill Meadows |
|---|---|
| Location | 2140 W 86th St, Indianapolis, Indiana |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 124 |
| Occupancy Rate | 69.19% |
| Medicare ID (CCN) | 155154 |
| Legal Business Name | The Health and Hospital Corporation of Marion County |
| Ownership Type | Government - County |
| Chain | American Senior Communities (90 nursing homes) |
| Chain Average Overall Rating | 3.9 out of 5 |
| NPI Number | 1699762088 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | The Health and Hospital Corporation of Marion County |
| Doing Business As | Spring Mill Meadows |
| Address | 2140 W 86th St, Indianapolis, IN 46260 |
| Phone Number | 317-872-7211 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.69 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.65 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.83 | 0.86 |
| Nurse aide hours per resident per day | 2.21 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.32 | 3.42 |
| RN hours per resident per day on the weekend | 0.41 | 0.48 |
| Physical therapist hours per resident per day | 0.12 | 0.07 |
| Total nursing staff turnover | 55.1% | 45.8% |
| Registered nurse turnover | 47.1% | 42.9% |
| Number of administrators who have left the nursing home | 1 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Aug 5, 2025 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Aug 27, 2025 |
| Aug 5, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Aug 27, 2025 |
| Aug 5, 2025 | Allow residents to self-administer drugs if determined clinically appropriate. F0554, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Aug 27, 2025 |
| Aug 5, 2025 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Aug 27, 2025 |
| Aug 5, 2025 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Aug 27, 2025 |
| Aug 5, 2025 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Aug 27, 2025 |
| Aug 5, 2025 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Aug 27, 2025 |
| Aug 5, 2025 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Aug 27, 2025 |
| Aug 5, 2025 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Aug 27, 2025 |
| Aug 5, 2025 | 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Aug 27, 2025 |
| Aug 5, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Aug 27, 2025 |
| May 28, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Actual harm, isolated | Past non-compliance (already corrected) |
| Feb 11, 2025 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Actual harm, isolated | Corrected by Mar 5, 2025 |
| Aug 28, 2024 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Potential for harm, pattern | Corrected by Sep 25, 2024 |
| Aug 28, 2024 | Plan the resident's discharge to meet the resident's goals and needs. F0660, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Past non-compliance (already corrected) |
| Aug 28, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection, Complaint inspection | Potential for harm, isolated | Past non-compliance (already corrected) |
| Aug 28, 2024 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. F0758, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Sep 25, 2024 |
| Aug 28, 2024 | 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Sep 25, 2024 |
| Aug 28, 2024 | Provide or obtain dental services for each resident. F0791, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Sep 25, 2024 |
| Aug 28, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Sep 25, 2024 |
| Feb 2, 2024 | Protect each resident from the wrongful use of the resident's belongings or money. F0602, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Past non-compliance (already corrected) |
| Nov 16, 2023 | Ensure that residents are free from significant medication errors. F0760, Pharmacy Service, Complaint inspection | Actual harm, isolated | Corrected by Nov 17, 2023 |
| Oct 5, 2023 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Nov 1, 2023 |
| Jun 30, 2023 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Aug 1, 2023 |
| Jun 30, 2023 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Aug 1, 2023 |
| Jun 30, 2023 | Provide enough food/fluids to maintain a resident's health. F0692, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Aug 1, 2023 |
| Jun 30, 2023 | 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Aug 1, 2023 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 11.49 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 5.28 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 1.79 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 11.4 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.84 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 80.5 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 84.26 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 10.28 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 13.38 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 86.08 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 72.86 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 6.07 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 25.25 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 7.93 | 15.38 |
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