General
City		Baltimore	vs	Baltimore
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State attribute explanation		Md	vs	Md
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Street		1217 West Fayette Street	vs	10 N. Rock Glen Road
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Zip Code		21,223	vs	21,229
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Phone		4,107,273,947	vs	4,106,462,100
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Overall Star Rating		2	vs	2
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Health Inspections Star Rating		1	vs	1
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Nurse Staffing Star Rating		4	vs	4
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Quality Measures Star Rating		4	vs	4
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RN Only Star Rating		3	vs	3
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Number of Certified Beds		198	vs	115
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Total Number of Residents		126	vs	103
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Percent of Occupied Beds		64 %	vs	90 %
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Health Survey Date		4/26/2012	vs	9/29/2011
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Fire Survey Date		6/6/2012	vs	8/30/2011
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Sprinkler Status		Fully Sprinklered	vs	Fully Sprinklered
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Program Participation		Medicare And Medicaid	vs	Medicare And Medicaid
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Type of Ownership		For Profit - Corporation	vs	Non Profit - Corporation
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Located Within a Hospital?		No	vs	No
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Multi Nursing Home Ownership?		Yes	vs	No
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Resident and Family Councils		Both	vs	Both
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Continuing Care Retirement Community?		No	vs	No
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Quality Indicator Survey?		Yes	vs	Yes
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Special Focus Facility?		No	vs	No
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Civil Money Penalty Count		75.2	vs	75.2
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Total Enforcement Actions Count		75.2	vs	75.2
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# of deficiencies		65	vs	51
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Staff Information
Number of Residents		126	vs	103
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Number of RN Hours Per Resident Per Day		0.62	vs	0.55
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Number of LPN/LVN Hours Per Resident Per Day		1.18	vs	1.11
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Total Number of Licensed Staff Hours Per Resident Per Day		1.8	vs	1.66
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Number of CNA Hours Per Resident Per Day		0.05	vs	0.03
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Number Therapy Hours Per Resident Per Day		0.05	vs	0.03
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Environmental Deficiencies
Deficiency #1		Scope: Manylevel Of Harm: 1deficiency: Make Sure There Is A Pest Control Program To Prevent/deal With Mice, Insects, Or Other Pests.survey Date: 04/26/2012date Of Correction: 06/10/2012	vs	Scope: Fewlevel Of Harm: 2deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 01/14/2011date Of Correction: 03/31/2011
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Deficiency #2		Scope: Fewlevel Of Harm: 2deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.survey Date: 04/26/2012date Of Correction: 06/10/2012	vs	Scope: Somelevel Of Harm: 1deficiency: Make Sure That The Nursing Home Area Is Safe, Easy To Use, Clean And Comfortable For Residents, Staff And The Public.survey Date: 06/22/2010date Of Correction: 08/27/2010
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Deficiency #3		Scope: Manylevel Of Harm: 1deficiency: Provide Housekeeping And Maintenance Services.survey Date: 04/26/2012date Of Correction: 06/10/2012	vs	Scope: Fewlevel Of Harm: 2deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.survey Date: 06/22/2010date Of Correction: 08/27/2010
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Deficiency #4		Scope: Fewlevel Of Harm: 2deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 03/01/2012date Of Correction: 04/15/2012	vs	Scope: Fewlevel Of Harm: 2deficiency: Provide Housekeeping And Maintenance Services.survey Date: 06/22/2010date Of Correction: 08/27/2010
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Deficiency #5		Scope: Manylevel Of Harm: 1deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.survey Date: 01/06/2012date Of Correction: 02/17/2012	vs
	[X] Add Comment about “Deficiency #5”
Deficiency #6		Scope: Manylevel Of Harm: 1deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 01/06/2012date Of Correction: 02/17/2012	vs
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Deficiency #7		Scope: Manylevel Of Harm: 1deficiency: Provide Housekeeping And Maintenance Services.survey Date: 01/06/2012date Of Correction: 02/17/2012	vs
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Deficiency #8		Scope: Fewlevel Of Harm: 2deficiency: Make Sure That The Nursing Home Area Is Safe, Easy To Use, Clean And Comfortable For Residents, Staff And The Public.survey Date: 08/15/2011date Of Correction: 10/12/2011	vs
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Deficiency #9		Scope: Somelevel Of Harm: 2deficiency: Keep All Essential Equipment Working Safely.survey Date: 04/20/2011date Of Correction: 06/10/2011	vs
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Deficiency #10		Scope: Fewlevel Of Harm: 2deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 04/20/2011date Of Correction: 06/10/2011	vs
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Deficiency #11		Scope: Somelevel Of Harm: 2deficiency: Provide Housekeeping And Maintenance Services.survey Date: 04/20/2011date Of Correction: 06/10/2011	vs
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Deficiency #12		Scope: Fewlevel Of Harm: 2deficiency: Make Sure That A Working Call System Is Available In Each Resident's Room Or Bathroom And Bathing Area.survey Date: 01/04/2011date Of Correction: 01/31/2011	vs
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Deficiency #13		Scope: Somelevel Of Harm: 2deficiency: Make Sure There Is A Pest Control Program To Prevent/deal With Mice, Insects, Or Other Pests.survey Date: 02/03/2010date Of Correction: 04/11/2010	vs
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Deficiency #14		Scope: Somelevel Of Harm: 2deficiency: Make Sure That A Working Call System Is Available In Each Resident's Room Or Bathroom And Bathing Area.survey Date: 02/03/2010date Of Correction: 04/11/2010	vs
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Deficiency #15		Scope: Fewlevel Of Harm: 2deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.survey Date: 02/03/2010date Of Correction: 04/11/2010	vs
	[X] Add Comment about “Deficiency #15”
Deficiency #16		Scope: Fewlevel Of Harm: 2deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 02/03/2010date Of Correction: 04/11/2010	vs
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Deficiency #17		Scope: Somelevel Of Harm: 2deficiency: Provide Housekeeping And Maintenance Services.survey Date: 02/03/2010date Of Correction: 04/11/2010	vs
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Mistreatment Deficiencies
Deficiency #1		Scope: Fewlevel Of Harm: 2deficiency: 1) Hire Only People With No Legal History Of Abusing, Neglecting Or Mistreating Residents; Or 2) Report And Investigate Any Acts Or Reports Of Abuse, Neglect Or Mistreatment Of Residents.survey Date: 04/01/2011date Of Correction: 04/29/2011	vs	Scope: Fewlevel Of Harm: 2deficiency: 1) Hire Only People With No Legal History Of Abusing, Neglecting Or Mistreating Residents; Or 2) Report And Investigate Any Acts Or Reports Of Abuse, Neglect Or Mistreatment Of Residents.survey Date: 03/27/2012date Of Correction: 06/08/2012
	[X] Add Comment about “Deficiency #1”
Deficiency #2		Scope: Fewlevel Of Harm: 2deficiency: 1) Hire Only People With No Legal History Of Abusing, Neglecting Or Mistreating Residents; Or 2) Report And Investigate Any Acts Or Reports Of Abuse, Neglect Or Mistreatment Of Residents.survey Date: 01/04/2011date Of Correction: 01/31/2011	vs	Scope: Fewlevel Of Harm: 2deficiency: 1) Hire Only People With No Legal History Of Abusing, Neglecting Or Mistreating Residents; Or 2) Report And Investigate Any Acts Or Reports Of Abuse, Neglect Or Mistreatment Of Residents.survey Date: 12/07/2011date Of Correction: 01/17/2012
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Deficiency #3			vs	Scope: Fewlevel Of Harm: 2deficiency: 1) Hire Only People With No Legal History Of Abusing, Neglecting Or Mistreating Residents; Or 2) Report And Investigate Any Acts Or Reports Of Abuse, Neglect Or Mistreatment Of Residents.survey Date: 07/20/2009date Of Correction: 08/31/2009
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Resident Rights Deficiencies
Deficiency #1		Scope: Fewlevel Of Harm: 2deficiency: Let Residents Voice A Complaint Or Grievance Without Being Treated Differently Or Badly.survey Date: 04/26/2012date Of Correction: 06/10/2012	vs	Scope: Fewlevel Of Harm: 2deficiency: Immediately Tell The Resident, The Resident's Doctor And A Family Member Of The Resident Of Situations (injury/decline/room, Etc.) That Affect The Resident.survey Date: 01/14/2011date Of Correction: 03/31/2011
	[X] Add Comment about “Deficiency #1”
Deficiency #2		Scope: Fewlevel Of Harm: 2deficiency: Properly Hold, Secure And Manage Each Resident's Personal Money Which Is Deposited With The Nursing Home.survey Date: 08/15/2011date Of Correction: 10/12/2011	vs	Scope: Somelevel Of Harm: 1deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.survey Date: 06/22/2010date Of Correction: 08/27/2010
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Deficiency #3		Scope: Fewlevel Of Harm: 2deficiency: Let The Resident Refuse Treatment Or Refuse To Take Part In An Experiment And Formulate Advance Directives.survey Date: 08/15/2011date Of Correction: 10/12/2011	vs	Scope: Fewlevel Of Harm: 2deficiency: Let The Resident Refuse Treatment Or Refuse To Take Part In An Experiment And Formulate Advance Directives.survey Date: 06/22/2010date Of Correction: 08/27/2010
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Deficiency #4		Scope: Fewlevel Of Harm: 2deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.survey Date: 04/20/2011date Of Correction: 06/10/2011	vs	Scope: Fewlevel Of Harm: 2deficiency: Immediately Tell The Resident, The Resident's Doctor And A Family Member Of The Resident Of Situations (injury/decline/room, Etc.) That Affect The Resident.survey Date: 08/03/2009date Of Correction: 08/31/2009
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Deficiency #5		Scope: Fewlevel Of Harm: 2deficiency: Immediately Tell The Resident, The Resident's Doctor And A Family Member Of The Resident Of Situations (injury/decline/room, Etc.) That Affect The Resident.survey Date: 04/20/2011date Of Correction: 06/10/2011	vs
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Deficiency #6		Scope: Fewlevel Of Harm: 2deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.survey Date: 02/03/2010date Of Correction: 04/11/2010	vs
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Deficiency #7		Scope: Manylevel Of Harm: 1deficiency: Allow Residents To Easily View The Results Of The Nursing Home's Most Recent Survey.survey Date: 02/03/2010date Of Correction: 04/11/2010	vs
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Deficiency #8		Scope: Fewlevel Of Harm: 2deficiency: Give Each Resident A Notice Of Rights, Rules, Services And Charges. Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items And Services Medicaid Covers And Which The Resident Must Pay For.survey Date: 02/03/2010date Of Correction: 04/11/2010	vs
	[X] Add Comment about “Deficiency #8”

Quality Care Deficiencies
Deficiency #1		Scope: Fewlevel Of Harm: 2deficiency: Provide Or Obtain Dental Services For Each Resident.survey Date: 04/26/2012date Of Correction: 06/10/2012	vs	Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 03/27/2012date Of Correction: 06/08/2012
	[X] Add Comment about “Deficiency #1”
Deficiency #2		Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 04/26/2012date Of Correction: 06/10/2012	vs	Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 12/07/2011date Of Correction: 01/17/2012
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Deficiency #3		Scope: Fewlevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 04/26/2012date Of Correction: 06/10/2012	vs	Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Residents With Reduced Range Of Motion Get Proper Treatment And Services To Increase Range Of Motion.survey Date: 06/30/2011date Of Correction: 08/14/2011
	[X] Add Comment about “Deficiency #3”
Deficiency #4		Scope: Fewlevel Of Harm: 2deficiency: Provide Routine And 24-hour Emergency Dental Care For Each Resident.survey Date: 08/15/2011date Of Correction: 10/12/2011	vs	Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 06/30/2011date Of Correction: 08/14/2011
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Deficiency #5		Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 08/15/2011date Of Correction: 10/12/2011	vs	Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 01/14/2011date Of Correction: 03/31/2011
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Deficiency #6		Scope: Somelevel Of Harm: 2deficiency: Make Sure That Each Residents' Abilities In Activities Of Daily Living Do Not Decline, Unless Unavoidable.survey Date: 04/01/2011date Of Correction: 04/29/2011	vs	Scope: Fewlevel Of Harm: 2deficiency: Provide Or Obtain Dental Services For Each Resident.survey Date: 06/22/2010date Of Correction: 08/27/2010
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Deficiency #7		Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 01/04/2011date Of Correction: 01/31/2011	vs	Scope: Somelevel Of Harm: 2deficiency: Give Specialized Rehabilitative Services That Are Medically Necessary By Qualified Personnel, When Ordered By A Doctor.survey Date: 06/22/2010date Of Correction: 08/27/2010
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Deficiency #8		Scope: Fewlevel Of Harm: 2deficiency: Provide Routine And 24-hour Emergency Dental Care For Each Resident.survey Date: 02/03/2010date Of Correction: 04/11/2010	vs	Scope: Fewlevel Of Harm: 2deficiency: Properly Care For Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, And Prostheses.survey Date: 06/22/2010date Of Correction: 08/27/2010
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Deficiency #9		Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Residents With Reduced Range Of Motion Get Proper Treatment And Services To Increase Range Of Motion.survey Date: 02/03/2010date Of Correction: 04/11/2010	vs	Scope: Fewlevel Of Harm: 3deficiency: Make Sure That Residents With Reduced Range Of Motion Get Proper Treatment And Services To Increase Range Of Motion.survey Date: 06/22/2010date Of Correction: 08/27/2010
	[X] Add Comment about “Deficiency #9”
Deficiency #10		Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 02/03/2010date Of Correction: 04/11/2010	vs	Scope: Fewlevel Of Harm: 3deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 06/22/2010date Of Correction: 08/27/2010
	[X] Add Comment about “Deficiency #10”
Deficiency #11		Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 02/03/2010date Of Correction: 04/11/2010	vs	Scope: Fewlevel Of Harm: 2deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.survey Date: 06/22/2010date Of Correction: 08/27/2010
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Deficiency #12			vs	Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Residents Receive Treatment/services To Not Only Continue, But Improve The Ability To Care For Themselves.survey Date: 06/22/2010date Of Correction: 08/27/2010
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Deficiency #13			vs	Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Each Residents' Abilities In Activities Of Daily Living Do Not Decline, Unless Unavoidable.survey Date: 06/22/2010date Of Correction: 08/27/2010
	[X] Add Comment about “Deficiency #13”
Deficiency #14			vs	Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 06/22/2010date Of Correction: 08/27/2010
	[X] Add Comment about “Deficiency #14”
Deficiency #15			vs	Scope: Fewlevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 06/22/2010date Of Correction: 08/27/2010
	[X] Add Comment about “Deficiency #15”
Deficiency #16			vs	Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 06/22/2010date Of Correction: 08/27/2010
	[X] Add Comment about “Deficiency #16”
Deficiency #17			vs	Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 07/20/2009date Of Correction: 08/31/2009
	[X] Add Comment about “Deficiency #17”

Resident Assessment Deficiencies
Deficiency #1		Scope: Fewlevel Of Harm: 2deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan.survey Date: 04/26/2012date Of Correction: 06/10/2012	vs	Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Doctors See A Resident's Plan Of Care At Every Visit And Make Notes About Progress And Orders In Writing.survey Date: 03/27/2012date Of Correction: 06/08/2012
	[X] Add Comment about “Deficiency #1”
Deficiency #2		Scope: Fewlevel Of Harm: 2deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.survey Date: 04/26/2012date Of Correction: 06/10/2012	vs	Scope: Fewlevel Of Harm: 2deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.survey Date: 03/27/2012date Of Correction: 06/08/2012
	[X] Add Comment about “Deficiency #2”
Deficiency #3		Scope: Fewlevel Of Harm: 2deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.survey Date: 08/15/2011date Of Correction: 10/12/2011	vs	Scope: Fewlevel Of Harm: 2deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.survey Date: 06/30/2011date Of Correction: 08/14/2011
	[X] Add Comment about “Deficiency #3”
Deficiency #4		Scope: Fewlevel Of Harm: 2deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan.survey Date: 04/20/2011date Of Correction: 06/10/2011	vs	Scope: Fewlevel Of Harm: 2deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan.survey Date: 06/22/2010date Of Correction: 08/27/2010
	[X] Add Comment about “Deficiency #4”
Deficiency #5		Scope: Fewlevel Of Harm: 2deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan.survey Date: 02/03/2010date Of Correction: 04/11/2010	vs	Scope: Fewlevel Of Harm: 2deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.survey Date: 06/22/2010date Of Correction: 08/27/2010
	[X] Add Comment about “Deficiency #5”
Deficiency #6		Scope: Fewlevel Of Harm: 2deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.survey Date: 02/03/2010date Of Correction: 04/11/2010	vs	Scope: Fewlevel Of Harm: 2deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.survey Date: 06/22/2010date Of Correction: 08/27/2010
	[X] Add Comment about “Deficiency #6”
Deficiency #7		Scope: Fewlevel Of Harm: 2deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.survey Date: 02/03/2010date Of Correction: 04/11/2010	vs	Scope: Fewlevel Of Harm: 2deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.survey Date: 07/20/2009date Of Correction: 08/31/2009
	[X] Add Comment about “Deficiency #7”

Administration Deficiencies
Deficiency #1		Scope: Somelevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 04/26/2012date Of Correction: 06/10/2012	vs	Scope: Fewlevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 03/27/2012date Of Correction: 06/08/2012
	[X] Add Comment about “Deficiency #1”
Deficiency #2		Scope: Somelevel Of Harm: 1deficiency: Post Nurse Staffing Information/data On A Daily Basis.survey Date: 04/26/2012date Of Correction: 06/10/2012	vs	Scope: Manylevel Of Harm: 1deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 06/30/2011date Of Correction: 08/14/2011
	[X] Add Comment about “Deficiency #2”
Deficiency #3		Scope: Fewlevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 08/15/2011date Of Correction: 10/12/2011	vs	Scope: Fewlevel Of Harm: 2deficiency: Give Or Get Quality Lab Services/tests In A Timely Manner To Meet The Needs Of Residents.survey Date: 01/14/2011date Of Correction: 03/31/2011
	[X] Add Comment about “Deficiency #3”
Deficiency #4		Scope: Fewlevel Of Harm: 2deficiency: Give Or Get Quality Lab Services/tests In A Timely Manner To Meet The Needs Of Residents.survey Date: 04/20/2011date Of Correction: 06/10/2011	vs	Scope: Fewlevel Of Harm: 2deficiency: Set Up An Ongoing Quality Assessment And Assurance Group To Review Quality Deficiencies Quarterly, And Develop Corrective Plans Of Action.survey Date: 06/22/2010date Of Correction: 08/27/2010
	[X] Add Comment about “Deficiency #4”
Deficiency #5		Scope: Fewlevel Of Harm: 2deficiency: Quickly Tell The Resident's Doctor The Results Of Lab Tests.survey Date: 02/25/2010date Of Correction: 05/03/2010	vs	Scope: Fewlevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 06/22/2010date Of Correction: 08/27/2010
	[X] Add Comment about “Deficiency #5”
Deficiency #6		Scope: Somelevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 02/03/2010date Of Correction: 04/11/2010	vs	Scope: Fewlevel Of Harm: 2deficiency: Give Or Get Quality Lab Services/tests In A Timely Manner To Meet The Needs Of Residents.survey Date: 07/20/2009date Of Correction: 08/31/2009
	[X] Add Comment about “Deficiency #6”

Pharmacy Service Deficiencies
Deficiency #1		Scope: Fewlevel Of Harm: 2deficiency: At Least Once A Month, Have A Licensed Pharmacist Review Each Resident's Medication(s) And Report Any Irregularities To The Attending Doctor.survey Date: 04/26/2012date Of Correction: 06/10/2012	vs	Scope: Fewlevel Of Harm: 2deficiency: At Least Once A Month, Have A Licensed Pharmacist Review Each Resident's Medication(s) And Report Any Irregularities To The Attending Doctor.survey Date: 03/27/2012date Of Correction: 06/08/2012
	[X] Add Comment about “Deficiency #1”
Deficiency #2		Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.survey Date: 04/26/2012date Of Correction: 06/10/2012	vs	Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.survey Date: 03/27/2012date Of Correction: 06/08/2012
	[X] Add Comment about “Deficiency #2”
Deficiency #3		Scope: Fewlevel Of Harm: 2deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.survey Date: 03/01/2012date Of Correction: 04/15/2012	vs	Scope: Fewlevel Of Harm: 2deficiency: 1) Make Sure That Each Resident's Drug Regimen Is Free From Unnecessary Drugs; 2) Each Resident's Entire Drug/medication Is Managed And Monitored To Achieve Highest Well Being.survey Date: 03/27/2012date Of Correction: 06/08/2012
	[X] Add Comment about “Deficiency #3”
Deficiency #4		Scope: Fewlevel Of Harm: 2deficiency: 1) Make Sure That Each Resident's Drug Regimen Is Free From Unnecessary Drugs; 2) Each Resident's Entire Drug/medication Is Managed And Monitored To Achieve Highest Well Being.survey Date: 03/01/2012date Of Correction: 04/15/2012	vs	Scope: Fewlevel Of Harm: 2deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.survey Date: 12/07/2011date Of Correction: 01/17/2012
	[X] Add Comment about “Deficiency #4”
Deficiency #5		Scope: Manylevel Of Harm: 1deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.survey Date: 01/06/2012date Of Correction: 02/17/2012	vs	Scope: Fewlevel Of Harm: 2deficiency: 1) Make Sure That Each Resident's Drug Regimen Is Free From Unnecessary Drugs; 2) Each Resident's Entire Drug/medication Is Managed And Monitored To Achieve Highest Well Being.survey Date: 01/14/2011date Of Correction: 03/31/2011
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Deficiency #6		Scope: Fewlevel Of Harm: 2deficiency: At Least Once A Month, Have A Licensed Pharmacist Review Each Resident's Medication(s) And Report Any Irregularities To The Attending Doctor.survey Date: 04/20/2011date Of Correction: 06/10/2011	vs	Scope: Fewlevel Of Harm: 2deficiency: At Least Once A Month, Have A Licensed Pharmacist Review Each Resident's Medication(s) And Report Any Irregularities To The Attending Doctor.survey Date: 06/22/2010date Of Correction: 08/27/2010
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Deficiency #7		Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.survey Date: 04/20/2011date Of Correction: 06/10/2011	vs	Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.survey Date: 06/22/2010date Of Correction: 08/27/2010
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Deficiency #8		Scope: Fewlevel Of Harm: 2deficiency: 1) Make Sure That Each Resident's Drug Regimen Is Free From Unnecessary Drugs; 2) Each Resident's Entire Drug/medication Is Managed And Monitored To Achieve Highest Well Being.survey Date: 04/20/2011date Of Correction: 06/10/2011	vs	Scope: Fewlevel Of Harm: 2deficiency: Keep The Rate Of Medication Errors (wrong Drug, Wrong Dose, Wrong Time) To Less Than 5%.survey Date: 06/22/2010date Of Correction: 08/27/2010
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Deficiency #9		Scope: Fewlevel Of Harm: 2deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.survey Date: 02/03/2010date Of Correction: 04/11/2010	vs	Scope: Somelevel Of Harm: 2deficiency: 1) Make Sure That Each Resident's Drug Regimen Is Free From Unnecessary Drugs; 2) Each Resident's Entire Drug/medication Is Managed And Monitored To Achieve Highest Well Being.survey Date: 06/22/2010date Of Correction: 08/27/2010
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Deficiency #10		Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.survey Date: 02/03/2010date Of Correction: 04/11/2010	vs
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Nutrition and Dietary Deficiencies
Deficiency #1		Scope: Somelevel Of Harm: 2deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.survey Date: 04/26/2012date Of Correction: 06/10/2012	vs	Scope: Fewlevel Of Harm: 2deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.survey Date: 06/22/2010date Of Correction: 08/27/2010
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Deficiency #2		Scope: Manylevel Of Harm: 1deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.survey Date: 01/06/2012date Of Correction: 02/17/2012	vs
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Deficiency #3		Scope: Somelevel Of Harm: 2deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.survey Date: 04/20/2011date Of Correction: 06/10/2011	vs
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Deficiency #4		Scope: Somelevel Of Harm: 2deficiency: Prepare Food That Is Nutritional, Appetizing, Tasty, Attractive, Well-cooked, And At The Right Temperature.survey Date: 04/20/2011date Of Correction: 06/10/2011	vs
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Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication		21.8 %	vs	29.1 %
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Percent of long-stay residents whose need for help with daily activities has increased		4.4 %	vs	1.9 %
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Percent of long-stay residents who self-report moderate to severe pain		1.7 %	vs	14 %
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Percent of long-stay high-risk residents with pressure ulcers		10.9 %	vs	8.7 %
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Percent of long-stay residents who lose too much weight		4.6 %	vs	7.4 %
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Percent of long-stay low-risk residents who lose control of their bowels or bladder		27.1 %	vs	22.5 %
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Percent of long-stay residents who have had a catheter inserted and left in their bladder		4.6 %	vs	0.9 %
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Percent of long-stay residents with a urinary tract infection		75.2 %	vs	4.3 %
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Percent of long-stay residents who have depressive symptoms		5.4 %	vs	1.1 %
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Percent of long-stay residents who were physically restrained		75.2 %	vs	75.2 %
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Percent of short-stay residents who self-report moderate to severe pain		22.7 (72.9)	vs
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Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine		47.9 %	vs	53.6 %
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Percent of short-stay residents with Pressure ulcers that are new or worsened		41.9 %	vs	50.9 %
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Percent of short-stay residents who newly received an antipsychotic medication		75.2	vs	75.2
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Percent of long-stay residents experiencing one or more falls with major injury		75.2 %	vs	4.2 %
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Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication		19.3 %	vs	28.6 %
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Percent of long-stay residents whose need for help with daily activities has increased		4.2 %	vs	3.4 %
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Percent of long-stay residents who self-report moderate to severe pain		2.3 %	vs	11.9 %
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Percent of long-stay high-risk residents with pressure ulcers		8 %	vs	13.6-28
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Percent of long-stay residents who lose too much weight		2.20 %	vs	5.7 %
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Percent of long-stay low-risk residents who lose control of their bowels or bladder		29.9 %	vs	22.6 %
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Percent of long-stay residents who have had a catheter inserted and left in their bladder		4.9 %	vs	1.1 %
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Percent of long-stay residents with a urinary tract infection		0.6 %	vs	8.2 %
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Percent of long-stay residents who have depressive symptoms		5.5 %	vs	1.4 %
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Percent of long-stay residents who were physically restrained		75.2 %	vs	75.2 %
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Percent of long-stay residents experiencing one or more falls with major injury		75.2 %	vs	2.8 %
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Percent of short-stay residents who self-report moderate to severe pain		25.6 (78.1)	vs	18.8 %
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Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine		42.9 %	vs	41.8 %
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Percent of short-stay residents with Pressure ulcers that are new or worsened		38 %	vs	45.4 %
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Percent of short-stay residents who newly received an antipsychotic medication		14.7:1	vs	7.5 %
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Compare FAYETTE HEALTH AND REHABILITATION CENTER vs ROCK GLEN NSG & REHAB CTR Nursing Homes USA