General
City		Edwardsville	vs	Spring Hill
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State attribute explanation		Ks	vs	Ks
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Street		749 Blake St	vs	251 E Wilson St
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Zip Code		66,111	vs	66,083
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Phone		9,134,225,952	vs	9,135,923,100
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Overall Star Rating		1	vs	3
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Health Inspections Star Rating		1	vs	3
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Nurse Staffing Star Rating		3	vs	2
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Quality Measures Star Rating		4	vs	4
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RN Only Star Rating		4	vs	4
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Number of Certified Beds		50	vs	47
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Total Number of Residents		41	vs	40
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Percent of Occupied Beds		82 %	vs	85 %
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Health Survey Date		9/16/2011	vs	5/2/2012
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Fire Survey Date		3/14/2011	vs	2/15/2012
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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	For Profit - Corporation
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Located Within a Hospital?		No	vs	No
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Multi Nursing Home Ownership?		Yes	vs	Yes
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Resident and Family Councils		Resident	vs	Resident
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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		22	vs	11
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Staff Information
Number of Residents		41	vs	40
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Number of RN Hours Per Resident Per Day		0.87	vs	0.84
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Number of LPN/LVN Hours Per Resident Per Day		0.42	vs	0.42
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Total Number of Licensed Staff Hours Per Resident Per Day		1.29	vs	1.26
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Number of CNA Hours Per Resident Per Day		0.04	vs	0.03
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Number Therapy Hours Per Resident Per Day		0.04	vs	0.03
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Environmental Deficiencies
Deficiency #1		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: 09/16/2011date Of Correction: Not Available	vs
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Deficiency #2		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: 09/16/2011date Of Correction: Not Available	vs
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Deficiency #3		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: 09/16/2011date Of Correction: Not Available	vs
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Deficiency #4		Scope: Somelevel Of Harm: 2deficiency: Provide Housekeeping And Maintenance Services.survey Date: 09/16/2011date Of Correction: Not Available	vs
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Mistreatment Deficiencies
Deficiency #1		Scope: Manylevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 09/16/2011date Of Correction: Not Available	vs	Scope: Somelevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 05/02/2012date Of Correction: 06/01/2012
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Deficiency #2		Scope: Somelevel 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: 09/16/2011date Of Correction: Not Available	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: 05/02/2012date Of Correction: 05/12/2012
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Deficiency #3			vs	Scope: Fewlevel Of Harm: 3deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.survey Date: 05/02/2012date Of Correction: 05/10/2012
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Resident Rights Deficiencies
Deficiency #1		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: 09/16/2011date Of Correction: Not Available	vs
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Deficiency #2		Scope: Manylevel Of Harm: 1deficiency: 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: 09/16/2011date Of Correction: 10/14/2011	vs
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Quality Care Deficiencies
Deficiency #1		Scope: Manylevel Of Harm: 2deficiency: Have Enough Nurses To Care For Every Resident In A Way That Maximizes The Resident's Well Being.survey Date: 09/16/2011date Of Correction: Not Available	vs	Scope: Fewlevel Of Harm: 2deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 05/02/2012date Of Correction: 06/01/2012
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Deficiency #2		Scope: Fewlevel Of Harm: 3deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So.survey Date: 09/16/2011date Of Correction: Not Available	vs	Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 05/02/2012date Of Correction: 06/01/2012
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Deficiency #3		Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Each Resident Who Enters The Nursing Home Without A Catheter Is Not Given A Catheter, And Receive Proper Services To Prevent Urinary Tract Infections And Restore Normal Bladder Function.survey Date: 09/16/2011date Of Correction: Not Available	vs	Scope: Fewlevel Of Harm: 2deficiency: Provide Medically-related Social Services To Help Each Resident Achieve The Highest Possible Quality Of Life.survey Date: 05/02/2012date Of Correction: 06/01/2012
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Deficiency #4		Scope: Fewlevel Of Harm: 2deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.survey Date: 09/16/2011date Of Correction: Not Available	vs
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Deficiency #5		Scope: Fewlevel Of Harm: 2deficiency: Provide Activities To Meet The Interests And Needs Of Each Resident.survey Date: 09/16/2011date Of Correction: Not Available	vs
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Deficiency #6		Scope: Fewlevel Of Harm: 2deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 02/16/2011date Of Correction: 03/16/2011	vs
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Deficiency #7		Scope: Fewlevel Of Harm: 2deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.survey Date: 02/16/2011date Of Correction: 03/16/2011	vs
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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: 09/16/2011date Of Correction: Not Available	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: 05/02/2012date Of Correction: 06/01/2012
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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: 09/16/2011date Of Correction: Not Available	vs	Scope: Somelevel 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: 05/02/2012date Of Correction: 06/01/2012
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Deficiency #3			vs	Scope: Fewlevel Of Harm: 2deficiency: Make Sure Each Resident Receives An Accurate Assessment By A Qualified Health Professional.survey Date: 05/02/2012date Of Correction: 06/01/2012
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Administration Deficiencies
Deficiency #1		Scope: Manylevel 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: 09/16/2011date Of Correction: Not Available	vs
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Pharmacy Service Deficiencies
Deficiency #1		Scope: Somelevel 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: 09/16/2011date Of Correction: Not Available	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: 05/02/2012date Of Correction: 06/01/2012
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Deficiency #2		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: 09/16/2011date Of Correction: Not Available	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: 05/02/2012date Of Correction: 06/01/2012
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Deficiency #3		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: 09/16/2011date Of Correction: Not Available	vs
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Deficiency #4		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: 02/16/2011date Of Correction: 03/16/2011	vs
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Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication		18.8 %	vs	18.8 %
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Percent of long-stay residents whose need for help with daily activities has increased			vs	3 %
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Percent of long-stay residents who lose too much weight		5.3 %	vs	3.1 %
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Percent of long-stay residents who have had a catheter inserted and left in their bladder		4.4 %	vs	8.3 %
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Percent of long-stay residents with a urinary tract infection		75.2 %	vs	75.2 %
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Percent of long-stay residents who have depressive symptoms		75.2 %	vs	75.2 %
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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			vs	45.5 %
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Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine			vs	100 %
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Percent of short-stay residents with Pressure ulcers that are new or worsened			vs	100 %
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Percent of short-stay residents who newly received an antipsychotic medication		75.2	vs	7.7 %
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Percent of long-stay residents experiencing one or more falls with major injury		2.4 %	vs	3.1 %
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Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication		24 %	vs	17.6 %
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Percent of long-stay residents whose need for help with daily activities has increased		75.2 %	vs	1.1 %
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Percent of long-stay residents who self-report moderate to severe pain		8.7 %	vs	9 %
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Percent of long-stay high-risk residents with pressure ulcers		7.2 %	vs	75.2 %
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Percent of long-stay residents who lose too much weight		4.2 %	vs	10.8 %
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Percent of long-stay low-risk residents who lose control of their bowels or bladder		46.8 %	vs	55.2 %
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Percent of long-stay residents who have had a catheter inserted and left in their bladder		5.6:1	vs	7.6 %
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Percent of long-stay residents with a urinary tract infection		7.3 %	vs	75.2 %
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Percent of long-stay residents who have depressive symptoms		1.7 %	vs	75.2 %
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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		8.2 %	vs	1.9 %
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Percent of short-stay residents who self-report moderate to severe pain		25.6 (78.1)	vs	46.9 %
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Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine		55.6 %	vs	100 %
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Percent of short-stay residents with Pressure ulcers that are new or worsened		63.2 %	vs	94.8 %
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Percent of short-stay residents who newly received an antipsychotic medication			vs	20 %
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