General
City		Madison	vs	Erwin
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State attribute explanation		Tn	vs	Tn
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Street		306 W Due West Ave	vs	100 Stalling Lane
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Zip Code		37,115	vs	37,650
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Phone		6,158,655,001	vs	4,237,434,131
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Overall Star Rating		2	vs	3
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Health Inspections Star Rating		1	vs	2
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Nurse Staffing Star Rating		5	vs	4
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Quality Measures Star Rating		2	vs	2
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RN Only Star Rating		5	vs	4
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Number of Certified Beds		165	vs	125
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Total Number of Residents		101	vs	111
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Percent of Occupied Beds		61 %	vs	89 %
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Health Survey Date		2/14/2012	vs	5/11/2011
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Fire Survey Date		2/12/2012	vs	5/9/2011
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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	For Profit - Partnership
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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		Resident	vs	Both
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Continuing Care Retirement Community?		No	vs	No
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Quality Indicator Survey?		No	vs	No
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Special Focus Facility?		Yes	vs	No
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Civil Money Penalty Count		4	vs	75.2
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Total Enforcement Actions Count		6	vs	75.2
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# of deficiencies		15	vs	5
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Staff Information
Number of Residents		129	vs	111
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Number of RN Hours Per Resident Per Day		0.43	vs	0.86
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Number of LPN/LVN Hours Per Resident Per Day		0.92	vs	1.04
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Total Number of Licensed Staff Hours Per Resident Per Day		1.35	vs	1.91
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Number of CNA Hours Per Resident Per Day		0.06	vs	0.06
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Number Therapy Hours Per Resident Per Day		0.06	vs	0.06
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Environmental Deficiencies
Deficiency #1		Scope: Fewlevel Of Harm: 3deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 08/20/2011date Of Correction: 09/12/2011	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: 08/31/2011date Of Correction: 09/30/2011
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Resident Rights Deficiencies
Deficiency #1		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: 08/20/2011date Of Correction: 09/12/2011	vs	Scope: Manylevel Of Harm: 2deficiency: Follow Policies And Procedures To Convey The Resident's Personal Funds To The Appropriate Party Responsible After The Resident's Death.survey Date: 12/02/2010date Of Correction: 12/17/2010
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Deficiency #2		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: 08/03/2011date Of Correction: 09/06/2011	vs
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Deficiency #3		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: 10/08/2009date Of Correction: 10/21/2009	vs
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Quality Care Deficiencies
Deficiency #1		Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 06/01/2012date Of Correction: 06/11/2012	vs	Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 05/11/2011date Of Correction: 06/20/2011
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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: 05/24/2012	vs
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Deficiency #3		Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 08/20/2011date Of Correction: 09/12/2011	vs
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Deficiency #4		Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 01/06/2011date Of Correction: 02/14/2011	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: 08/03/2011date Of Correction: 09/06/2011	vs
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Administration Deficiencies
Deficiency #1		Scope: Somelevel Of Harm: 4deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .survey Date: 01/06/2011date Of Correction: 02/14/2011	vs
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Pharmacy Service Deficiencies
Deficiency #1		Scope: Fewlevel Of Harm: 4deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.survey Date: 08/20/2011date Of Correction: 09/12/2011	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: 05/11/2011date Of Correction: 06/20/2011
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Deficiency #2		Scope: Somelevel 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: 04/27/2011date Of Correction: 05/12/2011	vs	Scope: Somelevel 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: 05/11/2011date Of Correction: 06/20/2011
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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: 01/06/2011date Of Correction: 02/14/2011	vs
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Deficiency #4		Scope: Somelevel Of Harm: 4deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.survey Date: 01/06/2011date Of Correction: 02/14/2011	vs
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Deficiency #5		Scope: Manylevel Of Harm: 2deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.survey Date: 10/08/2009date Of Correction: 10/21/2009	vs
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Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication		18.9 %	vs	47.1 %
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Percent of long-stay residents whose need for help with daily activities has increased		0.7 %	vs	75.2 %
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Percent of long-stay residents who self-report moderate to severe pain		18 %	vs	9 %
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Percent of long-stay high-risk residents with pressure ulcers		8.8 %	vs	2.9 %
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Percent of long-stay residents who lose too much weight		8.7 %	vs	6.7 %
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Percent of long-stay low-risk residents who lose control of their bowels or bladder		37.8 %	vs
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Percent of long-stay residents who have had a catheter inserted and left in their bladder		4.2 %	vs	2 %
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Percent of long-stay residents with a urinary tract infection		12 %	vs	11.4 %
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Percent of long-stay residents who have depressive symptoms		1.1 %	vs	12.5 %
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Percent of long-stay residents who were physically restrained		5.4 %	vs	5.7 %
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Percent of short-stay residents who self-report moderate to severe pain		23.5 %	vs	39.5 %
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Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine		61.9 %	vs	98 %
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Percent of short-stay residents with Pressure ulcers that are new or worsened		63.2 %	vs	98 %
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Percent of short-stay residents who newly received an antipsychotic medication		2.5 %	vs	75.2
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Percent of long-stay residents experiencing one or more falls with major injury		3.3 %	vs	5.7 %
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Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication		17.3:1	vs	50.2 %
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Percent of long-stay residents whose need for help with daily activities has increased		1.4 %	vs	75.2 %
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Percent of long-stay residents who self-report moderate to severe pain		12.6:1	vs	12.9 (55.2)
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Percent of long-stay high-risk residents with pressure ulcers		8.8 %	vs	5.5 %
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Percent of long-stay residents who lose too much weight		11.9 %	vs	5.5 %
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Percent of long-stay low-risk residents who lose control of their bowels or bladder		40.3 %	vs	47.9 %
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Percent of long-stay residents who have had a catheter inserted and left in their bladder		4.1 %	vs	3 %
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Percent of long-stay residents with a urinary tract infection		14.9-28	vs	10 %
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Percent of long-stay residents who have depressive symptoms		2.3 %	vs	7.4 %
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Percent of long-stay residents who were physically restrained		11 %	vs	4.2 %
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Percent of long-stay residents experiencing one or more falls with major injury		3.4 %	vs	6.4 %
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Percent of short-stay residents who self-report moderate to severe pain		26 %	vs	36.4 %
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Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine		79.9 %	vs	97.9 %
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Percent of short-stay residents with Pressure ulcers that are new or worsened		79.5 %	vs	32.1 %
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Percent of short-stay residents who newly received an antipsychotic medication		10.4 %	vs	10 %
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Compare IMPERIAL GARDENS HEALTH AND REHABILITATION vs ERWIN HEALTH CARE CENTER Nursing Homes USA