General
City		Middletown	vs	Norwalk
	[X] Add Comment about “City”
State attribute explanation		Ct	vs	Ct
	[X] Add Comment about “State attribute explanation”
Street		100 Randolph Rd	vs	23 Prospect Avenue
	[X] Add Comment about “Street”
Zip Code		6,457	vs	6,850
	[X] Add Comment about “Zip Code”
Phone		8,603,440,353	vs	2,038,530,010
	[X] Add Comment about “Phone”
Overall Star Rating		2	vs	2
	[X] Add Comment about “Overall Star Rating”
Health Inspections Star Rating		1	vs	1
	[X] Add Comment about “Health Inspections Star Rating”
Nurse Staffing Star Rating		4	vs	4
	[X] Add Comment about “Nurse Staffing Star Rating”
Quality Measures Star Rating		4	vs	5
	[X] Add Comment about “Quality Measures Star Rating”
RN Only Star Rating		3	vs	4
	[X] Add Comment about “RN Only Star Rating”
Number of Certified Beds		150	vs	150
	[X] Add Comment about “Number of Certified Beds”
Total Number of Residents		138	vs	127
	[X] Add Comment about “Total Number of Residents”
Percent of Occupied Beds		92 %	vs	85 %
	[X] Add Comment about “Percent of Occupied Beds”
Health Survey Date		4/5/2012	vs	12/8/2011
	[X] Add Comment about “Health Survey Date”
Fire Survey Date		4/5/2012	vs	12/7/2011
	[X] Add Comment about “Fire Survey Date”
Sprinkler Status		Fully Sprinklered	vs	Fully Sprinklered
	[X] Add Comment about “Sprinkler Status”
Program Participation		Medicare And Medicaid	vs	Medicare And Medicaid
	[X] Add Comment about “Program Participation”
Type of Ownership		For Profit - Corporation	vs	For Profit - Corporation
	[X] Add Comment about “Type of Ownership”
Located Within a Hospital?		No	vs	No
	[X] Add Comment about “Located Within a Hospital?”
Multi Nursing Home Ownership?		Yes	vs	Yes
	[X] Add Comment about “Multi Nursing Home Ownership?”
Resident and Family Councils		Both	vs	Resident
	[X] Add Comment about “Resident and Family Councils”
Continuing Care Retirement Community?		No	vs	No
	[X] Add Comment about “Continuing Care Retirement Community?”
Quality Indicator Survey?		Yes	vs	Yes
	[X] Add Comment about “Quality Indicator Survey?”
Special Focus Facility?		No	vs	Yes
	[X] Add Comment about “Special Focus Facility?”
Civil Money Penalty Count		75.2	vs	75.2
	[X] Add Comment about “Civil Money Penalty Count”
Total Enforcement Actions Count		75.2	vs	75.2
	[X] Add Comment about “Total Enforcement Actions Count”
# of deficiencies		21	vs	22
	[X] Add Comment about “# of deficiencies”

Staff Information
Number of Residents		138	vs	127
	[X] Add Comment about “Number of Residents”
Number of RN Hours Per Resident Per Day		0.58	vs	0.62
	[X] Add Comment about “Number of RN Hours Per Resident Per Day”
Number of LPN/LVN Hours Per Resident Per Day		0.76	vs	0.88
	[X] Add Comment about “Number of LPN/LVN Hours Per Resident Per Day”
Total Number of Licensed Staff Hours Per Resident Per Day		1.35	vs	1.50
	[X] Add Comment about “Total Number of Licensed Staff Hours Per Resident Per Day”
Number of CNA Hours Per Resident Per Day		0.09	vs	0.08
	[X] Add Comment about “Number of CNA Hours Per Resident Per Day”
Number Therapy Hours Per Resident Per Day		0.09	vs	0.08
	[X] Add Comment about “Number Therapy Hours Per Resident Per Day”

Environmental Deficiencies
Deficiency #1		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: 10/25/2011date Of Correction: 12/06/2011	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: 12/08/2011date Of Correction: 01/19/2012
	[X] Add Comment about “Deficiency #1”
Deficiency #2		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: 03/03/2011date Of Correction: 04/14/2011	vs	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: 05/27/2011date Of Correction: 07/08/2011
	[X] Add Comment about “Deficiency #2”
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: 05/08/2009date Of Correction: 05/25/2009	vs	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: 03/15/2010date Of Correction: 06/10/2010
	[X] Add Comment about “Deficiency #3”

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: 10/25/2011date Of Correction: 12/06/2011	vs
	[X] Add Comment about “Deficiency #1”
Deficiency #2		Scope: Fewlevel Of Harm: 2deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.survey Date: 10/25/2011date Of Correction: 12/06/2011	vs
	[X] Add Comment about “Deficiency #2”
Deficiency #3		Scope: Fewlevel Of Harm: 2deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment.survey Date: 10/25/2011date Of Correction: 12/06/2011	vs
	[X] Add Comment about “Deficiency #3”

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: 03/03/2011date Of Correction: 04/14/2011	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: 11/01/2010date Of Correction: 12/13/2010
	[X] Add Comment about “Deficiency #1”
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: 03/03/2011date Of Correction: 04/14/2011	vs
	[X] Add Comment about “Deficiency #2”

Quality Care Deficiencies
Deficiency #1		Scope: Fewlevel Of Harm: 2deficiency: Have Enough Nurses To Care For Every Resident In A Way That Maximizes The Resident's Well Being.survey Date: 10/25/2011date Of Correction: 12/06/2011	vs	Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 12/08/2011date Of Correction: 01/19/2012
	[X] Add Comment about “Deficiency #1”
Deficiency #2		Scope: Somelevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 10/25/2011date Of Correction: 12/06/2011	vs	Scope: Fewlevel Of Harm: 2deficiency: Provide Medically-related Social Services To Help Each Resident Achieve The Highest Possible Quality Of Life.survey Date: 12/08/2011date Of Correction: 01/19/2012
	[X] Add Comment about “Deficiency #2”
Deficiency #3		Scope: Somelevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 10/25/2011date Of Correction: 12/06/2011	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: 05/27/2011date Of Correction: 07/08/2011
	[X] Add Comment about “Deficiency #3”
Deficiency #4		Scope: Somelevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 10/25/2011date Of Correction: 12/06/2011	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: 05/27/2011date Of Correction: 07/08/2011
	[X] Add Comment about “Deficiency #4”
Deficiency #5		Scope: Fewlevel Of Harm: 3deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 03/03/2011date Of Correction: 04/14/2011	vs	Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 05/27/2011date Of Correction: 07/08/2011
	[X] Add Comment about “Deficiency #5”
Deficiency #6		Scope: Fewlevel Of Harm: 3deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 03/03/2011date Of Correction: 04/14/2011	vs	Scope: Fewlevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 05/27/2011date Of Correction: 07/08/2011
	[X] Add Comment about “Deficiency #6”
Deficiency #7		Scope: Fewlevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 10/13/2009date Of Correction: 11/24/2009	vs	Scope: Fewlevel Of Harm: 3deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 11/01/2010date Of Correction: 12/13/2010
	[X] Add Comment about “Deficiency #7”
Deficiency #8			vs	Scope: Fewlevel Of Harm: 2deficiency: Have Enough Nurses To Care For Every Resident In A Way That Maximizes The Resident's Well Being.survey Date: 03/15/2010date Of Correction: 06/05/2010
	[X] Add Comment about “Deficiency #8”
Deficiency #9			vs	Scope: Fewlevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 03/15/2010date Of Correction: 06/10/2010
	[X] Add Comment about “Deficiency #9”
Deficiency #10			vs	Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 03/15/2010date Of Correction: 06/05/2010
	[X] Add Comment about “Deficiency #10”

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: 10/25/2011date Of Correction: 12/06/2011	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: 12/08/2011date Of Correction: 01/19/2012
	[X] Add Comment about “Deficiency #1”
Deficiency #2			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: 03/15/2010date Of Correction: 06/05/2010
	[X] Add Comment about “Deficiency #2”
Deficiency #3			vs	Scope: Somelevel Of Harm: 2deficiency: Check And Assess Each Resident's Assessment At Least Every 3 Months.survey Date: 03/15/2010date Of Correction: 06/05/2010
	[X] Add Comment about “Deficiency #3”
Deficiency #4			vs	Scope: Somelevel Of Harm: 2deficiency: Completely Assess The Resident At Least Every Twelve Months.survey Date: 03/15/2010date Of Correction: 06/05/2010
	[X] Add Comment about “Deficiency #4”

Administration Deficiencies
Deficiency #1		Scope: Fewlevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 10/25/2011date Of Correction: 12/06/2011	vs	Scope: Somelevel 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: 12/08/2011date Of Correction: 01/19/2012
	[X] Add Comment about “Deficiency #1”
Deficiency #2		Scope: Fewlevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 03/03/2011date Of Correction: 04/14/2011	vs	Scope: Somelevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 12/08/2011date Of Correction: 01/19/2012
	[X] Add Comment about “Deficiency #2”
Deficiency #3		Scope: Fewlevel Of Harm: 3deficiency: Choose A Doctor To Serve As The Medical Director To Create Resident Care Policies And Coordinate Medical Care In The Facility.survey Date: 03/03/2011date Of Correction: 04/14/2011	vs	Scope: Fewlevel Of Harm: 2deficiency: Operate And Provide Services According To Federal, State, And Local Laws And Professional Standards.survey Date: 03/15/2010date Of Correction: 06/05/2010
	[X] Add Comment about “Deficiency #3”

Pharmacy Service Deficiencies
Deficiency #1		Scope: Fewlevel Of Harm: 2deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.survey Date: 10/25/2011date Of Correction: 12/06/2011	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: 12/08/2011date Of Correction: 01/19/2012
	[X] Add Comment about “Deficiency #1”
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: 10/25/2011date Of Correction: 12/06/2011	vs
	[X] Add Comment about “Deficiency #2”

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication		18.9 %	vs	40 %
	[X] Add Comment about “Percent of long-stay residents who received an antipsychotic medication”
Percent of long-stay residents whose need for help with daily activities has increased		75.2 %	vs	75.2 %
	[X] Add Comment about “Percent of long-stay residents whose need for help with daily activities has increased”
Percent of long-stay residents who self-report moderate to severe pain		6.7 %	vs	4.2 %
	[X] Add Comment about “Percent of long-stay residents who self-report moderate to severe pain ”
Percent of long-stay high-risk residents with pressure ulcers		2.4 %	vs	3.5 %
	[X] Add Comment about “Percent of long-stay high-risk residents with pressure ulcers ”
Percent of long-stay residents who lose too much weight		12.9 (55.2)	vs	5.1 %
	[X] Add Comment about “Percent of long-stay residents who lose too much weight ”
Percent of long-stay low-risk residents who lose control of their bowels or bladder		49.1 %	vs	16.7 %
	[X] Add Comment about “Percent of long-stay low-risk residents who lose control of their bowels or bladder”
Percent of long-stay residents who have had a catheter inserted and left in their bladder		75.2 %	vs	1.1 %
	[X] Add Comment about “Percent of long-stay residents who have had a catheter inserted and left in their bladder ”
Percent of long-stay residents with a urinary tract infection		7.6 %	vs	5.7 %
	[X] Add Comment about “Percent of long-stay residents with a urinary tract infection ”
Percent of long-stay residents who have depressive symptoms		5.8 %	vs	10.4 %
	[X] Add Comment about “Percent of long-stay residents who have depressive symptoms”
Percent of long-stay residents who were physically restrained		1.7 %	vs	0.8 %
	[X] Add Comment about “Percent of long-stay residents who were physically restrained”
Percent of short-stay residents who self-report moderate to severe pain		23.2 %	vs	25 %
	[X] Add Comment about “Percent of short-stay residents who self-report moderate to severe pain ”
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine		78.4 %	vs	61.4 %
	[X] Add Comment about “Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine ”
Percent of short-stay residents with Pressure ulcers that are new or worsened		70.7 %	vs	38.3 %
	[X] Add Comment about “Percent of short-stay residents with Pressure ulcers that are new or worsened”
Percent of short-stay residents who newly received an antipsychotic medication		1.50 %	vs	75.2
	[X] Add Comment about “Percent of short-stay residents who newly received an antipsychotic medication ”
Percent of long-stay residents experiencing one or more falls with major injury		5 %	vs	1.6 %
	[X] Add Comment about “Percent of long-stay residents experiencing one or more falls with major injury”

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication		26.1 %	vs	36.5 %
	[X] Add Comment about “Percent of long-stay residents who received an antipsychotic medication”
Percent of long-stay residents whose need for help with daily activities has increased		75.2 %	vs	75.2 %
	[X] Add Comment about “Percent of long-stay residents whose need for help with daily activities has increased”
Percent of long-stay residents who self-report moderate to severe pain		10.6 %	vs	4.5 %
	[X] Add Comment about “Percent of long-stay residents who self-report moderate to severe pain ”
Percent of long-stay high-risk residents with pressure ulcers		3.1 %	vs	4.7 %
	[X] Add Comment about “Percent of long-stay high-risk residents with pressure ulcers ”
Percent of long-stay residents who lose too much weight		9.6 %	vs	6.3 %
	[X] Add Comment about “Percent of long-stay residents who lose too much weight ”
Percent of long-stay low-risk residents who lose control of their bowels or bladder		39.2 %	vs	19.4:1
	[X] Add Comment about “Percent of long-stay low-risk residents who lose control of their bowels or bladder”
Percent of long-stay residents who have had a catheter inserted and left in their bladder		1.2 %	vs	1.3 %
	[X] Add Comment about “Percent of long-stay residents who have had a catheter inserted and left in their bladder ”
Percent of long-stay residents with a urinary tract infection		4.9 %	vs	4.4 %
	[X] Add Comment about “Percent of long-stay residents with a urinary tract infection ”
Percent of long-stay residents who have depressive symptoms		5.3 %	vs	5.4 %
	[X] Add Comment about “Percent of long-stay residents who have depressive symptoms”
Percent of long-stay residents who were physically restrained		1.6 %	vs	0.8 %
	[X] Add Comment about “Percent of long-stay residents who were physically restrained”
Percent of long-stay residents experiencing one or more falls with major injury		5.3 %	vs	3.1 %
	[X] Add Comment about “Percent of long-stay residents experiencing one or more falls with major injury”
Percent of short-stay residents who self-report moderate to severe pain		19.9 %	vs	23 %
	[X] Add Comment about “Percent of short-stay residents who self-report moderate to severe pain ”
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine		46 %	vs	59.8 %
	[X] Add Comment about “Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine ”
Percent of short-stay residents with Pressure ulcers that are new or worsened		52.4 %	vs	8.9 / 9.9
	[X] Add Comment about “Percent of short-stay residents with Pressure ulcers that are new or worsened”
Percent of short-stay residents who newly received an antipsychotic medication		15.1 %	vs	3.8 %
	[X] Add Comment about “Percent of short-stay residents who newly received an antipsychotic medication ”

Compare MIDDLESEX HEALTH CARE CENTER vs PARADIGM HEALTHCARE CENTER OF NORWALK, LLC Nursing Homes USA