General
City		Monroe	vs	Baton Rouge
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State attribute explanation		La	vs	La
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Street		309 Jackson Street	vs	2828 Westfork
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Zip Code		71,210	vs	70,816
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Phone		3,189,666,173	vs	2,252,917,049
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Overall Star Rating		5	vs	2
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Health Inspections Star Rating		4	vs	1
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Nurse Staffing Star Rating		5	vs	5
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Quality Measures Star Rating		2	vs	3
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RN Only Star Rating		5	vs	5
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Number of Certified Beds		24	vs	176
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Total Number of Residents		17	vs	140
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Percent of Occupied Beds		71 %	vs	80 %
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Health Survey Date		7/28/2011	vs	2/16/2012
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Fire Survey Date		7/28/2011	vs	2/14/2012
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Sprinkler Status		Fully Sprinklered	vs	Fully Sprinklered
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Program Participation		Medicare	vs	Medicare And Medicaid
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Type of Ownership		Non Profit - Church Related	vs	For Profit - Corporation
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Located Within a Hospital?		Yes	vs	No
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Multi Nursing Home Ownership?		Yes	vs	No
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Resident and Family Councils		None	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	Yes
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Civil Money Penalty Count		75.2	vs	2
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Total Enforcement Actions Count		75.2	vs	5
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# of deficiencies			vs	51
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Staff Information
Number of Residents		18	vs	140
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Number of RN Hours Per Resident Per Day		3.33	vs	1.1
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Number of LPN/LVN Hours Per Resident Per Day		1.79	vs	0.96
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Total Number of Licensed Staff Hours Per Resident Per Day		5.12	vs	2.06
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Number of CNA Hours Per Resident Per Day		0.89	vs	0.04
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Number Therapy Hours Per Resident Per Day		0.89	vs	0.04
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Environmental Deficiencies
Deficiency #1			vs	Scope: Somelevel Of Harm: 2deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.survey Date: 05/21/2010date Of Correction: 06/21/2010
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Deficiency #2			vs	Scope: Somelevel Of Harm: 4deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 04/09/2010date Of Correction: 05/25/2010
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Deficiency #3			vs	Scope: Somelevel Of Harm: 2deficiency: Provide Clean Bed And Bath Linens That Are In Good Condition.survey Date: 04/09/2010date Of Correction: 05/25/2010
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Deficiency #4			vs	Scope: Somelevel 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: 03/24/2010date Of Correction: 05/05/2010
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Deficiency #5			vs	Scope: Somelevel 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: 08/14/2009date Of Correction: 09/28/2009
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Deficiency #6			vs	Scope: Somelevel 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: 04/23/2009date Of Correction: 05/25/2009
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Mistreatment Deficiencies
Deficiency #1			vs	Scope: Somelevel Of Harm: 4deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.survey Date: 12/22/2011date Of Correction: 02/16/2012
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Deficiency #2			vs	Scope: Fewlevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 04/09/2010date Of Correction: 05/25/2010
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Resident Rights Deficiencies
Deficiency #1			vs	Scope: Somelevel Of Harm: 4deficiency: 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: 12/22/2011date Of Correction: 02/16/2012
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Deficiency #2			vs	Scope: Somelevel 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: 03/18/2011date Of Correction: 05/02/2011
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Deficiency #3			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: 05/03/2010date Of Correction: 05/31/2010
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Deficiency #4			vs	Scope: Somelevel Of Harm: 2deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.survey Date: 04/09/2010date Of Correction: 05/25/2010
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Deficiency #5			vs	Scope: Somelevel Of Harm: 2deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.survey Date: 04/09/2010date Of Correction: 05/25/2010
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Deficiency #6			vs	Scope: Somelevel Of Harm: 2deficiency: Try To Resolve Each Resident's Complaints Quickly.survey Date: 04/09/2010date Of Correction: 05/25/2010
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Deficiency #7			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: 04/09/2010date Of Correction: 05/25/2010
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Deficiency #8			vs	Scope: Somelevel Of Harm: 2deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.survey Date: 11/11/2009date Of Correction: 12/15/2009
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Deficiency #9			vs	Scope: Fewlevel Of Harm: 2deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.survey Date: 08/14/2009date Of Correction: 09/28/2009
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Deficiency #10			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: 04/23/2009date Of Correction: 05/25/2009
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Quality Care Deficiencies
Deficiency #1			vs	Scope: Somelevel Of Harm: 4deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 12/22/2011date Of Correction: 02/16/2012
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Deficiency #2			vs	Scope: Somelevel Of Harm: 4deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 12/22/2011date Of Correction: 02/16/2012
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Deficiency #3			vs	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: 05/21/2010date Of Correction: 06/21/2010
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Deficiency #4			vs	Scope: Fewlevel Of Harm: 3deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 05/21/2010date Of Correction: 06/21/2010
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Deficiency #5			vs	Scope: Fewlevel Of Harm: 3deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 05/21/2010date Of Correction: 06/21/2010
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Deficiency #6			vs	Scope: Somelevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 05/21/2010date Of Correction: 06/21/2010
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Deficiency #7			vs	Scope: Somelevel Of Harm: 2deficiency: Provide Medically-related Social Services To Help Each Resident Achieve The Highest Possible Quality Of Life.survey Date: 05/21/2010date Of Correction: 06/21/2010
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Deficiency #8			vs	Scope: Fewlevel Of Harm: 3deficiency: Give Each Resident Enough Fluids To Keep Them Healthy And Prevent Dehydration.survey Date: 05/03/2010date Of Correction: 05/31/2010
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Deficiency #9			vs	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: 05/03/2010date Of Correction: 05/31/2010
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Deficiency #10			vs	Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 05/03/2010date Of Correction: 05/31/2010
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Deficiency #11			vs	Scope: Fewlevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 05/03/2010date Of Correction: 05/31/2010
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Deficiency #12			vs	Scope: Fewlevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 04/09/2010date Of Correction: 05/25/2010
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Deficiency #13			vs	Scope: Somelevel Of Harm: 4deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 04/09/2010date Of Correction: 05/25/2010
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Deficiency #14			vs	Scope: Fewlevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 03/24/2010date Of Correction: 05/05/2010
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Deficiency #15			vs	Scope: Somelevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 01/13/2010date Of Correction: 02/22/2010
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Deficiency #16			vs	Scope: Somelevel 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: 08/14/2009date Of Correction: 09/28/2009
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Deficiency #17			vs	Scope: Fewlevel Of Harm: 3deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 04/23/2009date Of Correction: 05/25/2009
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Resident Assessment Deficiencies
Deficiency #1			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: 03/18/2011date Of Correction: 05/02/2011
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Deficiency #2			vs	Scope: Somelevel Of Harm: 2deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.survey Date: 03/18/2011date Of Correction: 05/02/2011
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Deficiency #3			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: 12/15/2010date Of Correction: 02/04/2011
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Deficiency #4			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: 05/03/2010date Of Correction: 05/31/2010
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Deficiency #5			vs	Scope: Somelevel Of Harm: 4deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan.survey Date: 04/09/2010date Of Correction: 05/25/2010
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Deficiency #6			vs	Scope: Fewlevel Of Harm: 2deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.survey Date: 04/09/2010date Of Correction: 05/25/2010
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Deficiency #7			vs	Scope: Fewlevel Of Harm: 3deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.survey Date: 04/23/2009date Of Correction: 05/25/2009
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Administration Deficiencies
Deficiency #1			vs	Scope: Somelevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 12/22/2011date Of Correction: 02/16/2012
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Deficiency #2			vs	Scope: Somelevel Of Harm: 4deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .survey Date: 12/22/2011date Of Correction: 02/16/2012
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Deficiency #3			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: 04/09/2010date Of Correction: 05/25/2010
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Deficiency #4			vs	Scope: Somelevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 04/09/2010date Of Correction: 05/25/2010
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Deficiency #5			vs	Scope: Somelevel Of Harm: 2deficiency: 1) Review The Work Of Each Nurse Aide Every Year; And 2) Give Regular In-service Training Based Upon These Reviews.survey Date: 04/09/2010date Of Correction: 05/25/2010
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Deficiency #6			vs	Scope: Somelevel Of Harm: 4deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .survey Date: 04/09/2010date Of Correction: 05/25/2010
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Pharmacy Service Deficiencies
Deficiency #1			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: 11/10/2010date Of Correction: 12/17/2010
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Deficiency #2			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: 05/03/2010date Of Correction: 05/31/2010
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Nutrition and Dietary Deficiencies
Deficiency #1			vs	Scope: Fewlevel Of Harm: 2deficiency: Make Sure Menus Meet The Resident's Nutritional Needs And That There Is A Prepared Menu By Which Nutritious Meals Have Been Planned For The Resident And Followed.survey Date: 12/15/2010date Of Correction: 02/04/2011
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Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication			vs	30.3 %
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Percent of long-stay residents whose need for help with daily activities has increased		75.2 %	vs	75.2 %
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Percent of long-stay residents who self-report moderate to severe pain			vs	8 %
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Percent of long-stay high-risk residents with pressure ulcers			vs	10.1:1
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Percent of long-stay residents who lose too much weight			vs	6 %
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Percent of long-stay low-risk residents who lose control of their bowels or bladder			vs	42.9 %
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Percent of long-stay residents who have had a catheter inserted and left in their bladder			vs	2.5 %
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Percent of long-stay residents with a urinary tract infection			vs	12.6:1
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Percent of long-stay residents who have depressive symptoms			vs	2.7 %
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Percent of long-stay residents who were physically restrained			vs	6.5 %
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Percent of short-stay residents who self-report moderate to severe pain		46.5 %	vs	9.1 %
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Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine		99.1 %	vs	47.5 %
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Percent of short-stay residents with Pressure ulcers that are new or worsened		100 %	vs	44 %
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Percent of short-stay residents who newly received an antipsychotic medication		75.2	vs	1.9 %
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Percent of long-stay residents experiencing one or more falls with major injury			vs	7.3 %
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Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication			vs	28.9 %
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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			vs	6.2 %
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Percent of long-stay high-risk residents with pressure ulcers			vs	8.5 %
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Percent of long-stay residents who lose too much weight			vs	8 %
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Percent of long-stay low-risk residents who lose control of their bowels or bladder			vs	40.9 %
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Percent of long-stay residents who have had a catheter inserted and left in their bladder			vs	3 %
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Percent of long-stay residents with a urinary tract infection			vs	9.7 %
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Percent of long-stay residents who have depressive symptoms			vs	4.7 %
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Percent of long-stay residents who were physically restrained			vs	3.6 %
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Percent of long-stay residents experiencing one or more falls with major injury			vs	6.1 %
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Percent of short-stay residents who self-report moderate to severe pain		48 %	vs	20.6 %
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Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine		98.7 %	vs	51.7 %
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Percent of short-stay residents with Pressure ulcers that are new or worsened		99.8 %	vs	42.9 %
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Percent of short-stay residents who newly received an antipsychotic medication		2.3 %	vs	0.5 - 2.0
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Compare ST FRANCIS MEDICAL CENTER SNF vs NOTTINGHAM REGIONAL REHAB CENTER Nursing Homes USA