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ANDERSON MILL HEALTH AND REHABILITATION CENTER

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ANDERSON MILL HEALTH AND REHABILITATION CENTER VS
All other Nursing Homes USA
General
City AUSTELL   vs 0% Nursing Homes USA have AUSTELL
State attribute explanation GA   vs 2.3% Nursing Homes USA have GA
Street 2130 ANDERSON MILL RD  
Zip Code 30106  
Phone 7709418813  
Overall Star Rating
(2.11 lower than average)
vs
3.11

Health Inspections Star Rating
(1.83 lower than average)
vs
2.83

Nurse Staffing Star Rating
(1.17 lower than average)
vs
3.17

Quality Measures Star Rating
(0.31 lower than average)
vs
3.31

RN Only Star Rating
(0.17 lower than average)
vs
3.17

Number of Certified Beds
170  (61.06 higher than average)
vs
108.94

Total Number of Residents
139  (47.75 higher than average)
vs
91.25

Percent of Occupied Beds
82 % (1.65 % lower than average)
vs
83.65 %

Health Survey Date 11/3/2011  
Fire Survey Date 11/3/2011  
Sprinkler Status Fully Sprinklered  vs 90.2% Nursing Homes USA have Fully Sprinklered
Program Participation Medicare And Medicaid  vs 91.5% Nursing Homes USA have Medicare and Medicaid
Type of Ownership For Profit - Corporation  vs 56.7% Nursing Homes USA have For profit - Corporation
Located Within a Hospital? No  vs 93.6% Nursing Homes USA don't have Located Within a Hospital?
Multi Nursing Home Ownership? Yes  vs 54.9% Nursing Homes USA have Multi Nursing Home Ownership?
Resident and Family Councils RESIDENT   vs 66% Nursing Homes USA have RESIDENT
Continuing Care Retirement Community? No  vs 90.9% Nursing Homes USA don't have Continuing Care Retirement Community?
Quality Indicator Survey? Yes  vs 31.3% Nursing Homes USA have Quality Indicator Survey?
Special Focus Facility? No  vs 99% Nursing Homes USA don't have Special Focus Facility?
Civil Money Penalty Count
(57.16 lower than average)
vs
58.16

Total Enforcement Actions Count
(55.31 lower than average)
vs
56.31

# of deficiencies 15  
Staff Information
Number of Residents
139  (47.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.61  (0.16 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.93  (0.09 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.54  (0.05 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.14  (5.35 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.14  (0.04 higher than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 05/31/2012
date Of Correction: 06/26/2012 

Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: 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: 02/28/2011
date Of Correction: 03/24/2011 

Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: 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: 10/13/2010
date Of Correction: 11/27/2010 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 05/31/2012
date Of Correction: 06/26/2012 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 01/20/2012
date Of Correction: 03/05/2012 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 10/13/2010
date Of Correction: 11/27/2010 

Deficiency #4 Scope: Few
level Of Harm: 4
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 10/02/2009
date Of Correction: 10/02/2009 

Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 06/25/2009
date Of Correction: 08/09/2009 

Resident Assessment Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.
survey Date: 01/20/2012
date Of Correction: 03/05/2012 

Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Give Or Get Quality Lab Services/tests In A Timely Manner To Meet The Needs Of Residents.
survey Date: 01/20/2012
date Of Correction: 03/05/2012 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 06/25/2009
date Of Correction: 09/08/2009 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 4
deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.
survey Date: 10/02/2009
date Of Correction: 10/02/2009 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.
survey Date: 06/25/2009
date Of Correction: 08/09/2009 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.
survey Date: 06/25/2009
date Of Correction: 08/09/2009 

Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Hire A Qualified Dietician.
survey Date: 01/20/2012
date Of Correction: 03/05/2012 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
26 % (0.91 % higher than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
1.3 % (31.65 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
18.8 % (2.14 % higher than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
7.8 % (4.78 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
12.5 % (0.67 % higher than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
81.6 % (37.06 % higher than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
75.2 % (59.57 % higher than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
1.9 % (11.56 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
75.2 % (46.82 % higher than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
75.2 % (31.52 % higher than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
28 % (2.98 % higher than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
80.4 % (4.24 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
86 % (2.06 % higher than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
2.20 % (43.7 % lower than average)
vs
45.90 %

Percent of long-stay residents experiencing one or more falls with major injury
3.8 % (11.72 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
23.5 % (1.89 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased 2.6 / 3 % 
Percent of long-stay residents who self-report moderate to severe pain
17.9 (64.2) % (3.8 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
6 % (3.22 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
8.5 % (equals average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
79.3 % (35.92 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.50 % (9.15 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
4.2 % (5.38 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
1.3 % (18.56 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
75.2 % (36.67 % higher than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
3.9 % (6.83 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
33.3 % (8.54 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
75.7 % (5.74 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
87.3 % (12.55 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication 2.6 / 3 % 


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