ASTORIA HEALTH AND REHABILITATION CENTER

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General
City	WINTER HAVEN	vs	0% Nursing Homes USA have WINTER HAVEN
State attribute explanation	FL	vs	4.4% Nursing Homes USA have FL	compare FL Nursing Homes USA
Street	701 OVERLOOK DR SE
Zip Code	33884
Phone	8633185000
Overall Star Rating	2 (1.11 lower than average)	vs	3.11	Compare similar Overall Star Rating (2)
Health Inspections Star Rating	1 (1.83 lower than average)	vs	2.83	Compare similar Health Inspections Star Rating (1)
Nurse Staffing Star Rating	4 (0.83 higher than average)	vs	3.17	Compare similar Nurse Staffing Star Rating (4)
Quality Measures Star Rating	2 (1.31 lower than average)	vs	3.31	Compare similar Quality Measures Star Rating (2)
RN Only Star Rating	3 (0.17 lower than average)	vs	3.17	Compare similar RN Only Star Rating (3)
Number of Certified Beds	120 (11.06 higher than average)	vs	108.94	Compare similar Number of Certified Beds (120)
Total Number of Residents	94 (2.75 higher than average)	vs	91.25	Compare similar Total Number of Residents (94)
Percent of Occupied Beds	78 % (5.65 % lower than average)	vs	83.65 %	Compare similar Percent of Occupied Beds (78) %
Health Survey Date	1/20/2012
Fire Survey Date	1/20/2012
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	compare Medicare and Medicaid Nursing Homes USA
Type of Ownership	For Profit - Corporation	vs	56.7% Nursing Homes USA have For profit - Corporation	compare For profit - Corporation Nursing Homes USA
Located Within a Hospital?	No	vs	93.6% Nursing Homes USA don't have Located Within a Hospital?	Compare similar 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	Both	vs	29.8% Nursing Homes USA have Both
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	3 (55.16 lower than average)	vs	58.16
Total Enforcement Actions Count	3 (53.31 lower than average)	vs	56.31
# of deficiencies	21

Staff Information
Number of Residents	94 (2.62 higher than average)	vs	91.38
Number of RN Hours Per Resident Per Day	0.96 (0.19 higher than average)	vs	0.77
Number of LPN/LVN Hours Per Resident Per Day	1.38 (0.54 higher than average)	vs	0.84
Total Number of Licensed Staff Hours Per Resident Per Day	2.34 (0.75 higher than average)	vs	1.59
Number of CNA Hours Per Resident Per Day	0.27 (5.22 lower than average)	vs	5.49
Number Therapy Hours Per Resident Per Day	0.27 (0.17 higher than average)	vs	0.10

Environmental Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading. survey Date: 04/09/2012 date Of Correction: 04/30/2012
Deficiency #2		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: 02/13/2012 date Of Correction: 02/20/2012

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: 04/14/2011 date Of Correction: 06/24/2011

Quality Care Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: 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: 04/09/2012 date Of Correction: 04/30/2012
Deficiency #2		Scope: Few level Of Harm: 2 deficiency: Give Each Resident Enough Fluids To Keep Them Healthy And Prevent Dehydration. survey Date: 02/13/2012 date Of Correction: 02/20/2012
Deficiency #3		Scope: Few level Of Harm: 3 deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care. survey Date: 02/13/2012 date Of Correction: 02/20/2012
Deficiency #4		Scope: Few level Of Harm: 2 deficiency: Make Sure That Residents Receive Treatment/services To Not Only Continue, But Improve The Ability To Care For Themselves. survey Date: 01/20/2012 date Of Correction: 02/20/2012
Deficiency #5		Scope: Few level Of Harm: 2 deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores. survey Date: 09/09/2011 date Of Correction: 10/09/2011
Deficiency #6		Scope: Few level Of Harm: 2 deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care. survey Date: 09/09/2011 date Of Correction: 10/09/2011
Deficiency #7		Scope: Few level Of Harm: 2 deficiency: Properly Care For Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, And Prostheses. survey Date: 04/14/2011 date Of Correction: 05/23/2011
Deficiency #8		Scope: Few level Of Harm: 2 deficiency: 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: 04/14/2011 date Of Correction: 05/23/2011
Deficiency #9		Scope: Few level Of Harm: 2 deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality. survey Date: 04/14/2011 date Of Correction: 06/24/2011

Resident Assessment Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: Make Sure Each Resident Receives An Accurate Assessment By A Qualified Health Professional. survey Date: 05/05/2011 date Of Correction: 05/23/2011

Administration Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards. survey Date: 05/05/2011 date Of Correction: 05/23/2011

Pharmacy Service Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards. survey Date: 01/20/2012 date Of Correction: 02/20/2012
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: 07/30/2011 date Of Correction: 08/30/2011
Deficiency #3		Scope: Few level Of Harm: 2 deficiency: 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: 05/05/2011 date Of Correction: 05/23/2011
Deficiency #4		Scope: Many level Of Harm: 2 deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards. survey Date: 04/14/2011 date Of Correction: 05/23/2011
Deficiency #5		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: 04/14/2011 date Of Correction: 06/24/2011
Deficiency #6		Scope: Few level Of Harm: 2 deficiency: Make Sure That Residents Are Safe From Serious Medication Errors. survey Date: 04/14/2011 date Of Correction: 05/24/2011

Nutrition and Dietary Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: Prepare Food That Is Nutritional, Appetizing, Tasty, Attractive, Well-cooked, And At The Right Temperature. survey Date: 01/20/2012 date Of Correction: 02/20/2012

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication	40 % (14.91 % higher than average)	vs	25.09 %
Percent of long-stay residents whose need for help with daily activities has increased	0.4 % (32.55 % lower than average)	vs	32.95 %
Percent of long-stay residents who self-report moderate to severe pain	7.8 % (8.86 % lower than average)	vs	16.66 %
Percent of long-stay high-risk residents with pressure ulcers	7.9:1 %
Percent of long-stay residents who lose too much weight	22.4:1 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder	4.8 % (10.83 % lower than average)	vs	15.63 %
Percent of long-stay residents with a urinary tract infection	12 % (1.46 % 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	25.8 % (0.78 % higher than average)	vs	25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine	91.3 % (6.66 % higher than average)	vs	84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened	95.8 % (11.86 % 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	5.8 % (9.72 % lower than average)	vs	15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication	33.6 % (8.21 % higher than average)	vs	25.39 %
Percent of long-stay residents whose need for help with daily activities has increased	0.5 - 2.0 % (23.2 % lower than average)	vs	23.70 %
Percent of long-stay residents who self-report moderate to severe pain	16.5 % (2.4 % higher than average)	vs	14.10 %
Percent of long-stay high-risk residents with pressure ulcers	8.7 % (0.52 % lower than average)	vs	9.22 %
Percent of long-stay residents who lose too much weight	22.5 % (14 % higher than average)	vs	8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder	29.7 % (13.68 % lower than average)	vs	43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder	4.6 % (6.05 % lower than average)	vs	10.65 %
Percent of long-stay residents with a urinary tract infection	12.3:1 %
Percent of long-stay residents who have depressive symptoms	75.2 % (55.34 % higher 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	7.4 % (3.33 % lower than average)	vs	10.73 %
Percent of short-stay residents who self-report moderate to severe pain	27.9 % (3.14 % higher than average)	vs	24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine	90.6 % (9.16 % higher than average)	vs	81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened	95.7 % (20.95 % higher than average)	vs	74.75 %
Percent of short-stay residents who newly received an antipsychotic medication	17.6 % (0.26 % higher than average)	vs	17.34 %