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BARCLAY FRIENDS

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BARCLAY FRIENDS VS
All other Nursing Homes USA
General
City WEST CHESTER   vs 0.1% Nursing Homes USA have WEST CHESTER
State attribute explanation PA   vs 4.5% Nursing Homes USA have PA
Street 700 NORTH FRANKLIN  
Zip Code 19380  
Phone 6106965211  
Overall Star Rating
(1.11 lower than average)
vs
3.11

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

Nurse Staffing Star Rating
(0.83 higher than average)
vs
3.17

Quality Measures Star Rating
(0.69 higher than average)
vs
3.31

RN Only Star Rating
(1.83 higher than average)
vs
3.17

Number of Certified Beds
99  (9.94 lower than average)
vs
108.94

Total Number of Residents
93  (1.75 higher than average)
vs
91.25

Percent of Occupied Beds
94 % (10.35 % higher than average)
vs
83.65 %

Health Survey Date 10/27/2011  
Fire Survey Date 10/11/2011  
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 Non Profit - Corporation  vs 18.7% Nursing Homes USA have Non profit - Corporation
Located Within a Hospital? No  vs 93.6% Nursing Homes USA don't have Located Within a Hospital?
Multi Nursing Home Ownership? No  vs 45.1% Nursing Homes USA don't have Multi Nursing Home Ownership?
Resident and Family Councils RESIDENT   vs 66% Nursing Homes USA have RESIDENT
Continuing Care Retirement Community? Yes  vs 9.1% Nursing Homes USA have Continuing Care Retirement Community?
Quality Indicator Survey? No  vs 68.7% Nursing Homes USA don't have Quality Indicator Survey?
Special Focus Facility? No  vs 99% Nursing Homes USA don't have Special Focus Facility?
Civil Money Penalty Count
75.2  (17.04 higher than average)
vs
58.16

Total Enforcement Actions Count
75.2  (18.89 higher than average)
vs
56.31

# of deficiencies
10  (2.52 higher than average)
vs
7.48

Staff Information
Number of Residents
93  (1.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
1.16  (0.39 higher than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.88  (0.04 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
2.04  (0.45 higher than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.06  (5.43 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.06  (0.04 lower than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 05/20/2009
date Of Correction: 07/17/2009 

Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 10/27/2011
date Of Correction: 12/26/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 05/20/2009
date Of Correction: 07/17/2009 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.
survey Date: 05/20/2009
date Of Correction: 07/17/2009 

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: 10/27/2011
date Of Correction: 12/26/2011 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 10/27/2011
date Of Correction: 12/26/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 04/12/2010
date Of Correction: 06/11/2010 

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: 05/20/2009
date Of Correction: 07/17/2009 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: At Least Once A Month, Have A Licensed Pharmacist Review Each Resident's Medication(s) And Report Any Irregularities To The Attending Doctor.
survey Date: 10/27/2011
date Of Correction: 12/26/2011 

Deficiency #2 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: 06/05/2009
date Of Correction: 07/17/2009 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
18.5 % (6.59 % lower than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
75.2 % (42.25 % higher than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain 15.9:1 % 
Percent of long-stay high-risk residents with pressure ulcers
1.4 % (11.18 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
8.8 % (3.03 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
78.8 % (34.26 % higher than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.2 % (14.43 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
3.8 % (9.66 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
6.3 % (22.08 % lower 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
24.2 % (0.82 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
91.8 % (7.16 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
92 % (8.06 % higher than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
75.2  (29.3 higher than average)
vs
45.90

Percent of long-stay residents experiencing one or more falls with major injury
3.7 % (11.82 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
18.5 % (6.89 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
75.2 % (51.5 % higher than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
11.3 % (2.8 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
3.5 % (5.72 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
7.5 % (1 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
77.4 % (34.02 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.3 % (9.35 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
7.1 % (2.48 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
6.7 % (13.16 % 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
3.7 % (7.03 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
15.8 % (8.96 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
79.9 % (1.54 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
92.5 % (17.75 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
2.5 % (14.84 % lower than average)
vs
17.34 %



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