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BELMONT NUR REHAB CTR

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BELMONT NUR REHAB CTR VS
All other Nursing Homes USA
General
City MADISON   vs 0.2% Nursing Homes USA have MADISON
State attribute explanation WI   vs 2.5% Nursing Homes USA have WI
Street 110 BELMONT RD  
Zip Code 53714  
Phone 6082497391  
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
(2.17 lower than average)
vs
3.17

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

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

Number of Certified Beds
90  (18.94 lower than average)
vs
108.94

Total Number of Residents
81  (10.25 lower than average)
vs
91.25

Percent of Occupied Beds
90 % (6.35 % higher than average)
vs
83.65 %

Health Survey Date 3/12/2012  
Fire Survey Date 2/28/2012  
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
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? 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? 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
(57.16 lower than average)
vs
58.16

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

# of deficiencies
16  (8.52 higher than average)
vs
7.48

Staff Information
Number of Residents
81  (10.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.52  (0.25 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.8  (0.04 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.31  (0.28 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.1  (5.39 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.1  (equals average)
vs
0.10

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: 07/01/2010
date Of Correction: 07/21/2010 

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: 01/19/2011
date Of Correction: 02/16/2011 

Deficiency #2 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: 09/16/2009
date Of Correction: 10/16/2009 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Residents Receive Proper Treatment And Assistive Devices To Maintain Their Vision And Hearing.
survey Date: 11/02/2011
date Of Correction: 11/21/2011 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Have Enough Nurses To Care For Every Resident In A Way That Maximizes The Resident's Well Being.
survey Date: 08/03/2011
date Of Correction: 08/31/2011 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 08/03/2011
date Of Correction: 08/31/2011 

Deficiency #4 Scope: Some
level Of Harm: 2
deficiency: Provide Activities To Meet The Interests And Needs Of Each Resident.
survey Date: 08/03/2011
date Of Correction: 08/31/2011 

Deficiency #5 Scope: Few
level Of Harm: 3
deficiency: Give Each Resident Enough Fluids To Keep Them Healthy And Prevent Dehydration.
survey Date: 01/19/2011
date Of Correction: 02/16/2011 

Deficiency #6 Scope: Few
level Of Harm: 3
deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So.
survey Date: 01/19/2011
date Of Correction: 02/16/2011 

Deficiency #7 Scope: Few
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 09/16/2009
date Of Correction: 10/16/2009 

Deficiency #8 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 09/16/2009
date Of Correction: 10/16/2009 

Resident Assessment Deficiencies
Deficiency #1 Scope: Few
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: 09/16/2009
date Of Correction: 10/16/2009 

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: 11/02/2011
date Of Correction: 11/21/2011 

Pharmacy Service Deficiencies
Deficiency #1 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: 07/01/2010
date Of Correction: 07/21/2010 

Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.
survey Date: 08/03/2011
date Of Correction: 08/31/2011 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Prepare Food That Is Nutritional, Appetizing, Tasty, Attractive, Well-cooked, And At The Right Temperature.
survey Date: 08/03/2011
date Of Correction: 08/31/2011 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
15 % (10.09 % lower than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
2 % (30.95 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
3.6 % (13.06 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
4.2 % (8.38 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
1.50 % (10.33 % lower than average)
vs
11.83 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.8 % (13.83 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
1.4 % (12.06 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
3.2 % (25.18 % 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
29.2 % (4.18 % higher than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
93.9 % (9.26 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
92.6 % (8.66 % higher than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
3.7 % (42.2 % lower than average)
vs
45.90 %

Percent of long-stay residents experiencing one or more falls with major injury
2.8 % (12.72 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
19.9 % (5.49 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
1.8 % (21.9 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
5.7 % (8.4 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
4.4 % (4.82 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight 2.6 / 3 % 
Percent of long-stay low-risk residents who lose control of their bowels or bladder
25.7 % (17.68 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.4 % (7.25 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
2 % (7.58 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
6.1 % (13.76 % 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
1.9 % (8.83 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
39.5 % (14.74 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
94.3 % (12.86 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
90 % (15.25 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication 18.1:1 % 


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