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BERWICK RETIREMENT VILLAGE NRS

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BERWICK RETIREMENT VILLAGE NRS VS
All other Nursing Homes USA
General
City BERWICK   vs 0% Nursing Homes USA have BERWICK
State attribute explanation PA   vs 4.5% Nursing Homes USA have PA
Street 801 EAST 16TH STREET  
Zip Code 18603  
Phone 5707595400  
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
(1.31 lower than average)
vs
3.31

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

Number of Certified Beds
240  (131.06 higher than average)
vs
108.94

Total Number of Residents
176  (84.75 higher than average)
vs
91.25

Percent of Occupied Beds
73 % (10.65 % lower than average)
vs
83.65 %

Health Survey Date 8/5/2011  
Fire Survey Date 8/19/2011  
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? Yes  vs 6.4% Nursing Homes USA 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
(56.16 lower than average)
vs
58.16

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

# of deficiencies
13  (5.52 higher than average)
vs
7.48

Staff Information
Number of Residents
175  (83.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.66  (0.11 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.69  (0.15 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.34  (0.25 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.09  (5.4 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.09  (0.01 lower than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 03/29/2011
date Of Correction: 04/19/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 10/14/2009
date Of Correction: 12/14/2009 

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: 05/10/2012
date Of Correction: 06/22/2012 

Resident Rights Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Try To Resolve Each Resident's Complaints Quickly.
survey Date: 09/02/2010
date Of Correction: 10/26/2010 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Tell The Resident Completely About His Or Her Health Status, Care And Treatments.
survey Date: 09/02/2010
date Of Correction: 10/26/2010 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Honor All Of The Resident's Rights As A Resident Of The Nursing Home, Free Of Coercion And Reprisal, And As A Citizen Or Resident Of The United States.
survey Date: 03/01/2010
date Of Correction: 04/15/2010 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Residents With Reduced Range Of Motion Get Proper Treatment And Services To Increase Range Of Motion.
survey Date: 08/05/2011
date Of Correction: 09/20/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 08/05/2011
date Of Correction: 09/20/2011 

Deficiency #3 Scope: Few
level Of Harm: 3
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 02/28/2011
date Of Correction: 04/19/2011 

Deficiency #4 Scope: Some
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: 03/01/2010
date Of Correction: 04/15/2010 

Deficiency #5 Scope: Some
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 10/14/2009
date Of Correction: 12/14/2009 

Resident Assessment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan.
survey Date: 03/01/2010
date Of Correction: 04/15/2010 

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: 08/05/2011
date Of Correction: 09/20/2011 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
29.7 % (4.61 % higher than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
6.5 % (26.45 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
9.3 % (7.36 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
16.4 % (3.82 % higher than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
8.5 % (3.33 % lower than average)
vs
11.83 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
2.20 % (13.43 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
75.2 % (61.74 % higher than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
5.8 % (22.58 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
2.7 % (40.98 % lower than average)
vs
43.68 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
73.9 % (10.74 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
87.5 % (3.56 % 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
4.1 % (11.42 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
31 % (5.61 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
8.7 % (15 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
15.4 % (1.3 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
16.4 % (7.18 % higher than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
6.4 % (2.1 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
43.9 % (0.52 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
2.7 % (7.95 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
2.9 % (6.68 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
6.5 % (13.36 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
2.9 % (35.63 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
4.3 % (6.43 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
14 % (10.76 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
73.1 % (8.34 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
93.2 % (18.45 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
2.20 % (15.14 % lower than average)
vs
17.34 %



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