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BETHESDA HOME & RETIREMENT CTR

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BETHESDA HOME & RETIREMENT CTR VS
All other Nursing Homes USA
General
City Chicago  vs 0.6% Nursing Homes USA have Chicago
State attribute explanation IL   vs 5% Nursing Homes USA have IL
Street 2833 NORTH NORDICA AVENUE  
Zip Code 60634  
Phone 7736226144  
Overall Star Rating
(0.89 higher than average)
vs
3.11

Health Inspections Star Rating
(0.17 higher than average)
vs
2.83

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

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

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

Number of Certified Beds
86  (22.94 lower than average)
vs
108.94

Total Number of Residents
35  (56.25 lower than average)
vs
91.25

Percent of Occupied Beds
41 % (42.65 % lower than average)
vs
83.65 %

Health Survey Date 7/1/2011  
Fire Survey Date 6/29/2011  
Sprinkler Status Partially Sprinklered  vs 8.5% Nursing Homes USA have Partially 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? 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
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
(6.48 lower than average)
vs
7.48

Staff Information
Number of Residents
35  (56.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.91  (0.14 higher than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.73  (0.11 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.64  (0.05 higher than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.16  (5.33 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.16  (0.06 higher than average)
vs
0.10

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 08/05/2010
date Of Correction: 08/26/2010 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
31.4 (88.5) % (6.31 % higher than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
3.5 % (29.45 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
4.6 % (12.06 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
31.3 % (18.72 % higher than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
10.4 % (1.43 % lower than average)
vs
11.83 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
2 % (13.63 % 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
75.2 % (46.82 % higher than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
8 % (35.68 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
16.2 % (8.82 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
90.2 % (5.56 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
78 % (5.94 % lower 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 % (11.52 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
24.4 % (0.99 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
2.3 % (21.4 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
2.7 % (11.4 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
21.6 % (12.38 % higher than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight 8.9 / 9.9 % 
Percent of long-stay low-risk residents who lose control of their bowels or bladder
39.5 % (3.88 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
5.2 % (5.45 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
75.2 % (65.62 % higher than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
0.9 % (18.96 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained 12.6:1 % 
Percent of long-stay residents experiencing one or more falls with major injury
3.4 % (7.33 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
10.8 % (13.96 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
79.1 % (2.34 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
65 % (9.75 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
75.2 % (57.86 % higher than average)
vs
17.34 %



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