Compare with other Nursing Homes USA
Compare
Compare
| BORGESS GARDENS | VS | All other Nursing Homes USA |
| Staff Information | |||||
|---|---|---|---|---|---|
| Number of Residents |
94 (2.62 higher than average)
|
vs |
91.38
|
||
| Number of RN Hours Per Resident Per Day |
1.38 (0.61 higher than average)
|
vs |
0.77
|
||
| Number of LPN/LVN Hours Per Resident Per Day |
0.66 (0.18 lower 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 |
0.18 (5.31 lower than average)
|
vs |
5.49
|
||
| Number Therapy Hours Per Resident Per Day |
0.18 (0.08 higher than average)
|
vs |
0.10
|
||
| Environmental Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Make Sure That The Nursing Home Area Is Safe, Easy To Use, Clean And Comfortable For Residents, Staff And The Public. survey Date: 10/14/2011 date Of Correction: 11/11/2011 |
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| Deficiency #2 |
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: 09/20/2011 date Of Correction: 10/14/2011 |
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| Deficiency #3 |
Scope: Some 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: 01/04/2010 date Of Correction: 01/29/2010 |
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| 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: 06/10/2011 date Of Correction: 07/15/2011 |
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| Deficiency #2 |
Scope: Few level Of Harm: 2 deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property. survey Date: 06/10/2011 date Of Correction: 07/15/2011 |
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| Deficiency #3 |
Scope: Few level Of Harm: 4 deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others. survey Date: 06/10/2011 date Of Correction: 07/15/2011 |
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| Resident Rights Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality. survey Date: 06/10/2011 date Of Correction: 07/15/2011 |
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| Deficiency #2 |
Scope: Few level Of Harm: 4 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: 06/10/2011 date Of Correction: 07/15/2011 |
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| Deficiency #3 |
Scope: Few level Of Harm: 4 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: 08/27/2010 date Of Correction: 11/04/2010 |
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| Deficiency #4 |
Scope: Few level Of Harm: 2 deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident. survey Date: 03/16/2010 date Of Correction: 04/09/2010 |
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| Deficiency #5 |
Scope: Few level Of Harm: 2 deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality. survey Date: 03/16/2010 date Of Correction: 04/09/2010 |
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| Quality Care Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Few level Of Harm: 3 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 11/03/2011 date Of Correction: 12/09/2011 |
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| Deficiency #2 |
Scope: Few level Of Harm: 4 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 06/10/2011 date Of Correction: 07/15/2011 |
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| Deficiency #3 |
Scope: Few level Of Harm: 4 deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality. survey Date: 06/10/2011 date Of Correction: 07/15/2011 |
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| Deficiency #4 |
Scope: Few level Of Harm: 4 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: 08/27/2010 date Of Correction: 11/04/2010 |
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| Deficiency #5 |
Scope: Few level Of Harm: 4 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 08/27/2010 date Of Correction: 11/04/2010 |
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| Deficiency #6 |
Scope: Few level Of Harm: 4 deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality. survey Date: 08/27/2010 date Of Correction: 11/04/2010 |
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| 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: 06/10/2011 date Of Correction: 07/15/2011 |
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| Deficiency #2 |
Scope: Few level Of Harm: 2 deficiency: Make Sure Each Resident Receives An Accurate Assessment By A Qualified Health Professional. survey Date: 03/16/2010 date Of Correction: 04/09/2010 |
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| Administration Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Few level Of Harm: 4 deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident . survey Date: 06/10/2011 date Of Correction: 07/15/2011 |
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| Deficiency #2 |
Scope: Some level Of Harm: 4 deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident . survey Date: 08/27/2010 date Of Correction: 11/04/2010 |
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| Pharmacy Service Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Few level Of Harm: 4 deficiency: Make Sure That Residents Are Safe From Serious Medication Errors. survey Date: 08/27/2010 date Of Correction: 11/04/2010 |
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| Deficiency #2 |
Scope: Some level Of Harm: 2 deficiency: Keep The Rate Of Medication Errors (wrong Drug, Wrong Dose, Wrong Time) To Less Than 5%. survey Date: 08/27/2010 date Of Correction: 11/04/2010 |
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| 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: 10/14/2011 date Of Correction: 11/11/2011 |
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| Quality Measures Q1 | |||||
|---|---|---|---|---|---|
| Percent of long-stay residents who received an antipsychotic medication | 8.1 / 8.8 % | ||||
| Percent of long-stay residents whose need for help with daily activities has increased |
1 % (31.95 % lower than average)
|
vs |
32.95 %
|
||
| Percent of long-stay residents who self-report moderate to severe pain |
21 % (4.34 % higher than average)
|
vs |
16.66 %
|
||
| Percent of long-stay high-risk residents with pressure ulcers |
8.3 % (4.28 % lower than average)
|
vs |
12.58 %
|
||
| Percent of long-stay residents who lose too much weight |
6.3 % (5.53 % lower than average)
|
vs |
11.83 %
|
||
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
37.8 % (6.74 % lower than average)
|
vs |
44.54 %
|
||
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
1.50 % (14.13 % lower than average)
|
vs |
15.63 %
|
||
| Percent of long-stay residents with a urinary tract infection |
3.2 % (10.26 % lower than average)
|
vs |
13.46 %
|
||
| Percent of long-stay residents who have depressive symptoms |
21.9 % (6.48 % 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 |
21.9 % (3.12 % lower than average)
|
vs |
25.02 %
|
||
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
98.2 % (13.56 % higher than average)
|
vs |
84.64 %
|
||
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
98.3 % (14.36 % higher than average)
|
vs |
83.94 %
|
||
| Percent of short-stay residents who newly received an antipsychotic medication |
1 % (44.9 % lower than average)
|
vs |
45.90 %
|
||
| Percent of long-stay residents experiencing one or more falls with major injury |
3.1 % (12.42 % lower than average)
|
vs |
15.52 %
|
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| Quality Measures Q3 | |||||
|---|---|---|---|---|---|
| Percent of long-stay residents who received an antipsychotic medication |
6.3 % (19.09 % lower than average)
|
vs |
25.39 %
|
||
| Percent of long-stay residents whose need for help with daily activities has increased | 2.6 / 3 % | ||||
| Percent of long-stay residents who self-report moderate to severe pain |
17.4 % (3.3 % higher than average)
|
vs |
14.10 %
|
||
| Percent of long-stay high-risk residents with pressure ulcers |
6.3 % (2.92 % lower than average)
|
vs |
9.22 %
|
||
| Percent of long-stay residents who lose too much weight | 10.1:1 % | ||||
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
39.3 % (4.08 % lower than average)
|
vs |
43.38 %
|
||
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
0.5 - 2.0 % (10.15 % lower than average)
|
vs |
10.65 %
|
||
| Percent of long-stay residents with a urinary tract infection | 8.6:1 % | ||||
| Percent of long-stay residents who have depressive symptoms |
19.3 % (0.56 % 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 |
1.50 % (9.23 % lower than average)
|
vs |
10.73 %
|
||
| Percent of short-stay residents who self-report moderate to severe pain |
26.3 (79.3) % (1.54 % higher than average)
|
vs |
24.76 %
|
||
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
98.1 % (16.66 % higher than average)
|
vs |
81.44 %
|
||
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
96 % (21.25 % higher than average)
|
vs |
74.75 %
|
||
| Percent of short-stay residents who newly received an antipsychotic medication |
9.7 % (7.64 % lower than average)
|
vs |
17.34 %
|
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