Compare with other Nursing Homes USA
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BRANDYWINE NURSING & REHABILITATION CENTER | VS | All other Nursing Homes USA |
Staff Information | |||||
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Number of Residents |
160 (68.62 higher than average)
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vs |
91.38
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Number of RN Hours Per Resident Per Day |
0.65 (0.12 lower than average)
|
vs |
0.77
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Number of LPN/LVN Hours Per Resident Per Day |
0.93 (0.09 higher than average)
|
vs |
0.84
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Total Number of Licensed Staff Hours Per Resident Per Day |
1.58 (0.01 lower than average)
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vs |
1.59
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Number of CNA Hours Per Resident Per Day |
0.04 (5.45 lower than average)
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vs |
5.49
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Number Therapy Hours Per Resident Per Day |
0.04 (0.06 lower than average)
|
vs |
0.10
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Environmental Deficiencies | |||||
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Deficiency #1 |
Scope: Few level Of Harm: 3 deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents. survey Date: 02/25/2011 date Of Correction: 05/24/2011 |
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Deficiency #2 |
Scope: Many level Of Harm: 2 deficiency: Make Sure There Is A Pest Control Program To Prevent/deal With Mice, Insects, Or Other Pests. survey Date: 07/23/2009 date Of Correction: 08/25/2009 |
Mistreatment Deficiencies | |||||
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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: 12/21/2011 date Of Correction: 01/30/2012 |
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Deficiency #2 |
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: 02/25/2011 date Of Correction: 05/24/2011 |
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Deficiency #3 |
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: 05/28/2010 date Of Correction: 07/28/2010 |
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Deficiency #4 |
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: 09/09/2009 date Of Correction: 10/15/2009 |
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Deficiency #5 |
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: 07/23/2009 date Of Correction: 08/25/2009 |
Resident Rights Deficiencies | |||||
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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: 12/21/2011 date Of Correction: 01/30/2012 |
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Deficiency #2 |
Scope: Some level Of Harm: 1 deficiency: Limit The Charges Against The Personal Funds Of A Resident For Items Or Services For Which Payment Is Made Under Medicare Or Medicaid. survey Date: 12/21/2011 date Of Correction: 01/30/2012 |
Quality Care Deficiencies | |||||
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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: 12/21/2011 date Of Correction: 01/30/2012 |
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Deficiency #2 |
Scope: Few level Of Harm: 3 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 12/21/2011 date Of Correction: 01/30/2012 |
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Deficiency #3 |
Scope: Few level Of Harm: 2 deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality. survey Date: 12/21/2011 date Of Correction: 01/30/2012 |
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Deficiency #4 |
Scope: Few level Of Harm: 2 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 05/28/2010 date Of Correction: 07/28/2010 |
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Deficiency #5 |
Scope: Few level Of Harm: 2 deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores. survey Date: 10/15/2009 date Of Correction: 11/24/2009 |
Resident Assessment Deficiencies | |||||
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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: 12/21/2011 date Of Correction: 01/30/2012 |
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Deficiency #2 |
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: 10/15/2009 date Of Correction: 11/24/2009 |
Administration Deficiencies | |||||
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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: 12/21/2011 date Of Correction: 01/30/2012 |
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Deficiency #2 |
Scope: Few level Of Harm: 2 deficiency: Choose A Doctor To Serve As The Medical Director To Create Resident Care Policies And Coordinate Medical Care In The Facility. survey Date: 12/21/2011 date Of Correction: 01/30/2012 |
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Deficiency #3 |
Scope: Few level Of Harm: 2 deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards. survey Date: 02/25/2011 date Of Correction: 05/24/2011 |
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Deficiency #4 |
Scope: Few level Of Harm: 2 deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards. survey Date: 05/28/2010 date Of Correction: 07/28/2010 |
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Deficiency #5 |
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: 05/28/2010 date Of Correction: 07/28/2010 |
Pharmacy Service Deficiencies | |||||
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Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Make Sure That Residents Are Safe From Serious Medication Errors. survey Date: 05/28/2010 date Of Correction: 07/28/2010 |
Quality Measures Q1 | |||||
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Percent of long-stay residents who received an antipsychotic medication |
29.9 % (4.81 % higher than average)
|
vs |
25.09 %
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Percent of long-stay residents whose need for help with daily activities has increased |
3.3 % (29.65 % lower than average)
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vs |
32.95 %
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Percent of long-stay residents who self-report moderate to severe pain |
7.2 % (9.46 % lower than average)
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vs |
16.66 %
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Percent of long-stay high-risk residents with pressure ulcers |
4.4 % (8.18 % lower than average)
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vs |
12.58 %
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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 |
48.4 % (3.86 % higher than average)
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vs |
44.54 %
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Percent of long-stay residents who have had a catheter inserted and left in their bladder |
3 % (12.63 % lower than average)
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vs |
15.63 %
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Percent of long-stay residents with a urinary tract infection |
11 % (2.46 % lower than average)
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vs |
13.46 %
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Percent of long-stay residents who have depressive symptoms |
6.4 % (21.98 % lower than average)
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vs |
28.38 %
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Percent of long-stay residents who were physically restrained |
75.2 % (31.52 % higher than average)
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vs |
43.68 %
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Percent of short-stay residents who self-report moderate to severe pain |
4 % (21.02 % lower than average)
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vs |
25.02 %
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Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
100 % (15.36 % higher than average)
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vs |
84.64 %
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Percent of short-stay residents with Pressure ulcers that are new or worsened |
100 % (16.06 % higher than average)
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vs |
83.94 %
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Percent of short-stay residents who newly received an antipsychotic medication |
75.2 (29.3 higher than average)
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vs |
45.90
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Percent of long-stay residents experiencing one or more falls with major injury |
1.9 % (13.62 % lower than average)
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vs |
15.52 %
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Quality Measures Q3 | |||||
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Percent of long-stay residents who received an antipsychotic medication |
29.3 % (3.91 % higher than average)
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vs |
25.39 %
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Percent of long-stay residents whose need for help with daily activities has increased |
3.2 % (20.5 % lower than average)
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vs |
23.70 %
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Percent of long-stay residents who self-report moderate to severe pain |
6.3 % (7.8 % lower than average)
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vs |
14.10 %
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Percent of long-stay high-risk residents with pressure ulcers |
4.4 % (4.82 % lower than average)
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vs |
9.22 %
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Percent of long-stay residents who lose too much weight |
3.9 % (4.6 % lower than average)
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vs |
8.50 %
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Percent of long-stay low-risk residents who lose control of their bowels or bladder |
45.7 % (2.32 % higher than average)
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vs |
43.38 %
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Percent of long-stay residents who have had a catheter inserted and left in their bladder | 2.6 / 3 % | ||||
Percent of long-stay residents with a urinary tract infection |
11 % (1.42 % higher than average)
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vs |
9.58 %
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Percent of long-stay residents who have depressive symptoms |
7.8 % (12.06 % lower than average)
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vs |
19.86 %
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Percent of long-stay residents who were physically restrained |
75.2 % (36.67 % higher than average)
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vs |
38.53 %
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Percent of long-stay residents experiencing one or more falls with major injury |
3 % (7.73 % lower than average)
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vs |
10.73 %
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Percent of short-stay residents who self-report moderate to severe pain |
11.3 % (13.46 % lower than average)
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vs |
24.76 %
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Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
96.2 % (14.76 % higher than average)
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vs |
81.44 %
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Percent of short-stay residents with Pressure ulcers that are new or worsened |
99.3 % (24.55 % higher than average)
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vs |
74.75 %
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Percent of short-stay residents who newly received an antipsychotic medication |
6.8 % (10.54 % lower than average)
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vs |
17.34 %
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