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BROOKHAVEN HEALTH AND REHABILITATION

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BROOKHAVEN HEALTH AND REHABILITATION VS
All other Nursing Homes USA
General
City SPRINGFIELD   vs 0.3% Nursing Homes USA have SPRINGFIELD
State attribute explanation MO   vs 3.2% Nursing Homes USA have MO
Street 3405 WEST MT VERNON  
Zip Code 65802  
Phone 4178749600  
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
90  (18.94 lower than average)
vs
108.94

Total Number of Residents
69  (22.25 lower than average)
vs
91.25

Percent of Occupied Beds
77 % (6.65 % lower than average)
vs
83.65 %

Health Survey Date 1/20/2012  
Fire Survey Date 1/20/2012  
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 For Profit - Corporation  vs 56.7% Nursing Homes USA have For 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
(57.16 lower than average)
vs
58.16

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

# of deficiencies
(3.48 lower than average)
vs
7.48

Staff Information
Number of Residents
69  (22.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.41  (0.36 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
1.29  (0.45 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.7  (0.11 higher than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.08  (5.41 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.08  (0.02 lower than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 04/05/2011
date Of Correction: 05/20/2011 

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: 04/05/2011
date Of Correction: 05/03/2011 

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: 04/05/2011
date Of Correction: 05/06/2011 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 04/05/2011
date Of Correction: 05/06/2011 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
35.8 % (10.71 % higher 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 high-risk residents with pressure ulcers 19.4:1 % 
Percent of long-stay residents who lose too much weight
9.8 % (2.03 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
53.1 % (8.56 % higher than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
2.3 % (13.33 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
31.4 (88.5) % (17.94 % higher than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
1.8 % (26.58 % 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
28.6 % (3.58 % higher than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
88.3 % (3.66 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
93.8 % (9.86 % higher than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
8.3 % (37.6 % lower than average)
vs
45.90 %

Percent of long-stay residents experiencing one or more falls with major injury
5.4 % (10.12 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
36.7 % (11.31 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
0.7 % (23 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
19.3 % (5.2 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
18.8 % (9.58 % higher than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
16.5 % (8 % higher than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
38 % (5.38 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
2.4 % (8.25 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
28.1 % (18.52 % higher than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
2.8 % (17.06 % 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
6.1 % (4.63 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
27.6 % (2.84 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
78.2 % (3.24 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
97.9 % (23.15 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
3.1 % (14.24 % lower than average)
vs
17.34 %



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