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BURNSIDES COMMUNITY HEALTH CTR

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BURNSIDES COMMUNITY HEALTH CTR VS
All other Nursing Homes USA
General
City MARSHALL   vs 0.1% Nursing Homes USA have MARSHALL
State attribute explanation IL   vs 5% Nursing Homes USA have IL
Street 410 NORTH SECOND STREET  
Zip Code 62441  
Phone 2178262358  
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
(0.17 lower than average)
vs
3.17

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

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

Number of Certified Beds
105  (3.94 lower than average)
vs
108.94

Total Number of Residents
86  (5.25 lower than average)
vs
91.25

Percent of Occupied Beds
82 % (1.65 % lower than average)
vs
83.65 %

Health Survey Date 8/26/2011  
Fire Survey Date 9/13/2011  
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 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
(4.48 lower than average)
vs
7.48

Staff Information
Number of Residents
86  (5.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.44  (0.33 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.64  (0.2 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.08  (0.51 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.01  (5.48 lower than average)
vs
5.49

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

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: 12/22/2009
date Of Correction: 01/19/2010 

Resident Assessment Deficiencies
Deficiency #1 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: 05/19/2010
date Of Correction: 06/16/2010 

Administration Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Employ Qualified Full-time, Part-time Or Consultant Professionals That Must Be Licensed, Certified, Or Registered Staff To Give Needed Services.
survey Date: 12/22/2009
date Of Correction: 12/23/2009 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
16.9-24 % (8.19 % lower than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
1.7 % (31.25 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
22.6 % (5.94 % higher than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
10.5 % (2.08 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
5.8 % (6.03 % lower than average)
vs
11.83 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.7 % (13.93 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection 15.9:1 % 
Percent of long-stay residents who have depressive symptoms
12.9 (55.2) % (15.48 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained 5.6:1 % 
Percent of short-stay residents who self-report moderate to severe pain
25 % (0.02 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
96.3 % (11.66 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
96.4 % (12.46 % higher than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication 2.6 / 3 % 
Percent of long-stay residents experiencing one or more falls with major injury
7 % (8.52 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
14.4 % (10.99 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
6.2 % (17.5 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
29.1 % (15 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
10.9 % (1.68 % higher than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
7.6 % (0.9 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
40.4 % (2.98 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.3 % (6.35 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
12.4-2413.6-24 % (2.82 % higher than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
10.8 % (9.06 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
6.6 % (31.93 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
7.4 % (3.33 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
19.6 % (5.16 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
96 % (14.56 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
96.4 % (21.65 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
14.9-28 % (2.44 % lower than average)
vs
17.34 %



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