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CADBURY AT LEWES

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CADBURY AT LEWES VS
All other Nursing Homes USA
General
City Lewes  vs 0% Nursing Homes USA have Lewes
State attribute explanation DE   vs 0.3% Nursing Homes USA have DE
Street 17028 CADBURY CIRCLE  
Zip Code 19958  
Phone 3026456400  
Overall Star Rating
(1.89 higher than average)
vs
3.11

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

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

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

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

Number of Certified Beds
40  (68.94 lower than average)
vs
108.94

Total Number of Residents
33  (58.25 lower than average)
vs
91.25

Percent of Occupied Beds
83 % (0.65 % lower than average)
vs
83.65 %

Health Survey Date 6/15/2011  
Fire Survey Date 6/20/2011  
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 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? Yes  vs 9.1% Nursing Homes USA have Continuing Care Retirement Community?
Quality Indicator Survey? Yes  vs 31.3% Nursing Homes USA 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 7  
Staff Information
Number of Residents
33  (58.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
1.64  (0.87 higher 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
2.94  (1.35 higher than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.35  (5.14 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.35  (0.25 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 Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 06/25/2010
date Of Correction: 08/26/2010 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 06/25/2010
date Of Correction: 08/26/2010 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 06/25/2010
date Of Correction: 08/26/2010 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 09/02/2009
date Of Correction: 09/17/2009 

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: 06/25/2010
date Of Correction: 08/26/2010 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: 1) Make Sure That Each Resident's Drug Regimen Is Free From Unnecessary Drugs; 2) Each Resident's Entire Drug/medication Is Managed And Monitored To Achieve Highest Well Being.
survey Date: 05/21/2012
date Of Correction: 08/01/2012 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.
survey Date: 09/02/2009
date Of Correction: 09/17/2009 

Quality Measures Q1
Percent of long-stay residents whose need for help with daily activities has increased
75.2 % (42.25 % higher than average)
vs
32.95 %

Percent of short-stay residents who self-report moderate to severe pain 12.3:1 % 
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
95.1 % (10.46 % 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
75.2 % (29.3 % higher than average)
vs
45.90 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
15.1 % (10.29 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
75.2 % (51.5 % higher than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
11.9 % (2.2 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
1.8 % (7.42 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
4.4 % (4.1 % lower than average)
vs
8.50 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.8 % (5.85 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection 19.1:1 % 
Percent of long-stay residents who have depressive symptoms 18.1:1 % 
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
11.1 % (0.37 % higher than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
16.5 % (8.26 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
96.9 % (15.46 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
97.4 % (22.65 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
34.5 % (17.16 % higher than average)
vs
17.34 %



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