CADIA REHABILITATION CAPITOL

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General
City	Dover	vs	0.1% Nursing Homes USA have Dover
State attribute explanation	DE	vs	0.3% Nursing Homes USA have DE	compare DE Nursing Homes USA
Street	1225 WALKER ROAD
Zip Code	19901
Phone	3027341199
Overall Star Rating	4 (0.89 higher than average)	vs	3.11	Compare similar Overall Star Rating (4)
Health Inspections Star Rating	3 (0.17 higher than average)	vs	2.83	Compare similar Health Inspections Star Rating (3)
Nurse Staffing Star Rating	4 (0.83 higher than average)	vs	3.17	Compare similar Nurse Staffing Star Rating (4)
Quality Measures Star Rating	4 (0.69 higher than average)	vs	3.31	Compare similar Quality Measures Star Rating (4)
RN Only Star Rating	3 (0.17 lower than average)	vs	3.17	Compare similar RN Only Star Rating (3)
Number of Certified Beds	120 (11.06 higher than average)	vs	108.94	Compare similar Number of Certified Beds (120)
Total Number of Residents	109 (17.75 higher than average)	vs	91.25	Compare similar Total Number of Residents (109)
Percent of Occupied Beds	91 % (7.35 % higher than average)	vs	83.65 %	Compare similar Percent of Occupied Beds (91) %
Health Survey Date	5/18/2011
Fire Survey Date	5/19/2011
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	compare Medicare and Medicaid Nursing Homes USA
Type of Ownership	For Profit - Corporation	vs	56.7% Nursing Homes USA have For profit - Corporation	compare For profit - Corporation Nursing Homes USA
Located Within a Hospital?	No	vs	93.6% Nursing Homes USA don't have Located Within a Hospital?	Compare similar don't have Located Within a Hospital?
Multi Nursing Home Ownership?	Yes	vs	54.9% Nursing Homes USA 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?	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	37

Staff Information
Number of Residents	111 (19.62 higher than average)	vs	91.38
Number of RN Hours Per Resident Per Day	0.62 (0.15 lower than average)	vs	0.77
Number of LPN/LVN Hours Per Resident Per Day	0.87 (0.03 higher than average)	vs	0.84
Total Number of Licensed Staff Hours Per Resident Per Day	1.50 (0.09 lower than average)	vs	1.59
Number of CNA Hours Per Resident Per Day	0.09 (5.4 lower than average)	vs	5.49
Number Therapy Hours Per Resident Per Day	0.09 (0.01 lower 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: 01/11/2011 date Of Correction: 03/26/2011
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: 12/02/2009 date Of Correction: 02/01/2010

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: 11/30/2011 date Of Correction: 01/31/2012
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: 04/25/2011 date Of Correction: 06/30/2011
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: 09/30/2010 date Of Correction: 11/30/2010
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: 12/02/2009 date Of Correction: 02/01/2010

Resident Rights Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: Try To Resolve Each Resident's Complaints Quickly. survey Date: 09/30/2010 date Of Correction: 11/30/2010
Deficiency #2		Scope: Few level Of Harm: 2 deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident. survey Date: 12/02/2009 date Of Correction: 02/01/2010
Deficiency #3		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: 12/02/2009 date Of Correction: 02/01/2010
Deficiency #4		Scope: Some level Of Harm: 1 deficiency: Provide Access To A Telephone For Resident To Use In Private. survey Date: 12/02/2009 date Of Correction: 02/01/2010
Deficiency #5		Scope: Few level Of Harm: 2 deficiency: Try To Resolve Each Resident's Complaints Quickly. survey Date: 12/02/2009 date Of Correction: 02/01/2010
Deficiency #6		Scope: Few level Of Harm: 2 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: 12/02/2009 date Of Correction: 02/01/2010

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: 11/30/2011 date Of Correction: 01/31/2012
Deficiency #2		Scope: Few level Of Harm: 2 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 07/20/2011 date Of Correction: 09/07/2011
Deficiency #3		Scope: Few level Of Harm: 2 deficiency: Provide Medically-related Social Services To Help Each Resident Achieve The Highest Possible Quality Of Life. survey Date: 04/25/2011 date Of Correction: 06/30/2011
Deficiency #4		Scope: Few level Of Harm: 2 deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores. survey Date: 01/11/2011 date Of Correction: 03/26/2011
Deficiency #5		Scope: Few level Of Harm: 2 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 01/11/2011 date Of Correction: 03/26/2011
Deficiency #6		Scope: Few level Of Harm: 2 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 09/30/2010 date Of Correction: 11/30/2010
Deficiency #7		Scope: Few level Of Harm: 2 deficiency: Give The Right Treatment And Services To Residents Who Have Mental Or Psychosocial Problems Adjusting. survey Date: 05/17/2010 date Of Correction: 09/15/2010
Deficiency #8		Scope: Few level Of Harm: 2 deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene. survey Date: 05/17/2010 date Of Correction: 07/09/2010
Deficiency #9		Scope: Few level Of Harm: 2 deficiency: Make Sure That Residents Receive Treatment/services To Not Only Continue, But Improve The Ability To Care For Themselves. survey Date: 05/17/2010 date Of Correction: 07/09/2010
Deficiency #10		Scope: Few level Of Harm: 3 deficiency: Give Each Resident Enough Fluids To Keep Them Healthy And Prevent Dehydration. survey Date: 12/02/2009 date Of Correction: 02/01/2010
Deficiency #11		Scope: Few level Of Harm: 2 deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores. survey Date: 12/02/2009 date Of Correction: 02/01/2010
Deficiency #12		Scope: Few level Of Harm: 2 deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene. survey Date: 12/02/2009 date Of Correction: 02/01/2010
Deficiency #13		Scope: Few level Of Harm: 2 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 12/02/2009 date Of Correction: 02/01/2010
Deficiency #14		Scope: Few level Of Harm: 2 deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality. survey Date: 12/02/2009 date Of Correction: 02/01/2010

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: 01/11/2011 date Of Correction: 03/26/2011
Deficiency #2		Scope: Few level Of Harm: 2 deficiency: Make Sure Each Resident Receives An Accurate Assessment By A Qualified Health Professional. survey Date: 01/11/2011 date Of Correction: 03/26/2011
Deficiency #3		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: 05/17/2010 date Of Correction: 07/09/2010
Deficiency #4		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: 12/02/2009 date Of Correction: 02/01/2010
Deficiency #5		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: 12/02/2009 date Of Correction: 02/01/2010

Administration Deficiencies
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: 01/11/2011 date Of Correction: 03/26/2011
Deficiency #2		Scope: Few level Of Harm: 2 deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards. survey Date: 05/17/2010 date Of Correction: 07/09/2010

Pharmacy Service Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: Make Sure That Residents Are Safe From Serious Medication Errors. survey Date: 05/17/2010 date Of Correction: 07/09/2010
Deficiency #2		Scope: Few level Of Harm: 2 deficiency: At Least Once A Month, Have A Licensed Pharmacist Review Each Resident's Medication(s) And Report Any Irregularities To The Attending Doctor. survey Date: 12/02/2009 date Of Correction: 02/01/2010
Deficiency #3		Scope: Some 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: 12/02/2009 date Of Correction: 02/01/2010

Nutrition and Dietary Deficiencies
Deficiency #1		Scope: Some level Of Harm: 2 deficiency: Store, Cook, And Serve Food In A Safe And Clean Way. survey Date: 12/02/2009 date Of Correction: 02/01/2010

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication	23.6 % (1.49 % lower than average)	vs	25.09 %
Percent of long-stay residents whose need for help with daily activities has increased	0.4 % (32.55 % lower than average)	vs	32.95 %
Percent of long-stay residents who self-report moderate to severe pain	1.50 % (15.16 % lower than average)	vs	16.66 %
Percent of long-stay high-risk residents with pressure ulcers	5.6:1 %
Percent of long-stay residents who lose too much weight	75.2 % (63.37 % higher than average)	vs	11.83 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder	2.4 % (13.23 % lower than average)	vs	15.63 %
Percent of long-stay residents with a urinary tract infection	2.3 % (11.16 % lower than average)	vs	13.46 %
Percent of long-stay residents who have depressive symptoms	2.20 % (26.18 % lower than average)	vs	28.38 %
Percent of long-stay residents who were physically restrained	1.1 % (42.58 % lower than average)	vs	43.68 %
Percent of short-stay residents who self-report moderate to severe pain	7.6 % (17.42 % lower than average)	vs	25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine	100 % (15.36 % higher than average)	vs	84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened	99.5 % (15.56 % higher than average)	vs	83.94 %
Percent of short-stay residents who newly received an antipsychotic medication	4.7 % (41.2 % lower than average)	vs	45.90 %
Percent of long-stay residents experiencing one or more falls with major injury	3.4 % (12.12 % lower than average)	vs	15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication	23.7 (74.7) % (1.69 % lower than average)	vs	25.39 %
Percent of long-stay residents whose need for help with daily activities has increased	0.2 % (23.5 % lower than average)	vs	23.70 %
Percent of long-stay residents who self-report moderate to severe pain	1.4 % (12.7 % lower than average)	vs	14.10 %
Percent of long-stay high-risk residents with pressure ulcers	5.8 % (3.42 % lower than average)	vs	9.22 %
Percent of long-stay residents who lose too much weight	2.9 % (5.6 % lower than average)	vs	8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder	23.5 % (19.88 % lower than average)	vs	43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder	2.3 % (8.35 % lower than average)	vs	10.65 %
Percent of long-stay residents with a urinary tract infection	7.5 % (2.08 % lower than average)	vs	9.58 %
Percent of long-stay residents who have depressive symptoms	2.7 % (17.16 % lower than average)	vs	19.86 %
Percent of long-stay residents who were physically restrained	1.1 % (37.43 % lower than average)	vs	38.53 %
Percent of long-stay residents experiencing one or more falls with major injury	4.5 % (6.23 % lower than average)	vs	10.73 %
Percent of short-stay residents who self-report moderate to severe pain	8.3 % (16.46 % lower than average)	vs	24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine	98.6 % (17.16 % higher than average)	vs	81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened	98.5 % (23.75 % higher than average)	vs	74.75 %
Percent of short-stay residents who newly received an antipsychotic medication	28.6 % (11.26 % higher than average)	vs	17.34 %