Compare with other Nursing Homes USA
Compare
Compare
| CAMBRIA CARE CENTER | VS | All other Nursing Homes USA |
| Staff Information | |||||
|---|---|---|---|---|---|
| Number of Residents |
242 (150.62 higher than average)
|
vs |
91.38
|
||
| Number of RN Hours Per Resident Per Day |
0.76 (0.01 lower than average)
|
vs |
0.77
|
||
| Number of LPN/LVN Hours Per Resident Per Day |
1.21 (0.37 higher than average)
|
vs |
0.84
|
||
| Total Number of Licensed Staff Hours Per Resident Per Day |
1.97 (0.38 higher than average)
|
vs |
1.59
|
||
| Number of CNA Hours Per Resident Per Day |
0.02 (5.47 lower than average)
|
vs |
5.49
|
||
| Number Therapy Hours Per Resident Per Day |
0.02 (0.08 lower than average)
|
vs |
0.10
|
||
| Environmental Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Some level Of Harm: 4 deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents. survey Date: 03/04/2011 date Of Correction: 06/20/2011 |
||||
| Deficiency #2 |
Scope: Some level Of Harm: 1 deficiency: Make Sure That The Nursing Home Area Is Safe, Easy To Use, Clean And Comfortable For Residents, Staff And The Public. survey Date: 03/26/2010 date Of Correction: 05/20/2010 |
||||
| Deficiency #3 |
Scope: Some level Of Harm: 1 deficiency: Make Sure That The Nursing Home Area Is Safe, Easy To Use, Clean And Comfortable For Residents, Staff And The Public. survey Date: 11/09/2009 date Of Correction: 01/19/2010 |
||||
| Deficiency #4 |
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: 08/06/2009 date Of Correction: 08/25/2009 |
||||
| Mistreatment Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Some 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: 03/04/2011 date Of Correction: 06/20/2011 |
||||
| Resident Rights Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Some level Of Harm: 1 deficiency: Provide Written Records When A Resident Is Transferred Or Discharged. survey Date: 04/12/2011 date Of Correction: 06/20/2011 |
||||
| Deficiency #2 |
Scope: Some level Of Harm: 2 deficiency: Notify The Resident Or Provide Reasons For A Transfer Or Discharge. survey Date: 04/12/2011 date Of Correction: 06/20/2011 |
||||
| Deficiency #3 |
Scope: Some level Of Harm: 1 deficiency: Tell The Resident Or The Resident's Representative In Writing How Long The Nursing Home Will Hold The Resident's Bed. survey Date: 03/23/2011 date Of Correction: 06/20/2011 |
||||
| Deficiency #4 |
Scope: Some level Of Harm: 1 deficiency: Provide Enough Notice Before Discharging Or Transferring A Resident. survey Date: 03/23/2011 date Of Correction: 06/20/2011 |
||||
| Deficiency #5 |
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: 01/11/2011 date Of Correction: 06/20/2011 |
||||
| Deficiency #6 |
Scope: Some level Of Harm: 1 deficiency: Let The Resident Or The Resident's Legal Representative The Right To Access Or Purchase Copies Of All Records. survey Date: 01/11/2011 date Of Correction: 06/20/2011 |
||||
| Deficiency #7 |
Scope: Some level Of Harm: 1 deficiency: Give The Resident's Representative The Ability To Exercise The Resident's Rights. survey Date: 11/10/2010 date Of Correction: 12/14/2010 |
||||
| Deficiency #8 |
Scope: Some level Of Harm: 1 deficiency: Make Sure Each Resident Has The Right To Have A Choice Over Activities, Their Schedules And Health Care According To His Or Her Interests, Assessment, And Plan Of Care. survey Date: 09/28/2010 date Of Correction: 10/26/2010 |
||||
| Deficiency #9 |
Scope: Few level Of Harm: 2 deficiency: Use Equal Practices About Transfer, Discharge And Providing Services For All Residents, Regardless Of Payment Source. survey Date: 09/28/2010 date Of Correction: 10/26/2010 |
||||
| Deficiency #10 |
Scope: Few level Of Harm: 2 deficiency: Establish And Follow A Written Policy That Permits A Resident To Return To The Nursing Home After Hospitalization. survey Date: 09/28/2010 date Of Correction: 10/26/2010 |
||||
| Deficiency #11 |
Scope: Some level Of Harm: 1 deficiency: Tell The Resident Or The Resident's Representative In Writing How Long The Nursing Home Will Hold The Resident's Bed. survey Date: 09/28/2010 date Of Correction: 10/26/2010 |
||||
| Deficiency #12 |
Scope: Few level Of Harm: 2 deficiency: Notify The Resident Or Provide Reasons For A Transfer Or Discharge. survey Date: 09/17/2010 date Of Correction: 10/26/2010 |
||||
| Deficiency #13 |
Scope: Some level Of Harm: 1 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: 09/17/2010 date Of Correction: 10/26/2010 |
||||
| Deficiency #14 |
Scope: Some level Of Harm: 1 deficiency: Make Sure Each Resident Has The Right To Have A Choice Over Activities, Their Schedules And Health Care According To His Or Her Interests, Assessment, And Plan Of Care. survey Date: 04/06/2010 date Of Correction: 05/20/2010 |
||||
| Deficiency #15 |
Scope: Few level Of Harm: 2 deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident. survey Date: 03/12/2010 date Of Correction: 05/20/2010 |
||||
| Deficiency #16 |
Scope: Some level Of Harm: 1 deficiency: Give Each Resident A Notice Of Rights, Rules, Services And Charges. Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items And Services Medicaid Covers And Which The Resident Must Pay For. survey Date: 01/27/2010 date Of Correction: 02/16/2010 |
||||
| Deficiency #17 |
Scope: Some level Of Harm: 1 deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality. survey Date: 11/09/2009 date Of Correction: 01/19/2010 |
||||
| Deficiency #18 |
Scope: Some level Of Harm: 1 deficiency: Give Each Resident A Notice Of Rights, Rules, Services And Charges. Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items And Services Medicaid Covers And Which The Resident Must Pay For. survey Date: 09/18/2009 date Of Correction: 10/02/2009 |
||||
| 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: 02/17/2012 date Of Correction: 04/11/2012 |
||||
| Deficiency #2 |
Scope: Few level Of Harm: 2 deficiency: Make Sure That Each Resident Who Enters The Nursing Home Without A Catheter Is Not Given A Catheter, And Receive Proper Services To Prevent Urinary Tract Infections And Restore Normal Bladder Function. survey Date: 11/15/2011 date Of Correction: 12/13/2011 |
||||
| Deficiency #3 |
Scope: Few level Of Harm: 3 deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores. survey Date: 11/15/2011 date Of Correction: 12/13/2011 |
||||
| 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: 11/15/2011 date Of Correction: 12/13/2011 |
||||
| Deficiency #5 |
Scope: Few level Of Harm: 2 deficiency: Give Proper Treatment To Residents With Feeding Tubes To Prevent Problems (such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-pharyngeal Ulcers) And Help Restore Eating Skills, If Possible. survey Date: 11/04/2011 date Of Correction: 12/06/2011 |
||||
| Deficiency #6 |
Scope: Some level Of Harm: 2 deficiency: Have Enough Nurses To Care For Every Resident In A Way That Maximizes The Resident's Well Being. survey Date: 03/04/2011 date Of Correction: 07/07/2011 |
||||
| 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: 03/04/2011 date Of Correction: 07/04/2011 |
||||
| Deficiency #8 |
Scope: Some level Of Harm: 2 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 03/04/2011 date Of Correction: 07/04/2011 |
||||
| Deficiency #9 |
Scope: Some level Of Harm: 2 deficiency: Provide Medically-related Social Services To Help Each Resident Achieve The Highest Possible Quality Of Life. survey Date: 03/04/2011 date Of Correction: 06/20/2011 |
||||
| Deficiency #10 |
Scope: Some level Of Harm: 2 deficiency: Provide Activities To Meet The Interests And Needs Of Each Resident. survey Date: 03/04/2011 date Of Correction: 06/20/2011 |
||||
| Deficiency #11 |
Scope: Few level Of Harm: 2 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 02/03/2011 date Of Correction: 07/04/2011 |
||||
| Deficiency #12 |
Scope: Few level Of Harm: 2 deficiency: Make Sure That Residents With Reduced Range Of Motion Get Proper Treatment And Services To Increase Range Of Motion. survey Date: 11/10/2010 date Of Correction: 12/14/2010 |
||||
| Deficiency #13 |
Scope: Few level Of Harm: 3 deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores. survey Date: 09/17/2010 date Of Correction: 10/26/2010 |
||||
| Deficiency #14 |
Scope: Few level Of Harm: 2 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 09/17/2010 date Of Correction: 10/26/2010 |
||||
| Deficiency #15 |
Scope: Few level Of Harm: 2 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 08/06/2010 date Of Correction: 10/26/2010 |
||||
| Deficiency #16 |
Scope: Few level Of Harm: 2 deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality. survey Date: 08/06/2010 date Of Correction: 11/01/2010 |
||||
| Deficiency #17 |
Scope: Few level Of Harm: 2 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 05/20/2010 date Of Correction: 06/08/2010 |
||||
| Deficiency #18 |
Scope: Few level Of Harm: 2 deficiency: Make Sure That Residents With Reduced Range Of Motion Get Proper Treatment And Services To Increase Range Of Motion. survey Date: 04/06/2010 date Of Correction: 05/20/2010 |
||||
| Deficiency #19 |
Scope: Few level Of Harm: 3 deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores. survey Date: 03/26/2010 date Of Correction: 05/20/2010 |
||||
| Deficiency #20 |
Scope: Few level Of Harm: 2 deficiency: Give Each Resident Enough Fluids To Keep Them Healthy And Prevent Dehydration. survey Date: 03/12/2010 date Of Correction: 05/20/2010 |
||||
| Resident Assessment Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Develop A Post-discharge Plan With The Resident And Family For The Resident's Care After Leaving The Nursing Home. survey Date: 03/23/2011 date Of Correction: 06/20/2011 |
||||
| Deficiency #2 |
Scope: Some 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: 03/04/2011 date Of Correction: 06/20/2011 |
||||
| Deficiency #3 |
Scope: Few level Of Harm: 2 deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity. survey Date: 03/04/2011 date Of Correction: 06/20/2011 |
||||
| Deficiency #4 |
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: 09/17/2010 date Of Correction: 10/26/2010 |
||||
| Administration Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Some level Of Harm: 2 deficiency: Train All Employees On What To Do In An Emergency, And Carry Out Announced Staff Drills. survey Date: 04/07/2011 date Of Correction: 07/04/2011 |
||||
| Deficiency #2 |
Scope: Some level Of Harm: 2 deficiency: Have A Detailed, Written Plan For Disasters And Emergencies, Such As Fire, Severe Weather, And Missing Residents. survey Date: 04/07/2011 date Of Correction: 06/20/2011 |
||||
| Deficiency #3 |
Scope: Some level Of Harm: 2 deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards. survey Date: 03/04/2011 date Of Correction: 06/20/2011 |
||||
| Deficiency #4 |
Scope: Some 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: 03/04/2011 date Of Correction: 06/20/2011 |
||||
| Deficiency #5 |
Scope: Some level Of Harm: 2 deficiency: Employ Or Obtain Outside Professional Resources Providing Services In The Nursing Home That Meet Professional Standards. survey Date: 03/04/2011 date Of Correction: 07/04/2011 |
||||
| Deficiency #6 |
Scope: Some level Of Harm: 2 deficiency: 1) Review The Work Of Each Nurse Aide Every Year; And 2) Give Regular In-service Training Based Upon These Reviews. survey Date: 03/04/2011 date Of Correction: 06/20/2011 |
||||
| Deficiency #7 |
Scope: Some level Of Harm: 2 deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident . survey Date: 03/04/2011 date Of Correction: 06/20/2011 |
||||
| Deficiency #8 |
Scope: Some level Of Harm: 2 deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards. survey Date: 09/17/2010 date Of Correction: 10/26/2010 |
||||
| Deficiency #9 |
Scope: Few level Of Harm: 2 deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards. survey Date: 06/07/2010 date Of Correction: 06/18/2010 |
||||
| Deficiency #10 |
Scope: Few 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: 05/20/2010 date Of Correction: 06/08/2010 |
||||
| Deficiency #11 |
Scope: Few level Of Harm: 2 deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards. survey Date: 04/06/2010 date Of Correction: 05/20/2010 |
||||
| Pharmacy Service Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Some level Of Harm: 2 deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist. survey Date: 02/17/2012 date Of Correction: 04/11/2012 |
||||
| Deficiency #2 |
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: 11/04/2011 date Of Correction: 12/06/2011 |
||||
| Deficiency #3 |
Scope: Some level Of Harm: 2 deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist. survey Date: 03/12/2010 date Of Correction: 05/20/2010 |
||||
| Deficiency #4 |
Scope: Few level Of Harm: 2 deficiency: Make Sure That Residents Are Safe From Serious Medication Errors. survey Date: 11/09/2009 date Of Correction: 12/30/2009 |
||||
| Exits and Egress Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Many level Of Harm: 2 deficiency: Exits That Are Accessible At All Times. survey Date: 02/02/2011 date Of Correction: 02/15/2011 |
||||
| Quality Measures Q1 | |||||
|---|---|---|---|---|---|
| Percent of long-stay residents who received an antipsychotic medication |
24.1 % (0.99 % lower than average)
|
vs |
25.09 %
|
||
| Percent of long-stay residents whose need for help with daily activities has increased |
5.3 % (27.65 % lower than average)
|
vs |
32.95 %
|
||
| Percent of long-stay residents who self-report moderate to severe pain |
4.6 % (12.06 % lower than average)
|
vs |
16.66 %
|
||
| Percent of long-stay high-risk residents with pressure ulcers |
11.9 % (0.68 % lower than average)
|
vs |
12.58 %
|
||
| Percent of long-stay residents who lose too much weight |
2.3 % (9.53 % lower than average)
|
vs |
11.83 %
|
||
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
52.9 % (8.36 % higher than average)
|
vs |
44.54 %
|
||
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
6.3 % (9.33 % lower than average)
|
vs |
15.63 %
|
||
| Percent of long-stay residents with a urinary tract infection |
1.9 % (11.56 % lower than average)
|
vs |
13.46 %
|
||
| Percent of long-stay residents who have depressive symptoms |
0.5 - 2.0 % (27.88 % lower than average)
|
vs |
28.38 %
|
||
| Percent of long-stay residents who were physically restrained |
0.5 - 2.0 % (43.18 % lower than average)
|
vs |
43.68 %
|
||
| Percent of short-stay residents who self-report moderate to severe pain |
6.3 % (18.72 % lower than average)
|
vs |
25.02 %
|
||
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
58 % (26.64 % lower than average)
|
vs |
84.64 %
|
||
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
43 % (40.94 % lower than average)
|
vs |
83.94 %
|
||
| Percent of short-stay residents who newly received an antipsychotic medication |
1.7 % (44.2 % lower than average)
|
vs |
45.90 %
|
||
| Percent of long-stay residents experiencing one or more falls with major injury |
3.6 % (11.92 % lower than average)
|
vs |
15.52 %
|
||
| Quality Measures Q3 | |||||
|---|---|---|---|---|---|
| Percent of long-stay residents who received an antipsychotic medication |
25.5 % (0.11 % higher than average)
|
vs |
25.39 %
|
||
| Percent of long-stay residents whose need for help with daily activities has increased |
3.9 % (19.8 % lower than average)
|
vs |
23.70 %
|
||
| Percent of long-stay residents who self-report moderate to severe pain |
6.5 % (7.6 % lower than average)
|
vs |
14.10 %
|
||
| Percent of long-stay high-risk residents with pressure ulcers |
11 % (1.78 % higher than average)
|
vs |
9.22 %
|
||
| Percent of long-stay residents who lose too much weight |
3.2 % (5.3 % lower than average)
|
vs |
8.50 %
|
||
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
51 % (7.62 % higher than average)
|
vs |
43.38 %
|
||
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
6.1 % (4.55 % lower than average)
|
vs |
10.65 %
|
||
| Percent of long-stay residents with a urinary tract infection |
3.2 % (6.38 % lower than average)
|
vs |
9.58 %
|
||
| Percent of long-stay residents who have depressive symptoms |
1.1 % (18.76 % lower than average)
|
vs |
19.86 %
|
||
| Percent of long-stay residents who were physically restrained |
0.2 % (38.33 % lower than average)
|
vs |
38.53 %
|
||
| Percent of long-stay residents experiencing one or more falls with major injury |
3 % (7.73 % lower than average)
|
vs |
10.73 %
|
||
| Percent of short-stay residents who self-report moderate to severe pain | 9.9:1 % | ||||
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
62.9 % (18.54 % lower than average)
|
vs |
81.44 %
|
||
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
53.7 % (21.05 % lower than average)
|
vs |
74.75 %
|
||
| Percent of short-stay residents who newly received an antipsychotic medication | 19.1:1 % | ||||