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CAMBRIDGE LTC PARTNERS INC

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CAMBRIDGE LTC PARTNERS INC VS
All other Nursing Homes USA
General
City DIMMITT   vs 0% Nursing Homes USA have DIMMITT
State attribute explanation TX   vs 7.6% Nursing Homes USA have TX
Street 1621  
Zip Code 79027  
Phone 8066473117  
Overall Star Rating
(1.11 lower than average)
vs
3.11

Health Inspections Star Rating
(0.83 lower than average)
vs
2.83

Nurse Staffing Star Rating
(1.17 lower than average)
vs
3.17

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

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

Number of Certified Beds
114  (5.06 higher than average)
vs
108.94

Total Number of Residents
45  (46.25 lower than average)
vs
91.25

Percent of Occupied Beds
39 % (44.65 % lower than average)
vs
83.65 %

Health Survey Date 2/17/2012  
Fire Survey Date 2/14/2012  
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
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
17  (9.52 higher than average)
vs
7.48

Staff Information
Number of Residents
45  (46.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.5 - 2.0  (0.27 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.63  (0.21 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.12  (0.47 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

Environmental Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 06/20/2011
date Of Correction: 08/04/2011 

Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 09/25/2009
date Of Correction: 10/29/2009 

Deficiency #2 Scope: Few
level Of Harm: 3
deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.
survey Date: 09/25/2009
date Of Correction: 10/29/2009 

Deficiency #3 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: 04/08/2009
date Of Correction: 05/19/2009 

Deficiency #4 Scope: Some
level Of Harm: 2
deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.
survey Date: 04/08/2009
date Of Correction: 05/19/2009 

Resident Rights Deficiencies
Deficiency #1 Scope: Some
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: 02/17/2012
date Of Correction: 03/29/2012 

Deficiency #2 Scope: Few
level Of Harm: 3
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: 11/03/2009
date Of Correction: 11/04/2009 

Deficiency #3 Scope: Some
level Of Harm: 1
deficiency: Follow Policies And Procedures To Convey The Resident's Personal Funds To The Appropriate Party Responsible After The Resident's Death.
survey Date: 09/25/2009
date Of Correction: 10/29/2009 

Deficiency #4 Scope: Few
level Of Harm: 3
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: 09/25/2009
date Of Correction: 10/29/2009 

Deficiency #5 Scope: Some
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: 04/08/2009
date Of Correction: 05/19/2009 

Quality Care Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 04/08/2009
date Of Correction: 05/19/2009 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 04/08/2009
date Of Correction: 05/19/2009 

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: 11/03/2009
date Of Correction: 12/15/2009 

Administration Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Make Sure That Nurse Aides Show They Have The Skills And Techniques To Be Able To Care For Residents' Needs.
survey Date: 06/20/2011
date Of Correction: 08/04/2011 

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: 11/03/2009
date Of Correction: 12/15/2009 

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: 11/16/2010
date Of Correction: 12/31/2010 

Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 1
deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.
survey Date: 04/15/2010
date Of Correction: 05/31/2010 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
25.6 (78.1) % (0.51 % higher than average)
vs
25.09 %

Percent of long-stay residents who lose too much weight
13.2 % (1.37 % higher than average)
vs
11.83 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
75.2 % (59.57 % higher than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
5.3 % (8.16 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
37.2 % (8.82 % higher than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
2.3 % (41.38 % lower than average)
vs
43.68 %

Percent of short-stay residents who newly received an antipsychotic medication
75.2  (29.3 higher than average)
vs
45.90

Percent of long-stay residents experiencing one or more falls with major injury
2.3 % (13.22 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
23.3 % (2.09 % 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
18.6 (65.5) % (4.5 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
3.4 % (5.82 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight 13.1:1 % 
Percent of long-stay low-risk residents who lose control of their bowels or bladder
20.7 (69.3) % (22.68 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
0.9 % (9.75 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection 10.7:1 % 
Percent of long-stay residents who have depressive symptoms
22.6 % (2.74 % higher than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
2.9 % (35.63 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
31.4 (88.5) % (20.67 % higher than average)
vs
10.73 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
79.3 % (2.14 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
85.7 % (10.95 % higher than average)
vs
74.75 %



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