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CAREGIVERS OF PLEASANT GROVE, INC

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CAREGIVERS OF PLEASANT GROVE, INC VS
All other Nursing Homes USA
General
City PLEASANT GROVE   vs 0% Nursing Homes USA have PLEASANT GROVE
State attribute explanation AL   vs 1.5% Nursing Homes USA have AL
Street 700 FIRST AVENUE  
Zip Code 35127  
Phone 2057448120  
Overall Star Rating
(1.11 lower than average)
vs
3.11

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

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

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

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

Number of Certified Beds
64  (44.94 lower than average)
vs
108.94

Total Number of Residents
55  (36.25 lower than average)
vs
91.25

Percent of Occupied Beds
86 % (2.35 % higher than average)
vs
83.65 %

Health Survey Date 4/14/2012  
Fire Survey Date 4/17/2012  
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? 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? 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  
Staff Information
Number of Residents
55  (36.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.58  (0.19 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
1.01  (0.17 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.59  (equals 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: Many
level Of Harm: 2
deficiency: Make Sure That A Working Call System Is Available In Each Resident's Room Or Bathroom And Bathing Area.
survey Date: 04/14/2012
date Of Correction: 05/18/2012 

Deficiency #2 Scope: Many
level Of Harm: 2
deficiency: Make Sure That The Nursing Home Area Is Safe, Easy To Use, Clean And Comfortable For Residents, Staff And The Public.
survey Date: 06/04/2011
date Of Correction: Not Available 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 06/04/2011
date Of Correction: Not Available 

Deficiency #4 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: 06/04/2011
date Of Correction: Not Available 

Deficiency #5 Scope: Some
level Of Harm: 2
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 06/04/2011
date Of Correction: 07/09/2011 

Resident Rights Deficiencies
Deficiency #1 Scope: Some
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: 04/14/2012
date Of Correction: 05/18/2012 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Properly Hold, Secure And Manage Each Resident's Personal Money Which Is Deposited With The Nursing Home.
survey Date: 04/14/2012
date Of Correction: 05/18/2012 

Deficiency #3 Scope: Some
level Of Harm: 1
deficiency: Provide Access To A Telephone For Resident To Use In Private.
survey Date: 06/04/2011
date Of Correction: 07/09/2011 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Try To Resolve Each Resident's Complaints Quickly.
survey Date: 06/04/2011
date Of Correction: 07/09/2011 

Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Keep Each Resident's Personal And Medical Records Private And Confidential.
survey Date: 06/04/2011
date Of Correction: 07/09/2011 

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: 06/04/2011
date Of Correction: 07/09/2011 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 04/14/2012
date Of Correction: 05/18/2012 

Deficiency #2 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: 06/04/2011
date Of Correction: 07/09/2011 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Provide Activities To Meet The Interests And Needs Of Each Resident.
survey Date: 11/05/2009
date Of Correction: 12/09/2009 

Resident Assessment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Coordinate Assessments With The Pre-admission Screening And Resident Review Program For Mentally-ill And Mentally-retarded Patients.
survey Date: 06/04/2011
date Of Correction: 07/09/2011 

Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Operate And Provide Services According To Federal, State, And Local Laws And Professional Standards.
survey Date: 06/04/2011
date Of Correction: Not Available 

Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.
survey Date: 11/05/2009
date Of Correction: Not Available 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
32.3 % (7.21 % higher than average)
vs
25.09 %

Percent of long-stay residents who self-report moderate to severe pain
13.3 % (3.36 % lower than average)
vs
16.66 %

Percent of long-stay residents who lose too much weight
8 % (3.83 % lower than average)
vs
11.83 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
6.4 % (9.23 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
12 % (1.46 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
75.2 % (46.82 % higher than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
75.2 % (31.52 % higher 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 % (13.52 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
30.5 % (5.11 % higher than average)
vs
25.39 %

Percent of long-stay residents who self-report moderate to severe pain
10.2 % (3.9 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
11.1 % (1.88 % higher than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
5.7 % (2.8 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
38.6 % (4.78 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
5.1 % (5.55 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
10 % (0.42 % higher than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
2.5 % (17.36 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
1.9 % (36.63 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
2.5 % (8.23 % lower than average)
vs
10.73 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
52.4 % (22.35 % lower than average)
vs
74.75 %



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