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CARMICHAEL CARE & REHABILITATION CENTER

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CARMICHAEL CARE & REHABILITATION CENTER VS
All other Nursing Homes USA
General
City CARMICHAEL   vs 0.1% Nursing Homes USA have CARMICHAEL
State attribute explanation CA   vs 7.8% Nursing Homes USA have CA
Street 8336 FAIR OAKS BOULEVARD  
Zip Code 95608  
Phone 9169443100  
Overall Star Rating
(2.11 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
(0.69 higher than average)
vs
3.31

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

Number of Certified Beds
126  (17.06 higher than average)
vs
108.94

Total Number of Residents
90  (1.25 lower than average)
vs
91.25

Percent of Occupied Beds
71 % (12.65 % lower than average)
vs
83.65 %

Health Survey Date 4/14/2011  
Fire Survey Date 4/20/2011  
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 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 10  
Staff Information
Number of Residents
86  (5.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.99  (0.22 higher 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
1.62  (0.03 higher than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.18  (5.31 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.18  (0.08 higher than average)
vs
0.10

Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Notify The Resident Or Provide Reasons For A Transfer Or Discharge.
survey Date: 01/25/2010
date Of Correction: 10/08/2010 

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: 05/16/2012
date Of Correction: 05/29/2012 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 05/03/2012
date Of Correction: 05/29/2012 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.
survey Date: 04/12/2012
date Of Correction: 04/27/2012 

Deficiency #4 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: 04/12/2012
date Of Correction: 04/27/2012 

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: 05/16/2012
date Of Correction: 05/29/2012 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide Doctors Orders For The Resident's Immediate Care, At The Time The Resident Was Admitted.
survey Date: 05/16/2012
date Of Correction: 05/29/2012 

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: 05/16/2012
date Of Correction: 05/29/2012 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
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: 05/16/2012
date Of Correction: 05/29/2012 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.
survey Date: 05/16/2012
date Of Correction: 05/29/2012 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication 23.8:1 % 
Percent of long-stay residents whose need for help with daily activities has increased
2.1 % (30.85 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
4.3 % (12.36 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
11.1 % (1.48 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
4.8 % (7.03 % lower than average)
vs
11.83 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
5.3 % (10.33 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
6.1 % (7.36 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
1.50 % (26.88 % lower 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 self-report moderate to severe pain
8.5 % (16.52 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
70 % (14.64 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
68.7 % (15.24 % lower 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

Percent of long-stay residents experiencing one or more falls with major injury
1.50 % (14.02 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
24.8 % (0.59 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
1.3 % (22.4 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
3.5 % (10.6 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
8.5 % (0.72 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
6.5 % (2 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
38.4 % (4.98 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
7 % (3.65 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
6.7 % (2.88 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
2 % (17.86 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
0.9 % (37.63 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
0.9 % (9.83 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
7.3 % (17.46 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
70.6 % (10.84 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
68.3 % (6.45 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
16.5 % (0.84 % lower than average)
vs
17.34 %



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