CAROLYN BOONE LEWIS HEALTH CARE CENTER

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General
City	Washington	vs	0.2% Nursing Homes USA have Washington
State attribute explanation	DC	vs	0.1% Nursing Homes USA have DC	compare DC Nursing Homes USA
Street	1380 SOUTHERN AVE SE
Zip Code	20032
Phone	2022795880
Overall Star Rating	2 (1.11 lower than average)	vs	3.11	Compare similar Overall Star Rating (2)
Health Inspections Star Rating	1 (1.83 lower than average)	vs	2.83	Compare similar Health Inspections Star Rating (1)
Nurse Staffing Star Rating	4 (0.83 higher than average)	vs	3.17	Compare similar Nurse Staffing Star Rating (4)
Quality Measures Star Rating	5 (1.69 higher than average)	vs	3.31	Compare similar Quality Measures Star Rating (5)
RN Only Star Rating	5 (1.83 higher than average)	vs	3.17	Compare similar RN Only Star Rating (5)
Number of Certified Beds	183 (74.06 higher than average)	vs	108.94	Compare similar Number of Certified Beds (183)
Total Number of Residents	162 (70.75 higher than average)	vs	91.25	Compare similar Total Number of Residents (162)
Percent of Occupied Beds	89 % (5.35 % higher than average)	vs	83.65 %	Compare similar Percent of Occupied Beds (89) %
Health Survey Date	9/2/2011
Fire Survey Date	9/20/2011
Sprinkler Status	Partially Sprinklered	vs	8.5% Nursing Homes USA have Partially 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	Non Profit - Corporation	vs	18.7% Nursing Homes USA have Non profit - Corporation	compare Non 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?	No	vs	45.1% Nursing Homes USA don't have Multi Nursing Home Ownership?
Resident and Family Councils	Both	vs	29.8% Nursing Homes USA have Both
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	2 (56.16 lower than average)	vs	58.16
Total Enforcement Actions Count	2 (54.31 lower than average)	vs	56.31
# of deficiencies	23

Staff Information
Number of Residents	162 (70.62 higher than average)	vs	91.38
Number of RN Hours Per Resident Per Day	1.48 (0.71 higher than average)	vs	0.77
Total Number of Licensed Staff Hours Per Resident Per Day	1.48 (0.11 lower than average)	vs	1.59
Number of CNA Hours Per Resident Per Day	0.07 (5.42 lower than average)	vs	5.49
Number Therapy Hours Per Resident Per Day	0.07 (0.03 lower than average)	vs	0.10

Environmental Deficiencies
Deficiency #1		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: 03/22/2012 date Of Correction: 05/02/2012
Deficiency #2		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: 04/01/2011 date Of Correction: 05/10/2011

Mistreatment Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others. survey Date: 04/28/2011 date Of Correction: 06/06/2011

Resident Rights Deficiencies
Deficiency #1		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: 06/07/2011 date Of Correction: 07/14/2011
Deficiency #2		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: 12/14/2010 date Of Correction: 01/26/2011
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: 05/06/2010 date Of Correction: 05/25/2010

Quality Care Deficiencies
Deficiency #1		Scope: Few level Of Harm: 3 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 03/22/2012 date Of Correction: 05/02/2012
Deficiency #2		Scope: Few level Of Harm: 2 deficiency: Properly Care For Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, And Prostheses. survey Date: 06/14/2011 date Of Correction: 07/27/2011
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: 06/07/2011 date Of Correction: 07/14/2011
Deficiency #4		Scope: Few level Of Harm: 2 deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality. survey Date: 06/07/2011 date Of Correction: 07/14/2011
Deficiency #5		Scope: Few level Of Harm: 3 deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores. survey Date: 12/14/2010 date Of Correction: 01/26/2011
Deficiency #6		Scope: Few level Of Harm: 3 deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores. survey Date: 03/17/2010 date Of Correction: 04/27/2010

Resident Assessment Deficiencies
Deficiency #1		Scope: Some level Of Harm: 1 deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan. survey Date: 03/22/2012 date Of Correction: 05/02/2012
Deficiency #2		Scope: Few level Of Harm: 3 deficiency: Make Sure That Doctors See A Resident's Plan Of Care At Every Visit And Make Notes About Progress And Orders In Writing. survey Date: 06/07/2011 date Of Correction: 07/14/2011
Deficiency #3		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: 06/07/2011 date Of Correction: 07/14/2011
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: 04/01/2011 date Of Correction: 05/10/2011
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: 12/14/2010 date Of Correction: 01/26/2011

Administration Deficiencies
Deficiency #1		Scope: Some level Of Harm: 1 deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards. survey Date: 03/22/2012 date Of Correction: 05/02/2012
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: 12/14/2010 date Of Correction: 01/26/2011
Deficiency #3		Scope: Few level Of Harm: 2 deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards. survey Date: 03/17/2010 date Of Correction: 04/27/2010

Pharmacy Service Deficiencies
Deficiency #1		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: 04/01/2011 date Of Correction: 05/10/2011
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: 03/22/2011 date Of Correction: 04/18/2011
Deficiency #3		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: 03/22/2011 date Of Correction: 04/18/2011

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication	18.8 % (6.29 % lower than average)	vs	25.09 %
Percent of long-stay residents whose need for help with daily activities has increased	75.2 % (42.25 % higher than average)	vs	32.95 %
Percent of long-stay residents who self-report moderate to severe pain	4.7 % (11.96 % lower than average)	vs	16.66 %
Percent of long-stay high-risk residents with pressure ulcers	9.4 / 10.4 %
Percent of long-stay residents who lose too much weight	9.4 / 10.4 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder	12.2 % (32.34 % lower than average)	vs	44.54 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder	2.6 / 3 %
Percent of long-stay residents with a urinary tract infection	8.7 % (4.76 % lower than average)	vs	13.46 %
Percent of long-stay residents who have depressive symptoms	0.7 % (27.68 % 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	13.5 % (11.52 % lower than average)	vs	25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine	61.9 % (22.74 % lower than average)	vs	84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened	68.2 % (15.74 % lower than average)	vs	83.94 %
Percent of short-stay residents who newly received an antipsychotic medication	3.7 % (42.2 % lower than average)	vs	45.90 %
Percent of long-stay residents experiencing one or more falls with major injury	4.6 % (10.92 % lower than average)	vs	15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication	14.9-28 % (10.49 % 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	5 % (9.1 % lower than average)	vs	14.10 %
Percent of long-stay high-risk residents with pressure ulcers	7.6 % (1.62 % lower than average)	vs	9.22 %
Percent of long-stay residents who lose too much weight	11.1 % (2.6 % higher than average)	vs	8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder	13.6-28 % (29.78 % lower than average)	vs	43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder	1.9 % (8.75 % lower than average)	vs	10.65 %
Percent of long-stay residents with a urinary tract infection	5.3 % (4.28 % lower than average)	vs	9.58 %
Percent of long-stay residents who have depressive symptoms	1.3 % (18.56 % lower than average)	vs	19.86 %
Percent of long-stay residents who were physically restrained	75.2 % (36.67 % higher than average)	vs	38.53 %
Percent of long-stay residents experiencing one or more falls with major injury	3.1 % (7.63 % lower than average)	vs	10.73 %
Percent of short-stay residents who self-report moderate to severe pain	17.4 % (7.36 % lower than average)	vs	24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine	61.5 % (19.94 % lower than average)	vs	81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened	69.9 % (4.85 % lower than average)	vs	74.75 %
Percent of short-stay residents who newly received an antipsychotic medication	23.4 % (6.06 % higher than average)	vs	17.34 %