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CARROLL MANOR NURSING & REHAB

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CARROLL MANOR NURSING & REHAB VS
All other Nursing Homes USA
General
City Washington  vs 0.2% Nursing Homes USA have Washington
State attribute explanation DC   vs 0.1% Nursing Homes USA have DC
Street 725 BUCHANAN ST., NE  
Zip Code 20017  
Phone 2022697221  
Overall Star Rating
(0.89 higher than average)
vs
3.11

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

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

Quality Measures Star Rating
(1.69 higher than average)
vs
3.31

RN Only Star Rating
(0.83 higher than average)
vs
3.17

Number of Certified Beds
252  (143.06 higher than average)
vs
108.94

Total Number of Residents
245  (153.75 higher than average)
vs
91.25

Percent of Occupied Beds
97 % (13.35 % higher than average)
vs
83.65 %

Health Survey Date 9/19/2011  
Fire Survey Date 10/4/2011  
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
Type of Ownership Non Profit - Corporation  vs 18.7% Nursing Homes USA have Non profit - Corporation
Located Within a Hospital? Yes  vs 6.4% Nursing Homes USA 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 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
(56.16 lower than average)
vs
58.16

Total Enforcement Actions Count
(54.31 lower than average)
vs
56.31

# of deficiencies 12  
Staff Information
Number of Residents
245  (153.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.84  (0.07 higher than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
1.11  (0.27 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.95  (0.36 higher than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.08  (5.41 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.08  (0.02 lower than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 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: 06/28/2012
date Of Correction: 07/23/2012 

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: 03/22/2012
date Of Correction: 05/02/2012 

Deficiency #3 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: 11/07/2011
date Of Correction: 11/21/2011 

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: 03/15/2011
date Of Correction: 04/03/2011 

Deficiency #5 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: 04/26/2010
date Of Correction: 06/08/2010 

Resident Rights Deficiencies
Deficiency #1 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: 12/10/2009
date Of Correction: 12/22/2009 

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: 06/28/2012
date Of Correction: 07/23/2012 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 06/28/2012
date Of Correction: 07/23/2012 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 02/03/2010
date Of Correction: 03/01/2010 

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: 12/10/2009
date Of Correction: 12/22/2009 

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: 06/28/2012
date Of Correction: 07/23/2012 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Operate And Provide Services According To Federal, State, And Local Laws And Professional Standards.
survey Date: 12/10/2009
date Of Correction: 12/22/2009 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
18 % (7.09 % lower than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
1.4 % (31.55 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
1.3 % (15.36 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
7.6 % (4.98 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight 5.6:1 % 
Percent of long-stay low-risk residents who lose control of their bowels or bladder
63 % (18.46 % higher than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.4 % (14.23 % 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
0.5 - 2.0 % (27.88 % 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
16.7 % (8.32 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
98 % (13.36 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
97.4 % (13.46 % higher than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
0.5 - 2.0 % (45.4 % lower 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
19 % (6.39 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
1.2 % (22.5 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
0.4 % (13.7 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
5.7 % (3.52 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
8 % (0.5 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
60.6 % (17.22 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.2 % (9.45 % 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
0.5 - 2.0 % (19.36 % 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
2.4 % (8.33 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
15.3 % (9.46 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
97.5 % (16.06 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
97.7 % (22.95 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication 8.1 / 8.8 % 


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