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CARROLLWOOD CARE CENTER

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CARROLLWOOD CARE CENTER VS
All other Nursing Homes USA
General
City TAMPA   vs 0.1% Nursing Homes USA have TAMPA
State attribute explanation FL   vs 4.4% Nursing Homes USA have FL
Street 15002 HUTCHINSON RD  
Zip Code 33625  
Phone 8139601969  
Overall Star Rating
(0.89 higher than average)
vs
3.11

Health Inspections Star Rating
(0.17 higher than average)
vs
2.83

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

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

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

Number of Certified Beds
120  (11.06 higher than average)
vs
108.94

Total Number of Residents
115  (23.75 higher than average)
vs
91.25

Percent of Occupied Beds
96 % (12.35 % higher than average)
vs
83.65 %

Health Survey Date 1/6/2012  
Fire Survey Date 1/6/2012  
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 Non Profit - Corporation  vs 18.7% Nursing Homes USA have Non 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 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
(57.16 lower than average)
vs
58.16

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

# of deficiencies 12  
Staff Information
Number of Residents
115  (23.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.75  (0.02 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.67  (0.17 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.42  (0.17 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.2  (5.29 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.2  (0.1 higher than average)
vs
0.10

Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide Enough Notice Before Discharging Or Transferring A Resident.
survey Date: 12/19/2011
date Of Correction: 01/03/2012 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.
survey Date: 12/17/2010
date Of Correction: 01/17/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 11/04/2010
date Of Correction: 11/30/2010 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 11/04/2010
date Of Correction: 11/30/2010 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 06/21/2010
date Of Correction: 07/21/2010 

Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 04/13/2010
date Of Correction: 05/13/2010 

Deficiency #6 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 12/17/2009
date Of Correction: 01/17/2010 

Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Give Or Get Quality Lab Services/tests In A Timely Manner To Meet The Needs Of Residents.
survey Date: 06/21/2010
date Of Correction: 07/21/2010 

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: 04/13/2010
date Of Correction: 05/13/2010 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.
survey Date: 11/04/2010
date Of Correction: 11/30/2010 

Deficiency #2 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: 04/13/2010
date Of Correction: 05/13/2010 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.
survey Date: 12/17/2009
date Of Correction: 01/17/2010 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
29.7 % (4.61 % higher than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
0.5 - 2.0 % (32.45 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
75.2 % (58.54 % higher than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
1.3 % (11.28 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
9.2 % (2.63 % lower than average)
vs
11.83 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.3 % (12.33 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
2.3 % (11.16 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
1.1 % (27.28 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
2.20 % (41.48 % lower 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
88.7 % (4.06 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
88.2 % (4.26 % higher 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
1.1 % (14.42 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
28.2 % (2.81 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
0.4 % (23.3 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
1.4 % (12.7 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
5.4 % (3.82 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight 8.9 / 9.9 % 
Percent of long-stay low-risk residents who lose control of their bowels or bladder
28.6 % (14.78 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
4 % (6.65 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
11.2-20 % (1.62 % higher than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
2.20 % (17.66 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
4 % (34.53 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
0.7 % (10.03 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
21.6 % (3.16 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
86.9 % (5.46 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
84.1 % (9.35 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
10.2 % (7.14 % lower than average)
vs
17.34 %



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