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CATHOLIC MEMORIAL HOME

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CATHOLIC MEMORIAL HOME VS
All other Nursing Homes USA
General
City FALL RIVER   vs 0.1% Nursing Homes USA have FALL RIVER
State attribute explanation MA   vs 2.8% Nursing Homes USA have MA
Street 2446 HIGHLAND AVENUE  
Zip Code 2720  
Phone 5086790011  
Overall Star Rating
(0.11 lower 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
(2.31 lower than average)
vs
3.31

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

Number of Certified Beds
300  (191.06 higher than average)
vs
108.94

Total Number of Residents
277  (185.75 higher than average)
vs
91.25

Percent of Occupied Beds
92 % (8.35 % higher than average)
vs
83.65 %

Health Survey Date 6/3/2011  
Fire Survey Date 6/29/2011  
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 - Church Related  vs 4.4% Nursing Homes USA have Non profit - Church related
Located Within a Hospital? No  vs 93.6% Nursing Homes USA 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? 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
(57.16 lower than average)
vs
58.16

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

# of deficiencies
(2.48 lower than average)
vs
7.48

Staff Information
Number of Residents
277  (185.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.43  (0.34 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
1.09  (0.25 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.52  (0.07 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.04  (5.45 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.04  (0.06 lower than average)
vs
0.10

Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: 1) Hire Only People With No Legal History Of Abusing, Neglecting Or Mistreating Residents; Or 2) Report And Investigate Any Acts Or Reports Of Abuse, Neglect Or Mistreatment Of Residents.
survey Date: 01/25/2010
date Of Correction: 03/12/2010 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 03/15/2010
date Of Correction: 04/20/2010 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 10/22/2009
date Of Correction: 10/28/2009 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.
survey Date: 05/08/2012
date Of Correction: 05/11/2012 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.
survey Date: 03/15/2010
date Of Correction: 04/20/2010 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
22 % (3.09 % lower than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
1.3 % (31.65 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
10.6 % (6.06 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
3.7 % (8.88 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
3.1 % (8.73 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
46.3 % (1.76 % higher than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
7.8 % (7.83 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
12.2 % (1.26 % 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 12.1:1 % 
Percent of short-stay residents who self-report moderate to severe pain
36.4 % (11.38 % higher than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
97.7 % (13.06 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
93.3 % (9.36 % 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
4.3 % (11.22 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
22.8 % (2.59 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
1.9 % (21.8 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
10.9 % (3.2 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
3.9 % (5.32 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
3.9 % (4.6 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
49.4 % (6.02 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
6.6 % (4.05 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection 11.8:1 % 
Percent of long-stay residents who have depressive symptoms
0.1 % (19.76 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
13.3 % (25.23 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
4.6 % (6.13 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
32.8 % (8.04 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
96.1 % (14.66 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
94.4 % (19.65 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
16 % (1.34 % lower than average)
vs
17.34 %



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