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CEDAR GLEN CARE AND REHABILITATION CENTER

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CEDAR GLEN CARE AND REHABILITATION CENTER VS
All other Nursing Homes USA
General
City DANVERS   vs 0% Nursing Homes USA have DANVERS
State attribute explanation MA   vs 2.8% Nursing Homes USA have MA
Street 44 SUMMER STREET  
Zip Code 1923  
Phone 9787746955  
Overall Star Rating
(0.11 lower 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
(0.69 higher than average)
vs
3.31

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

Number of Certified Beds
100  (8.94 lower than average)
vs
108.94

Total Number of Residents
87  (4.25 lower than average)
vs
91.25

Percent of Occupied Beds
87 % (3.35 % higher than average)
vs
83.65 %

Health Survey Date 4/3/2012  
Fire Survey Date 4/12/2012  
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 For Profit - Partnership  vs 7.9% Nursing Homes USA have For profit - Partnership
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
(5.48 lower than average)
vs
7.48

Staff Information
Number of Residents
87  (4.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.77  (equals average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.91  (0.07 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.69  (0.1 higher than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.05  (5.44 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.05  (0.05 lower than average)
vs
0.10

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 08/24/2010
date Of Correction: 10/14/2010 

Deficiency #2 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: 08/24/2010
date Of Correction: 10/14/2010 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
29.5 % (4.41 % higher than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
9.5 % (23.45 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
11.9 % (4.76 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
4.6 % (7.98 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
3.9 % (7.93 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
60 % (15.46 % higher than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
75.2 % (59.57 % higher than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
5.1 % (8.36 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
11 % (17.38 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
6.3 % (37.38 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
11.1 % (13.92 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
100 % (15.36 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
90.5 % (6.56 % 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
1.3 % (14.22 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
29 % (3.61 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
4.7 % (19 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
12.5 % (1.6 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
4.8 % (4.42 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
5.1 % (3.4 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
55.9 % (12.52 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.6 % (9.05 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
2.9 % (6.68 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
8.8 % (11.06 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
2.8 % (35.73 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
1.2 % (9.53 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
14.9-28 % (9.86 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
94.7 % (13.26 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
70.7 % (4.05 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
3.6 % (13.74 % lower than average)
vs
17.34 %



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