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CHARLTON PLACE REHABILITATION AND HEALTHCARE

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CHARLTON PLACE REHABILITATION AND HEALTHCARE VS
All other Nursing Homes USA
General
City DEATSVILLE   vs 0% Nursing Homes USA have DEATSVILLE
State attribute explanation AL   vs 1.5% Nursing Homes USA have AL
Street 65 CHARLTON PLACE  
Zip Code 36022  
Phone 3342630618  
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
(1.31 lower than average)
vs
3.31

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

Number of Certified Beds
65  (43.94 lower than average)
vs
108.94

Total Number of Residents
56  (35.25 lower than average)
vs
91.25

Percent of Occupied Beds
86 % (2.35 % higher than average)
vs
83.65 %

Health Survey Date 10/13/2011  
Fire Survey Date 10/19/2011  
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 - Corporation  vs 56.7% Nursing Homes USA have For 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 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 14  
Staff Information
Number of Residents
56  (35.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.83  (0.06 higher than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
1.18  (0.34 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
2.01  (0.42 higher 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: 2
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: 04/14/2009
date Of Correction: 05/29/2009 

Deficiency #2 Scope: Few
level Of Harm: 4
deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.
survey Date: 04/14/2009
date Of Correction: 05/29/2009 

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: 04/14/2009
date Of Correction: 05/29/2009 

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: 08/04/2011
date Of Correction: 08/04/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 08/04/2011
date Of Correction: 07/31/2011 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So.
survey Date: 04/14/2009
date Of Correction: 05/29/2009 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Each Resident Who Enters The Nursing Home Without A Catheter Is Not Given A Catheter, And Receive Proper Services To Prevent Urinary Tract Infections And Restore Normal Bladder Function.
survey Date: 04/14/2009
date Of Correction: 05/29/2009 

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: 04/14/2009
date Of Correction: 05/29/2009 

Deficiency #6 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 04/14/2009
date Of Correction: 07/09/2009 

Resident Assessment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.
survey Date: 04/14/2009
date Of Correction: 05/29/2009 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.
survey Date: 04/14/2009
date Of Correction: 05/29/2009 

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: 08/04/2011
date Of Correction: 08/04/2011 

Deficiency #2 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: 04/14/2009
date Of Correction: 05/29/2009 

Pharmacy Service Deficiencies
Deficiency #1 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: 04/14/2009
date Of Correction: 08/14/2009 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
21.8 % (3.29 % lower than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
1.6 % (31.35 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
10.4 % (6.26 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
16.1 % (3.52 % higher than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
23.6 % (11.77 % higher than average)
vs
11.83 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.6 % (14.03 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
10.9 % (2.56 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
1.8 % (26.58 % 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
38.3 % (13.28 % higher than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
93.6 % (8.96 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
90.2 % (6.26 % higher than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication 2.6 / 3 % 
Percent of long-stay residents experiencing one or more falls with major injury
3.6 % (11.92 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
21.6 % (3.79 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
1.7 % (22 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
6.9 % (7.2 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
13.3 % (4.08 % higher than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
16.6 % (8.1 % higher than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
34.4 % (8.98 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
2.7 % (7.95 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
18.5 % (8.92 % higher than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
2 % (17.86 % 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
5.2 % (5.53 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
34.4 % (9.64 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
95.7 % (14.26 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
90.3 % (15.55 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
1.9 % (15.44 % lower than average)
vs
17.34 %



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