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CHESTNUT HILL LODGE HEALTH AND REHAB CTR

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CHESTNUT HILL LODGE HEALTH AND REHAB CTR VS
All other Nursing Homes USA
General
City WYNDMOOR   vs 0% Nursing Homes USA have WYNDMOOR
State attribute explanation PA   vs 4.5% Nursing Homes USA have PA
Street 8833 STENTON AVENUE  
Zip Code 19038  
Phone 2158362100  
Overall Star Rating
(2.11 lower than average)
vs
3.11

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

Nurse Staffing Star Rating
(0.17 lower than average)
vs
3.17

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

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

Number of Certified Beds
200  (91.06 higher than average)
vs
108.94

Total Number of Residents
157  (65.75 higher than average)
vs
91.25

Percent of Occupied Beds
79 % (4.65 % lower than average)
vs
83.65 %

Health Survey Date 1/26/2012  
Fire Survey Date 1/9/2012  
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 - 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
10  (2.52 higher than average)
vs
7.48

Staff Information
Number of Residents
157  (65.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.73  (0.04 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.85  (0.01 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.58  (0.01 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.12  (5.37 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.12  (0.02 higher than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 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: 05/03/2012
date Of Correction: 05/31/2012 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 08/10/2010
date Of Correction: 09/28/2010 

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: 05/28/2010
date Of Correction: 07/21/2010 

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: 02/24/2010
date Of Correction: 03/02/2010 

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: 04/20/2011
date Of Correction: 05/25/2011 

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: 08/10/2010
date Of Correction: 09/28/2010 

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: 05/28/2010
date Of Correction: 07/21/2010 

Administration Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 1
deficiency: Set Up An Ongoing Quality Assessment And Assurance Group To Review Quality Deficiencies Quarterly, And Develop Corrective Plans Of Action.
survey Date: 12/13/2010
date Of Correction: 12/17/2010 

Deficiency #2 Scope: Many
level Of Harm: 2
deficiency: Operate And Provide Services According To Federal, State, And Local Laws And Professional Standards.
survey Date: 12/13/2010
date Of Correction: 12/17/2010 

Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.
survey Date: 08/10/2010
date Of Correction: 09/28/2010 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
25 % (0.09 % lower than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
75.2 % (42.25 % higher than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
4.2 % (12.46 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
9.7 % (2.88 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight 7.9:1 % 
Percent of long-stay low-risk residents who lose control of their bowels or bladder
53.8 % (9.26 % higher than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.4 % (11.23 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
1.3 % (12.16 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
0.7 % (27.68 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
1.3 % (42.38 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
15.6 % (9.42 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
48.1 % (36.54 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
38.5 % (45.44 % lower 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
1.9 % (13.62 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
24.3 % (1.09 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
75.2 % (51.5 % higher than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
9.2 % (4.9 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
9 % (0.22 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight 10.3:1 % 
Percent of long-stay low-risk residents who lose control of their bowels or bladder
49.2 % (5.82 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.2 % (6.45 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
2.1 % (7.48 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
1.4 % (18.46 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
0.5 - 2.0 % (38.03 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
2.9 % (7.83 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain 17.1:1 % 
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
49.3 % (32.14 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
39.9 % (34.85 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication 22.4:1 % 


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