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CLEVELAND NURSING AND REHABILITATION CENTER LLC

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CLEVELAND NURSING AND REHABILITATION CENTER LLC VS
All other Nursing Homes USA
General
Percent of short-stay residents with Pressure ulcers that are new or worsened 75.2 % 
City CLEVELAND   vs 0.3% Nursing Homes USA have CLEVELAND
State attribute explanation MS   vs 1.3% Nursing Homes USA have MS
Street 4036 HIGHWAY 8 EAST  
Zip Code 38732  
Phone 6628434014  
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
(2.17 lower than average)
vs
3.17

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

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

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

Total Number of Residents
108  (16.75 higher than average)
vs
91.25

Percent of Occupied Beds
90 % (6.35 % higher than average)
vs
83.65 %

Health Survey Date 4/19/2011  
Fire Survey Date 4/12/2011  
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 - Individual  vs 3.5% Nursing Homes USA have For profit - Individual
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
(55.16 lower than average)
vs
58.16

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

# of deficiencies
(5.48 lower than average)
vs
7.48

Staff Information
Number of Residents
105  (13.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.45  (0.32 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.86  (0.02 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.3  (0.29 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.06  (5.43 lower than average)
vs
5.49

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

Environmental Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 4
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 12/16/2010
date Of Correction: 12/23/2010 

Mistreatment Deficiencies
Deficiency #1 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: 12/16/2010
date Of Correction: 12/23/2010 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
30 % (4.91 % higher than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
2 % (30.95 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
3 % (13.66 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
8.3 % (4.28 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
75.2 % (63.37 % higher than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
34.7 % (9.84 % lower than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.5 % (11.13 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
75.2 % (61.74 % higher than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
2.3 % (26.08 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
14.1 % (29.58 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
14.3 % (10.72 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
73.5 % (11.14 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
71.4 % (12.54 % lower than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
7.7 % (38.2 % lower than average)
vs
45.90 %

Percent of long-stay residents experiencing one or more falls with major injury
1 % (14.52 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
30.4 % (5.01 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
1.8 % (21.9 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
3.6 % (10.5 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
5.1 % (4.12 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
1 % (7.5 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
29.3 % (14.08 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.7 % (5.95 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
0.3 % (9.28 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
1.50 % (18.36 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
16.7 % (21.83 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
1 % (9.73 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain 18.2:1 % 
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
79.2 % (2.24 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
83 % (8.25 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
11 % (6.34 % lower than average)
vs
17.34 %



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