Compare with other Nursing Homes USA
Compare
Compare
| COLONIAL LAKES HEALTH CARE | VS | All other Nursing Homes USA |
| Staff Information | |||||
|---|---|---|---|---|---|
| Number of Residents |
173 (81.62 higher than average)
|
vs |
91.38
|
||
| Number of RN Hours Per Resident Per Day |
0.41 (0.36 lower than average)
|
vs |
0.77
|
||
| Number of LPN/LVN Hours Per Resident Per Day |
0.87 (0.03 higher than average)
|
vs |
0.84
|
||
| Total Number of Licensed Staff Hours Per Resident Per Day |
1.28 (0.31 lower than average)
|
vs |
1.59
|
||
| Number of CNA Hours Per Resident Per Day |
0.11 (5.38 lower than average)
|
vs |
5.49
|
||
| Number Therapy Hours Per Resident Per Day |
0.11 (0.01 higher than average)
|
vs |
0.10
|
||
| Environmental Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading. survey Date: 04/13/2012 date Of Correction: 05/13/2012 |
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| Deficiency #2 |
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: 04/13/2012 date Of Correction: 05/13/2012 |
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| Deficiency #3 |
Scope: Some 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: 01/24/2012 date Of Correction: 02/24/2012 |
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| Deficiency #4 |
Scope: Some level Of Harm: 2 deficiency: Keep All Essential Equipment Working Safely. survey Date: 08/03/2010 date Of Correction: 09/13/2010 |
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| Deficiency #5 |
Scope: Some level Of Harm: 2 deficiency: Provide Housekeeping And Maintenance Services. survey Date: 08/03/2010 date Of Correction: 09/13/2010 |
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| Resident Rights Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Provide Enough Notice Before Discharging Or Transferring A Resident. survey Date: 11/03/2011 date Of Correction: 12/06/2011 |
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| Deficiency #2 |
Scope: Few level Of Harm: 2 deficiency: Keep Each Resident's Personal And Medical Records Private And Confidential. survey Date: 11/15/2010 date Of Correction: 12/27/2010 |
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| Deficiency #3 |
Scope: Few level Of Harm: 2 deficiency: Notify The Resident Or Provide Reasons For A Transfer Or Discharge. survey Date: 06/30/2009 date Of Correction: 08/10/2009 |
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| Quality Care Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Have Enough Nurses To Care For Every Resident In A Way That Maximizes The Resident's Well Being. survey Date: 04/13/2012 date Of Correction: 05/13/2012 |
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| Deficiency #2 |
Scope: Few level Of Harm: 2 deficiency: Properly Care For Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, And Prostheses. survey Date: 06/21/2011 date Of Correction: 07/18/2011 |
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| Deficiency #3 |
Scope: Few level Of Harm: 2 deficiency: Properly Care For Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, And Prostheses. survey Date: 03/18/2011 date Of Correction: 04/26/2011 |
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| Deficiency #4 |
Scope: Few level Of Harm: 2 deficiency: Give Proper Treatment To Residents With Feeding Tubes To Prevent Problems (such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-pharyngeal Ulcers) And Help Restore Eating Skills, If Possible. survey Date: 03/18/2011 date Of Correction: 04/26/2011 |
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| Deficiency #5 |
Scope: Few level Of Harm: 2 deficiency: Give Or Get Emergency Care By A Doctor 24 Hours A Day. survey Date: 12/02/2010 date Of Correction: 01/02/2011 |
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| Deficiency #6 |
Scope: Few level Of Harm: 3 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 12/02/2010 date Of Correction: 01/02/2011 |
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| Deficiency #7 |
Scope: Few level Of Harm: 2 deficiency: Give The Right Treatment And Services To Residents Who Have Mental Or Psychosocial Problems Adjusting. survey Date: 11/15/2010 date Of Correction: 12/27/2010 |
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| Deficiency #8 |
Scope: Few level Of Harm: 2 deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality. survey Date: 09/24/2009 date Of Correction: 11/03/2009 |
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| Resident Assessment Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Make Sure Each Resident Receives An Accurate Assessment By A Qualified Health Professional. survey Date: 04/13/2012 date Of Correction: 05/13/2012 |
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| Deficiency #2 |
Scope: Few level Of Harm: 2 deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity. survey Date: 04/13/2012 date Of Correction: 05/13/2012 |
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| 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: 03/18/2011 date Of Correction: 04/26/2011 |
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| Deficiency #2 |
Scope: Few level Of Harm: 2 deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards. survey Date: 12/02/2010 date Of Correction: 01/02/2011 |
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| Pharmacy Service Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards. survey Date: 11/15/2010 date Of Correction: 12/27/2010 |
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| Deficiency #2 |
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: 11/15/2010 date Of Correction: 12/27/2010 |
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| Deficiency #3 |
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: 09/09/2009 date Of Correction: 10/14/2009 |
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| Deficiency #4 |
Scope: Few level Of Harm: 2 deficiency: 1) Make Sure That Each Resident's Drug Regimen Is Free From Unnecessary Drugs; 2) Each Resident's Entire Drug/medication Is Managed And Monitored To Achieve Highest Well Being. survey Date: 09/09/2009 date Of Correction: 10/14/2009 |
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| Quality Measures Q1 | |||||
|---|---|---|---|---|---|
| Percent of long-stay residents who received an antipsychotic medication |
36 % (10.91 % higher than average)
|
vs |
25.09 %
|
||
| Percent of long-stay residents whose need for help with daily activities has increased |
0.8 % (32.15 % lower than average)
|
vs |
32.95 %
|
||
| Percent of long-stay residents who self-report moderate to severe pain | 19.4:1 % | ||||
| Percent of long-stay high-risk residents with pressure ulcers | 11.6:1 % | ||||
| Percent of long-stay residents who lose too much weight |
4 % (7.83 % lower than average)
|
vs |
11.83 %
|
||
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
25 % (19.54 % lower than average)
|
vs |
44.54 %
|
||
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
3.2 % (12.43 % lower than average)
|
vs |
15.63 %
|
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| Percent of long-stay residents with a urinary tract infection | 10.7:1 % | ||||
| Percent of long-stay residents who have depressive symptoms |
4.8 % (23.58 % lower than average)
|
vs |
28.38 %
|
||
| Percent of long-stay residents who were physically restrained |
2 % (41.68 % lower than average)
|
vs |
43.68 %
|
||
| Percent of short-stay residents who self-report moderate to severe pain |
35.7 % (10.68 % higher than average)
|
vs |
25.02 %
|
||
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
70.5 % (14.14 % lower than average)
|
vs |
84.64 %
|
||
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
64.1 % (19.84 % 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 | 2.6 / 3 % | ||||
| Quality Measures Q3 | |||||
|---|---|---|---|---|---|
| Percent of long-stay residents who received an antipsychotic medication |
33.2 % (7.81 % higher than average)
|
vs |
25.39 %
|
||
| Percent of long-stay residents whose need for help with daily activities has increased |
0.6 % (23.1 % lower than average)
|
vs |
23.70 %
|
||
| Percent of long-stay residents who self-report moderate to severe pain | 18.1:1 % | ||||
| Percent of long-stay high-risk residents with pressure ulcers | 12.6:1 % | ||||
| Percent of long-stay residents who lose too much weight |
4.3 % (4.2 % lower than average)
|
vs |
8.50 %
|
||
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
28.4 % (14.98 % lower than average)
|
vs |
43.38 %
|
||
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
3.2 % (7.45 % lower than average)
|
vs |
10.65 %
|
||
| Percent of long-stay residents with a urinary tract infection |
6.5 % (3.08 % lower than average)
|
vs |
9.58 %
|
||
| Percent of long-stay residents who have depressive symptoms |
2.5 % (17.36 % lower than average)
|
vs |
19.86 %
|
||
| Percent of long-stay residents who were physically restrained |
1.50 % (37.03 % lower than average)
|
vs |
38.53 %
|
||
| Percent of long-stay residents experiencing one or more falls with major injury |
2.8 % (7.93 % lower than average)
|
vs |
10.73 %
|
||
| Percent of short-stay residents who self-report moderate to severe pain |
33.2 % (8.44 % higher than average)
|
vs |
24.76 %
|
||
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
72.7 % (8.74 % lower than average)
|
vs |
81.44 %
|
||
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
64.1 % (10.65 % lower than average)
|
vs |
74.75 %
|
||
| Percent of short-stay residents who newly received an antipsychotic medication |
3.7 % (13.64 % lower than average)
|
vs |
17.34 %
|
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