Compare with other Nursing Homes USA
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COMMONWEALTH HEALTH & REHAB CENTER | VS | All other Nursing Homes USA |
Staff Information | |||||
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Number of Residents |
135 (43.62 higher than average)
|
vs |
91.38
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Number of RN Hours Per Resident Per Day |
0.79 (0.02 higher than average)
|
vs |
0.77
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||
Number of LPN/LVN Hours Per Resident Per Day |
1.42 (0.58 higher than average)
|
vs |
0.84
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Total Number of Licensed Staff Hours Per Resident Per Day |
2.21 (0.62 higher than average)
|
vs |
1.59
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Number of CNA Hours Per Resident Per Day |
0.2 (5.29 lower than average)
|
vs |
5.49
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Number Therapy Hours Per Resident Per Day |
0.2 (0.1 higher than average)
|
vs |
0.10
|
Environmental Deficiencies | |||||
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Deficiency #1 |
Scope: Many level Of Harm: 1 deficiency: Keep All Essential Equipment Working Safely. survey Date: 03/08/2012 date Of Correction: Not Available |
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Deficiency #2 |
Scope: Few level Of Harm: 2 deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading. survey Date: 03/08/2012 date Of Correction: Not Available |
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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: 03/08/2012 date Of Correction: Not Available |
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Deficiency #4 |
Scope: Few level Of Harm: 2 deficiency: Provide A Safe, Clean, Comfortable And Homelike Environment. survey Date: 03/08/2012 date Of Correction: Not Available |
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Deficiency #5 |
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: 01/20/2011 date Of Correction: 02/18/2011 |
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Deficiency #6 |
Scope: Few level Of Harm: 3 deficiency: Keep All Essential Equipment Working Safely. survey Date: 12/02/2010 date Of Correction: 10/15/2010 |
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Deficiency #7 |
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: 12/02/2010 date Of Correction: Not Available |
Resident Rights Deficiencies | |||||
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Deficiency #1 |
Scope: Some level Of Harm: 2 deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident. survey Date: 03/08/2012 date Of Correction: Not Available |
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Deficiency #2 |
Scope: Few level Of Harm: 2 deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality. survey Date: 03/08/2012 date Of Correction: Not Available |
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Deficiency #3 |
Scope: Few level Of Harm: 2 deficiency: Keep Each Resident's Personal And Medical Records Private And Confidential. survey Date: 03/08/2012 date Of Correction: Not Available |
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Deficiency #4 |
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: 03/08/2012 date Of Correction: Not Available |
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Deficiency #5 |
Scope: Few level Of Harm: 2 deficiency: Give Notice To The Resident Before A Room Or Roommate Change. survey Date: 04/07/2011 date Of Correction: Not Available |
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Deficiency #6 |
Scope: Few level Of Harm: 2 deficiency: Determine If It Is Safe For The Resident To Self-administer Drugs. survey Date: 02/25/2010 date Of Correction: 04/11/2010 |
Quality Care Deficiencies | |||||
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Deficiency #1 |
Scope: Some level Of Harm: 2 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 03/08/2012 date Of Correction: Not Available |
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Deficiency #2 |
Scope: Some level Of Harm: 2 deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality. survey Date: 03/08/2012 date Of Correction: Not Available |
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Deficiency #3 |
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: 01/16/2011 |
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Deficiency #4 |
Scope: Few level Of Harm: 2 deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality. survey Date: 02/25/2010 date Of Correction: 04/11/2010 |
Resident Assessment Deficiencies | |||||
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Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan. survey Date: 02/25/2010 date Of Correction: 04/11/2010 |
Administration Deficiencies | |||||
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Deficiency #1 |
Scope: Some level Of Harm: 2 deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards. survey Date: 03/08/2012 date Of Correction: Not Available |
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Deficiency #2 |
Scope: Few level Of Harm: 2 deficiency: Quickly Tell The Resident's Doctor The Results Of Lab Tests. survey Date: 03/08/2012 date Of Correction: Not Available |
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Deficiency #3 |
Scope: Some level Of Harm: 1 deficiency: Give Or Get Quality Lab Services/tests In A Timely Manner To Meet The Needs Of Residents. survey Date: 03/08/2012 date Of Correction: Not Available |
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Deficiency #4 |
Scope: Some level Of Harm: 2 deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards. survey Date: 02/25/2010 date Of Correction: 04/11/2010 |
Pharmacy Service Deficiencies | |||||
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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: 03/08/2012 date Of Correction: Not Available |
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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: 02/25/2010 date Of Correction: 04/11/2010 |
Quality Measures Q1 | |||||
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Percent of long-stay residents who received an antipsychotic medication | 22.4:1 % | ||||
Percent of long-stay residents whose need for help with daily activities has increased |
0.6 % (32.35 % lower than average)
|
vs |
32.95 %
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Percent of long-stay residents who self-report moderate to severe pain |
4.4 % (12.26 % lower than average)
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vs |
16.66 %
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Percent of long-stay high-risk residents with pressure ulcers |
15.4 % (2.82 % higher than average)
|
vs |
12.58 %
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Percent of long-stay residents who lose too much weight |
6.2 % (5.63 % lower than average)
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vs |
11.83 %
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Percent of long-stay low-risk residents who lose control of their bowels or bladder |
55.8 % (11.26 % higher than average)
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vs |
44.54 %
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Percent of long-stay residents who have had a catheter inserted and left in their bladder |
8.2 % (7.43 % lower than average)
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vs |
15.63 %
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Percent of long-stay residents with a urinary tract infection |
6.2 % (7.26 % lower than average)
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vs |
13.46 %
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Percent of long-stay residents who have depressive symptoms | 10.1:1 % | ||||
Percent of long-stay residents who were physically restrained |
75.2 % (31.52 % higher than average)
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vs |
43.68 %
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Percent of short-stay residents who self-report moderate to severe pain |
9.6 % (15.42 % lower than average)
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vs |
25.02 %
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Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
70.7 % (13.94 % lower than average)
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vs |
84.64 %
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Percent of short-stay residents with Pressure ulcers that are new or worsened |
46.3 % (37.64 % lower than average)
|
vs |
83.94 %
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Percent of short-stay residents who newly received an antipsychotic medication |
75.2 (29.3 higher than average)
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vs |
45.90
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Percent of long-stay residents experiencing one or more falls with major injury |
2 % (13.52 % lower than average)
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vs |
15.52 %
|
Quality Measures Q3 | |||||
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Percent of long-stay residents who received an antipsychotic medication |
18.6 (65.5) % (6.79 % lower than average)
|
vs |
25.39 %
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Percent of long-stay residents whose need for help with daily activities has increased |
1 % (22.7 % lower than average)
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vs |
23.70 %
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Percent of long-stay residents who self-report moderate to severe pain |
4.2 % (9.9 % lower than average)
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vs |
14.10 %
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Percent of long-stay high-risk residents with pressure ulcers | 12.3:1 % | ||||
Percent of long-stay residents who lose too much weight |
5.9 % (2.6 % lower than average)
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vs |
8.50 %
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Percent of long-stay low-risk residents who lose control of their bowels or bladder |
56 % (12.62 % higher than average)
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vs |
43.38 %
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Percent of long-stay residents who have had a catheter inserted and left in their bladder |
6.6 % (4.05 % lower than average)
|
vs |
10.65 %
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Percent of long-stay residents with a urinary tract infection |
5.8 % (3.78 % lower than average)
|
vs |
9.58 %
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Percent of long-stay residents who have depressive symptoms |
8.2 % (11.66 % lower than average)
|
vs |
19.86 %
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Percent of long-stay residents who were physically restrained |
75.2 % (36.67 % higher than average)
|
vs |
38.53 %
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Percent of long-stay residents experiencing one or more falls with major injury |
1.1 % (9.63 % lower than average)
|
vs |
10.73 %
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Percent of short-stay residents who self-report moderate to severe pain |
9.8 % (14.96 % lower than average)
|
vs |
24.76 %
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Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
76.9 % (4.54 % lower than average)
|
vs |
81.44 %
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Percent of short-stay residents with Pressure ulcers that are new or worsened |
52.8 % (21.95 % lower than average)
|
vs |
74.75 %
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Percent of short-stay residents who newly received an antipsychotic medication | 8.1 / 8.8 % |