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CONESTOGA VIEW

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CONESTOGA VIEW VS
All other Nursing Homes USA
General
Percent of short-stay residents with Pressure ulcers that are new or worsened 75.2 % 
City Lancaster  vs 0.2% Nursing Homes USA have Lancaster
State attribute explanation PA   vs 4.5% Nursing Homes USA have PA
Street 900 EAST KING STREET  
Zip Code 17602  
Phone 7172997850  
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
(1.17 lower than average)
vs
3.17

Quality Measures Star Rating
(0.31 lower than average)
vs
3.31

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

Number of Certified Beds
446  (337.06 higher than average)
vs
108.94

Total Number of Residents
437  (345.75 higher than average)
vs
91.25

Percent of Occupied Beds
98 % (14.35 % higher than average)
vs
83.65 %

Health Survey Date 9/30/2011  
Fire Survey Date 9/27/2011  
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 - Partnership  vs 7.9% Nursing Homes USA have For profit - Partnership
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
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
16  (8.52 higher than average)
vs
7.48

Staff Information
Number of Residents
437  (345.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.44  (0.33 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
1.03  (0.19 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.47  (0.12 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.05  (5.44 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.05  (0.05 lower than average)
vs
0.10

Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment.
survey Date: 05/14/2010
date Of Correction: 06/16/2010 

Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide Care For Each Resident In A Way That Keeps Or Builds The Resident's Quality Of Life.
survey Date: 09/30/2011
date Of Correction: 11/23/2011 

Deficiency #2 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: 04/22/2011
date Of Correction: 05/23/2011 

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: 04/26/2012
date Of Correction: 05/28/2012 

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: 11/07/2011
date Of Correction: 11/23/2011 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 01/21/2011
date Of Correction: 03/01/2011 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Give Or Get Specialized Rehabilitative Services Per The Patient's Assessment Or Plan Of Care.
survey Date: 08/23/2010
date Of Correction: 09/20/2010 

Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 06/11/2010
date Of Correction: 06/30/2010 

Deficiency #6 Scope: Few
level Of Harm: 3
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 05/14/2010
date Of Correction: 06/16/2010 

Deficiency #7 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 01/21/2010
date Of Correction: 02/26/2010 

Deficiency #8 Scope: Few
level Of Harm: 3
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 07/30/2009
date Of Correction: 08/24/2009 

Resident Assessment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.
survey Date: 09/30/2011
date Of Correction: 11/23/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Make Sure Each Resident Receives An Accurate Assessment By A Qualified Health Professional.
survey Date: 05/14/2010
date Of Correction: 06/16/2010 

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: 01/10/2011
date Of Correction: 02/22/2011 

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: 01/21/2010
date Of Correction: 02/26/2010 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 09/11/2009
date Of Correction: 10/05/2009 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
29.5 % (4.41 % higher than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
0.6 % (32.35 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain 16.3:1 % 
Percent of long-stay high-risk residents with pressure ulcers 5.6:1 % 
Percent of long-stay residents who lose too much weight
6.6 % (5.23 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
48.7 % (4.16 % higher than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.3 % (11.33 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
6.5 % (6.96 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
5.5 % (22.88 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
1 % (42.68 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
29.4 % (4.38 % higher than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
83.7 % (0.94 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
77.4 % (6.54 % lower than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
1.3 % (44.6 % lower than average)
vs
45.90 %

Percent of long-stay residents experiencing one or more falls with major injury
4.5 % (11.02 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
31.9 % (6.51 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
1.3 % (22.4 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain 15.9:1 % 
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
5.4 % (3.1 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
49.4 % (6.02 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.8 % (5.85 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
5.7 % (3.88 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
4.2 % (15.66 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
1.6 % (36.93 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
4.5 % (6.23 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
30.9 % (6.14 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
58.6 % (22.84 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
69.2 % (5.55 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
17.2 % (0.14 % lower than average)
vs
17.34 %



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