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CONWAY LAKES HEALTH & REHABILITATION CENTER

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CONWAY LAKES HEALTH & REHABILITATION CENTER VS
All other Nursing Homes USA
General
City ORLANDO   vs 0.1% Nursing Homes USA have ORLANDO
State attribute explanation FL   vs 4.4% Nursing Homes USA have FL
Street 5201 CURRY FORD ROAD  
Zip Code 32812  
Phone 4073848838  
Overall Star Rating
(0.11 lower than average)
vs
3.11

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

Nurse Staffing Star Rating
(0.83 higher than average)
vs
3.17

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

RN Only Star Rating
(0.83 higher than average)
vs
3.17

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

Total Number of Residents
111  (19.75 higher than average)
vs
91.25

Percent of Occupied Beds
93 % (9.35 % higher than average)
vs
83.65 %

Health Survey Date 8/25/2011  
Fire Survey Date 8/23/2011  
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 - 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? 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? Yes  vs 31.3% Nursing Homes USA 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 4  
Staff Information
Number of Residents
111  (19.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
1.22  (0.45 higher than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.74  (0.1 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.96  (0.37 higher than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.29  (5.2 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.29  (0.19 higher than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 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: 06/15/2011
date Of Correction: 07/14/2011 

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: 08/24/2010
date Of Correction: 10/07/2010 

Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide Enough Notice Before Discharging Or Transferring A Resident.
survey Date: 04/18/2011
date Of Correction: 05/10/2011 

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: 06/15/2011
date Of Correction: 07/14/2011 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication 10.3:1 % 
Percent of long-stay residents whose need for help with daily activities has increased
3.3 % (29.65 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
12.4-2413.6-24 % (4.26 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
9.5 % (3.08 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
13 % (1.17 % higher than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
51.2 % (6.66 % higher than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
2.5 % (13.13 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection 2.6 / 3 % 
Percent of long-stay residents who have depressive symptoms
75.2 % (46.82 % higher than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
3.9 % (39.78 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
17.4 % (7.62 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
90.3 % (5.66 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
89.8 % (5.86 % higher 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
1.3 % (14.22 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
9.7 % (15.69 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
3.2 % (20.5 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
13.7 % (0.4 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers 9.9:1 % 
Percent of long-stay residents who lose too much weight
10.2 % (1.7 % higher than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
51.9 % (8.52 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.3 % (6.35 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection 8.1 / 8.8 % 
Percent of long-stay residents who have depressive symptoms
75.2 % (55.34 % higher than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
3.3 % (35.23 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
1.2 % (9.53 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
22.9 % (1.86 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
90.8 % (9.36 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
91.6 % (16.85 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
1.50 % (15.84 % lower than average)
vs
17.34 %



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