Compare with other Nursing Homes USA
Compare
Compare
COUNTRY CLUB NURSING AND REHABILITATION LP | VS | All other Nursing Homes USA |
Staff Information | |||||
---|---|---|---|---|---|
Number of Residents |
73 (18.38 lower than average)
|
vs |
91.38
|
||
Number of RN Hours Per Resident Per Day |
0.32 (0.45 lower than average)
|
vs |
0.77
|
||
Number of LPN/LVN Hours Per Resident Per Day |
1.09 (0.25 higher than average)
|
vs |
0.84
|
||
Total Number of Licensed Staff Hours Per Resident Per Day |
1.4 (0.19 lower than average)
|
vs |
1.59
|
||
Number of CNA Hours Per Resident Per Day |
0.02 (5.47 lower than average)
|
vs |
5.49
|
||
Number Therapy Hours Per Resident Per Day |
0.02 (0.08 lower than average)
|
vs |
0.10
|
Environmental Deficiencies | |||||
---|---|---|---|---|---|
Deficiency #1 |
Scope: Few level Of Harm: 3 deficiency: Keep All Essential Equipment Working Safely. survey Date: 11/19/2010 date Of Correction: 12/30/2010 |
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Deficiency #2 |
Scope: Few level Of Harm: 3 deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents. survey Date: 11/19/2010 date Of Correction: 12/30/2010 |
Mistreatment Deficiencies | |||||
---|---|---|---|---|---|
Deficiency #1 |
Scope: Some level Of Harm: 3 deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property. survey Date: 08/11/2011 date Of Correction: 09/19/2011 |
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Deficiency #2 |
Scope: Some level Of Harm: 3 deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property. survey Date: 08/11/2011 date Of Correction: 09/19/2011 |
Quality Care Deficiencies | |||||
---|---|---|---|---|---|
Deficiency #1 |
Scope: Some level Of Harm: 3 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 08/11/2011 date Of Correction: 09/19/2011 |
Administration Deficiencies | |||||
---|---|---|---|---|---|
Deficiency #1 |
Scope: Some level Of Harm: 1 deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards. survey Date: 08/11/2011 date Of Correction: 09/19/2011 |
Quality Measures Q1 | |||||
---|---|---|---|---|---|
Percent of long-stay residents who received an antipsychotic medication |
37.9 % (12.81 % higher than average)
|
vs |
25.09 %
|
||
Percent of long-stay residents whose need for help with daily activities has increased |
2.7 % (30.25 % lower than average)
|
vs |
32.95 %
|
||
Percent of long-stay residents who self-report moderate to severe pain |
41.4 % (24.74 % higher than average)
|
vs |
16.66 %
|
||
Percent of long-stay residents who lose too much weight |
3 % (8.83 % lower than average)
|
vs |
11.83 %
|
||
Percent of long-stay low-risk residents who lose control of their bowels or bladder |
29 % (15.54 % lower than average)
|
vs |
44.54 %
|
||
Percent of long-stay residents who have had a catheter inserted and left in their bladder |
6.8 % (8.83 % lower than average)
|
vs |
15.63 %
|
||
Percent of long-stay residents with a urinary tract infection |
1.50 % (11.96 % lower than average)
|
vs |
13.46 %
|
||
Percent of long-stay residents who have depressive symptoms |
67.2 % (38.82 % higher than average)
|
vs |
28.38 %
|
||
Percent of long-stay residents who were physically restrained |
75.2 % (31.52 % higher than average)
|
vs |
43.68 %
|
||
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
100 % (15.36 % higher than average)
|
vs |
84.64 %
|
||
Percent of short-stay residents with Pressure ulcers that are new or worsened |
100 % (16.06 % higher than average)
|
vs |
83.94 %
|
||
Percent of short-stay residents who newly received an antipsychotic medication |
5 % (40.9 % lower than average)
|
vs |
45.90 %
|
||
Percent of long-stay residents experiencing one or more falls with major injury |
5.9 % (9.62 % lower than average)
|
vs |
15.52 %
|
Quality Measures Q3 | |||||
---|---|---|---|---|---|
Percent of long-stay residents who received an antipsychotic medication |
39.4 % (14.01 % higher than average)
|
vs |
25.39 %
|
||
Percent of long-stay residents whose need for help with daily activities has increased |
3.5 % (20.2 % lower than average)
|
vs |
23.70 %
|
||
Percent of long-stay residents who self-report moderate to severe pain |
40.9 % (26.8 % higher than average)
|
vs |
14.10 %
|
||
Percent of long-stay high-risk residents with pressure ulcers |
10.4 % (1.18 % higher than average)
|
vs |
9.22 %
|
||
Percent of long-stay residents who lose too much weight |
4 % (4.5 % lower than average)
|
vs |
8.50 %
|
||
Percent of long-stay low-risk residents who lose control of their bowels or bladder |
27.6 % (15.78 % lower than average)
|
vs |
43.38 %
|
||
Percent of long-stay residents who have had a catheter inserted and left in their bladder |
8 % (2.65 % lower than average)
|
vs |
10.65 %
|
||
Percent of long-stay residents with a urinary tract infection |
9.5 % (0.08 % lower than average)
|
vs |
9.58 %
|
||
Percent of long-stay residents who have depressive symptoms |
46.1 % (26.24 % higher than average)
|
vs |
19.86 %
|
||
Percent of long-stay residents who were physically restrained |
75.2 % (36.67 % higher than average)
|
vs |
38.53 %
|
||
Percent of long-stay residents experiencing one or more falls with major injury |
5.9 % (4.83 % lower than average)
|
vs |
10.73 %
|
||
Percent of short-stay residents who self-report moderate to severe pain |
60.6 % (35.84 % higher than average)
|
vs |
24.76 %
|
||
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
100 % (18.56 % higher than average)
|
vs |
81.44 %
|
||
Percent of short-stay residents with Pressure ulcers that are new or worsened |
100 % (25.25 % higher than average)
|
vs |
74.75 %
|
||
Percent of short-stay residents who newly received an antipsychotic medication |
25.8 % (8.46 % higher than average)
|
vs |
17.34 %
|