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COURTYARD MANOR NURSE CARE CENTER & ASSISTED LIV

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COURTYARD MANOR NURSE CARE CENTER & ASSISTED LIV VS
All other Nursing Homes USA
General
City LAFAYETTE   vs 0.1% Nursing Homes USA have LAFAYETTE
State attribute explanation LA   vs 1.8% Nursing Homes USA have LA
Street 306 SYDNEY MARTIN ROAD  
Zip Code 70507  
Phone 3372373940  
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
(2.17 lower than average)
vs
3.17

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

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

Number of Certified Beds
92  (16.94 lower than average)
vs
108.94

Total Number of Residents
89  (2.25 lower than average)
vs
91.25

Percent of Occupied Beds
97 % (13.35 % higher than average)
vs
83.65 %

Health Survey Date 2/10/2012  
Fire Survey Date 2/7/2012  
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 - Individual  vs 3.5% Nursing Homes USA have For profit - Individual
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 RESIDENT   vs 66% Nursing Homes USA have RESIDENT
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
(56.16 lower than average)
vs
58.16

Total Enforcement Actions Count
(52.31 lower than average)
vs
56.31

# of deficiencies
27  (19.52 higher than average)
vs
7.48

Staff Information
Number of Residents
89  (2.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.29  (0.48 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.67  (0.17 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
0.96  (0.63 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.06  (5.43 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.06  (0.04 lower than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 4
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 09/23/2011
date Of Correction: 10/24/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide A Safe, Clean, Comfortable And Homelike Environment.
survey Date: 09/23/2011
date Of Correction: 10/24/2011 

Deficiency #3 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: 08/03/2011
date Of Correction: 09/28/2011 

Deficiency #4 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: 10/28/2010
date Of Correction: 12/17/2010 

Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Dispose Of Garbage And Refuse Properly.
survey Date: 09/02/2010
date Of Correction: 09/28/2010 

Deficiency #6 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: 09/02/2010
date Of Correction: 12/17/2010 

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: 08/05/2010
date Of Correction: 12/17/2010 

Deficiency #8 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: 01/19/2010
date Of Correction: 03/05/2010 

Deficiency #9 Scope: Some
level Of Harm: 1
deficiency: Provide A Safe, Clean, Comfortable And Homelike Environment.
survey Date: 08/11/2009
date Of Correction: Not Available 

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: 08/05/2010
date Of Correction: 09/19/2010 

Resident Rights Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 1
deficiency: Listen To The Resident Or Family Groups Or Act On Their Complaints Or Suggestions.
survey Date: 04/21/2011
date Of Correction: Not Available 

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: 10/28/2010
date Of Correction: 12/17/2010 

Deficiency #3 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: 08/05/2010
date Of Correction: 12/17/2010 

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: 08/05/2010
date Of Correction: 12/17/2010 

Quality Care Deficiencies
Deficiency #1 Scope: Some
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: 08/03/2011
date Of Correction: 09/28/2011 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 09/02/2010
date Of Correction: 12/17/2010 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 08/05/2010
date Of Correction: 09/19/2010 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 08/05/2010
date Of Correction: 12/17/2010 

Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 01/19/2010
date Of Correction: 03/05/2010 

Resident Assessment Deficiencies
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: 09/23/2011
date Of Correction: 10/24/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.
survey Date: 08/05/2010
date Of Correction: 09/19/2010 

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: 09/23/2011
date Of Correction: 10/24/2011 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Set Up An Ongoing Quality Assessment And Assurance Group To Review Quality Deficiencies Quarterly, And Develop Corrective Plans Of Action.
survey Date: 09/02/2010
date Of Correction: 12/17/2010 

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: 09/02/2010
date Of Correction: 12/17/2010 

Deficiency #4 Scope: Some
level Of Harm: 2
deficiency: Set Up An Ongoing Quality Assessment And Assurance Group To Review Quality Deficiencies Quarterly, And Develop Corrective Plans Of Action.
survey Date: 08/05/2010
date Of Correction: 12/17/2010 

Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 08/05/2010
date Of Correction: 12/17/2010 

Deficiency #6 Scope: Some
level Of Harm: 1
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 06/16/2010
date Of Correction: Not Available 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
28.2 % (3.11 % higher than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
75.2 % (42.25 % higher than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
20.5 % (3.84 % higher than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
20.6 % (8.02 % higher than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
14.5 % (2.67 % higher than average)
vs
11.83 %

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
13.2 % (0.26 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
1.3 % (27.08 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained 2.6 / 3 % 
Percent of short-stay residents who self-report moderate to severe pain
33.3 % (8.28 % higher than average)
vs
25.02 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
29.4 % (54.54 % lower than average)
vs
83.94 %

Percent of long-stay residents experiencing one or more falls with major injury 7.9:1 % 
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
31.4 (88.5) % (6.01 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
1.50 % (22.2 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
27.5 % (13.4 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
18.8 % (9.58 % higher than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
14.6 % (6.1 % higher than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
13.7 % (29.68 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.7 % (6.95 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
16.7 % (7.12 % higher than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
2.1 % (17.76 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
3.8 % (34.73 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
7.6 % (3.13 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
27.3 % (2.54 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
87.1 % (5.66 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
21.8 % (52.95 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
2.4 % (14.94 % lower than average)
vs
17.34 %



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