Compare with other Nursing Homes USA
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COURTYARD MANOR NURSE CARE CENTER & ASSISTED LIV | VS | All other Nursing Homes USA |
Staff Information | |||||
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Number of Residents |
89 (2.38 lower than average)
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vs |
91.38
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Number of RN Hours Per Resident Per Day |
0.29 (0.48 lower than average)
|
vs |
0.77
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Number of LPN/LVN Hours Per Resident Per Day |
0.67 (0.17 lower than average)
|
vs |
0.84
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Total Number of Licensed Staff Hours Per Resident Per Day |
0.96 (0.63 lower than average)
|
vs |
1.59
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Number of CNA Hours Per Resident Per Day |
0.06 (5.43 lower than average)
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vs |
5.49
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Number Therapy Hours Per Resident Per Day |
0.06 (0.04 lower than average)
|
vs |
0.10
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Environmental Deficiencies | |||||
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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: 08/05/2010 date Of Correction: 12/17/2010 |
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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 |
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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 | |||||
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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 | |||||
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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 |
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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: 10/28/2010 date Of Correction: 12/17/2010 |
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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 |
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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: 08/05/2010 date Of Correction: 12/17/2010 |
Quality Care Deficiencies | |||||
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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 |
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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 |
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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 |
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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 |
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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 | |||||
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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: 09/23/2011 date Of Correction: 10/24/2011 |
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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 | |||||
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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 |
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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 |
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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 |
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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 |
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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 |
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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 | |||||
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Percent of long-stay residents who received an antipsychotic medication |
28.2 % (3.11 % higher than average)
|
vs |
25.09 %
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Percent of long-stay residents whose need for help with daily activities has increased |
75.2 % (42.25 % higher than average)
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vs |
32.95 %
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Percent of long-stay residents who self-report moderate to severe pain |
20.5 % (3.84 % higher than average)
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vs |
16.66 %
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Percent of long-stay high-risk residents with pressure ulcers |
20.6 % (8.02 % higher than average)
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vs |
12.58 %
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Percent of long-stay residents who lose too much weight |
14.5 % (2.67 % higher than average)
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vs |
11.83 %
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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 %
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Percent of long-stay residents with a urinary tract infection |
13.2 % (0.26 % lower than average)
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vs |
13.46 %
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Percent of long-stay residents who have depressive symptoms |
1.3 % (27.08 % lower than average)
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vs |
28.38 %
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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)
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vs |
25.02 %
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Percent of short-stay residents with Pressure ulcers that are new or worsened |
29.4 % (54.54 % lower than average)
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vs |
83.94 %
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Percent of long-stay residents experiencing one or more falls with major injury | 7.9:1 % |
Quality Measures Q3 | |||||
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Percent of long-stay residents who received an antipsychotic medication |
31.4 (88.5) % (6.01 % higher than average)
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vs |
25.39 %
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Percent of long-stay residents whose need for help with daily activities has increased |
1.50 % (22.2 % 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 |
27.5 % (13.4 % higher than average)
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vs |
14.10 %
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Percent of long-stay high-risk residents with pressure ulcers |
18.8 % (9.58 % higher than average)
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vs |
9.22 %
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Percent of long-stay residents who lose too much weight |
14.6 % (6.1 % higher 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 |
13.7 % (29.68 % lower 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 |
3.7 % (6.95 % lower than average)
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vs |
10.65 %
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Percent of long-stay residents with a urinary tract infection |
16.7 % (7.12 % higher than average)
|
vs |
9.58 %
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Percent of long-stay residents who have depressive symptoms |
2.1 % (17.76 % lower than average)
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vs |
19.86 %
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Percent of long-stay residents who were physically restrained |
3.8 % (34.73 % lower than average)
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vs |
38.53 %
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Percent of long-stay residents experiencing one or more falls with major injury |
7.6 % (3.13 % lower than average)
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vs |
10.73 %
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Percent of short-stay residents who self-report moderate to severe pain |
27.3 % (2.54 % higher than average)
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vs |
24.76 %
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Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
87.1 % (5.66 % higher than average)
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vs |
81.44 %
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Percent of short-stay residents with Pressure ulcers that are new or worsened |
21.8 % (52.95 % lower than average)
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vs |
74.75 %
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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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