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CRESTVIEW MANOR

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CRESTVIEW MANOR VS
All other Nursing Homes USA
General
City WEBSTER CITY   vs 0% Nursing Homes USA have WEBSTER CITY
State attribute explanation IA   vs 2.7% Nursing Homes USA have IA
Street 2401 SOUTH DES MOINES STREET  
Zip Code 50595  
Phone 5158322727  
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
(0.17 lower 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
84  (24.94 lower than average)
vs
108.94

Total Number of Residents
52  (39.25 lower than average)
vs
91.25

Percent of Occupied Beds
62 % (21.65 % lower than average)
vs
83.65 %

Health Survey Date 7/1/2011  
Fire Survey Date 7/5/2011  
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 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? 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
21  (13.52 higher than average)
vs
7.48

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: 03/28/2012
date Of Correction: 04/17/2012 

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: 09/21/2011
date Of Correction: 10/23/2011 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 05/10/2010
date Of Correction: 07/07/2010 

Deficiency #4 Scope: Some
level Of Harm: 1
deficiency: Provide A Safe, Clean, Comfortable And Homelike Environment.
survey Date: 05/10/2010
date Of Correction: 07/07/2010 

Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 10/13/2009
date Of Correction: 11/13/2009 

Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 12/31/2009
date Of Correction: 01/13/2010 

Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide Access To A Telephone For Resident To Use In Private.
survey Date: 03/23/2011
date Of Correction: 04/08/2011 

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: 10/13/2009
date Of Correction: 11/13/2009 

Deficiency #3 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: 10/12/2009
date Of Correction: 01/13/2010 

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: 09/21/2011
date Of Correction: 10/23/2011 

Deficiency #2 Scope: Few
level Of Harm: 3
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 03/23/2011
date Of Correction: 04/08/2011 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 12/31/2009
date Of Correction: 01/13/2010 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 11/17/2009
date Of Correction: 12/08/2009 

Deficiency #5 Scope: Some
level Of Harm: 2
deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.
survey Date: 10/13/2009
date Of Correction: 11/13/2009 

Deficiency #6 Scope: Few
level Of Harm: 3
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 10/13/2009
date Of Correction: 11/13/2009 

Deficiency #7 Scope: Few
level Of Harm: 3
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 10/12/2009
date Of Correction: 01/13/2010 

Resident Assessment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.
survey Date: 09/21/2011
date Of Correction: 10/23/2011 

Administration Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 03/23/2011
date Of Correction: 04/25/2011 

Deficiency #2 Scope: Some
level Of Harm: 1
deficiency: Keep Clinical Record Information Safe, So That It Will Not Be Lost, Destroyed Or Used By The Wrong Person.
survey Date: 05/10/2010
date Of Correction: 07/07/2010 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: 1) Make Sure That Each Resident's Drug Regimen Is Free From Unnecessary Drugs; 2) Each Resident's Entire Drug/medication Is Managed And Monitored To Achieve Highest Well Being.
survey Date: 09/21/2011
date Of Correction: 10/23/2011 

Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Make Sure Menus Meet The Resident's Nutritional Needs And That There Is A Prepared Menu By Which Nutritious Meals Have Been Planned For The Resident And Followed.
survey Date: 05/10/2010
date Of Correction: 07/07/2010 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
13.7 % (11.39 % lower 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
15.4 % (1.26 % lower than average)
vs
16.66 %

Percent of long-stay residents who lose too much weight
5.9 % (5.93 % lower than average)
vs
11.83 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
7.3 % (8.33 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
19.6 % (6.14 % higher than average)
vs
13.46 %

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
75.2 % (31.52 % higher than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
27.3 % (2.28 % higher than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
95.2 % (10.56 % 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
75.2  (29.3 higher than average)
vs
45.90

Percent of long-stay residents experiencing one or more falls with major injury
3.9 % (11.62 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication 12.3:1 % 
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 18.2:1 % 
Percent of long-stay high-risk residents with pressure ulcers
11.2-20 % (1.98 % higher than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
4.6 % (3.9 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
33.3 % (10.08 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
6 % (4.65 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
21.1 % (11.52 % higher than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
1.3 % (18.56 % lower 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
3.9 % (6.83 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
22.1 (71.8) % (2.66 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
94.9 % (13.46 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
97.6 % (22.85 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
1.9 % (15.44 % lower than average)
vs
17.34 %



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