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CROOK CO MEDICAL SERVICE DISTRICT LONG TERM CARE

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CROOK CO MEDICAL SERVICE DISTRICT LONG TERM CARE VS
All other Nursing Homes USA
General
City SUNDANCE   vs 0% Nursing Homes USA have SUNDANCE
State attribute explanation WY   vs 0.3% Nursing Homes USA have WY
Street 713 OAK STREET  
Zip Code 82729  
Phone 3072832725  
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
(1.83 higher than average)
vs
3.17

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

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

Number of Certified Beds
32  (76.94 lower than average)
vs
108.94

Total Number of Residents
28  (63.25 lower than average)
vs
91.25

Percent of Occupied Beds
88 % (4.35 % higher than average)
vs
83.65 %

Health Survey Date 7/14/2011  
Fire Survey Date 7/12/2011  
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 Government - Hospital District  vs 0.9% Nursing Homes USA have Government - Hospital district
Located Within a Hospital? Yes  vs 6.4% Nursing Homes USA 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? 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
(55.31 lower than average)
vs
56.31

# of deficiencies
13  (5.52 higher than average)
vs
7.48

Staff Information
Number of Residents
28  (63.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.84  (0.07 higher than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
1.24  (0.4 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
2.08  (0.49 higher than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.01  (5.48 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.01  (0.09 lower than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 07/01/2010
date Of Correction: 12/28/2010 

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: 07/01/2010
date Of Correction: 12/28/2010 

Deficiency #3 Scope: Some
level Of Harm: 1
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 07/01/2010
date Of Correction: 10/01/2010 

Mistreatment Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment.
survey Date: 07/01/2010
date Of Correction: 11/24/2010 

Resident Rights Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Listen To The Resident Or Family Groups Or Act On Their Complaints Or Suggestions.
survey Date: 10/19/2010
date Of Correction: 11/09/2010 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Listen To The Resident Or Family Groups Or Act On Their Complaints Or Suggestions.
survey Date: 07/01/2010
date Of Correction: 11/24/2010 

Quality Care Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 07/01/2010
date Of Correction: 11/24/2010 

Resident Assessment Deficiencies
Deficiency #1 Scope: Some
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: 07/01/2010
date Of Correction: 12/28/2010 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Review Or Revise The Resident's Care Plan After Any Major Change In A Resident's Physical Or Mental Health.
survey Date: 07/01/2010
date Of Correction: 11/24/2010 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.
survey Date: 07/01/2010
date Of Correction: 12/28/2010 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.
survey Date: 07/01/2009
date Of Correction: 07/09/2009 

Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Review Or Revise The Resident's Care Plan After Any Major Change In A Resident's Physical Or Mental Health.
survey Date: 07/01/2009
date Of Correction: 07/09/2009 

Administration Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Make Sure That Nurse Aides Show They Have The Skills And Techniques To Be Able To Care For Residents' Needs.
survey Date: 07/01/2010
date Of Correction: 11/24/2010 

Quality Measures Q1
Percent of short-stay residents who newly received an antipsychotic medication
(44.9 lower than average)
vs
45.90

Quality Measures Q3
Deficiency #1 30 % 
Percent of long-stay residents who received an antipsychotic medication
17.5 % (7.89 % lower than average)
vs
25.39 %

Percent of long-stay residents who self-report moderate to severe pain
37.3 % (23.2 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
5 % (4.22 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
5.1 % (3.4 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
41.7 % (1.68 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
2.9 % (7.75 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
13.4 % (3.82 % 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
2.5 % (36.03 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
8.4 % (2.33 % lower than average)
vs
10.73 %



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