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CUMBERLAND MEM HSPTL ECU

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CUMBERLAND MEM HSPTL ECU VS
All other Nursing Homes USA
General
Percent of short-stay residents with Pressure ulcers that are new or worsened 75.2 % 
City CUMBERLAND   vs 0.1% Nursing Homes USA have CUMBERLAND
State attribute explanation WI   vs 2.5% Nursing Homes USA have WI
Street 1110 7TH AVE  
Zip Code 54829  
Phone 7158226113  
Overall Star Rating
(0.11 lower than average)
vs
3.11

Health Inspections Star Rating
(0.83 lower than average)
vs
2.83

Nurse Staffing Star Rating
(1.83 higher than average)
vs
3.17

Quality Measures Star Rating
(0.69 higher than average)
vs
3.31

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

Number of Certified Beds
50  (58.94 lower than average)
vs
108.94

Total Number of Residents
41  (50.25 lower than average)
vs
91.25

Percent of Occupied Beds
82 % (1.65 % lower than average)
vs
83.65 %

Health Survey Date 4/19/2012  
Fire Survey Date 4/24/2012  
Sprinkler Status Partially Sprinklered  vs 8.5% Nursing Homes USA have Partially Sprinklered
Program Participation Medicare And Medicaid  vs 91.5% Nursing Homes USA have Medicare and Medicaid
Type of Ownership Non Profit - Corporation  vs 18.7% Nursing Homes USA have Non profit - Corporation
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 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
(2.48 lower than average)
vs
7.48

Staff Information
Number of Residents
41  (50.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
1.2  (0.43 higher than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.18  (0.66 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.39  (0.2 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
75.2  (69.71 higher than average)
vs
5.49

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: 11/10/2011
date Of Correction: 12/10/2011 

Deficiency #2 Scope: Many
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 02/18/2011
date Of Correction: 03/14/2011 

Deficiency #3 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: 06/29/2009
date Of Correction: 07/29/2009 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 06/29/2009
date Of Correction: 07/29/2009 

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: 02/18/2011
date Of Correction: 03/14/2011 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
31.6 % (6.51 % higher than average)
vs
25.09 %

Percent of long-stay high-risk residents with pressure ulcers
10 % (2.58 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
13.5 % (1.67 % higher than average)
vs
11.83 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.6 % (12.03 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
5.3 % (8.16 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
13.5 % (14.88 % lower 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 long-stay residents experiencing one or more falls with major injury
75.2 % (59.68 % higher than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
34.5 % (9.11 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
75.2 % (51.5 % higher than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
18.7 % (4.6 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
5.9 % (3.32 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
11.5 % (3 % higher than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
40 % (3.38 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.8 % (6.85 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
1.8 % (7.78 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
9.6 % (10.26 % 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
25.3 % (14.57 % higher than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
27.6 % (2.84 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
84.2 % (2.76 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
75.4 % (0.65 % higher than average)
vs
74.75 %



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