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DAVENPORT LUTHERAN HOME

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DAVENPORT LUTHERAN HOME VS
All other Nursing Homes USA
General
City DAVENPORT   vs 0% Nursing Homes USA have DAVENPORT
State attribute explanation IA   vs 2.7% Nursing Homes USA have IA
Street 1130 W 53RD STREET  
Zip Code 52806  
Phone 5633915342  
Overall Star Rating
(1.11 lower than average)
vs
3.11

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

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

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

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

Number of Certified Beds
98  (10.94 lower than average)
vs
108.94

Total Number of Residents
73  (18.25 lower than average)
vs
91.25

Percent of Occupied Beds
74 % (9.65 % lower than average)
vs
83.65 %

Health Survey Date 9/9/2011  
Fire Survey Date 9/14/2011  
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 Non Profit - Church Related  vs 4.4% Nursing Homes USA have Non profit - Church related
Located Within a Hospital? No  vs 93.6% Nursing Homes USA don't have Located Within a Hospital?
Multi Nursing Home Ownership? Yes  vs 54.9% Nursing Homes USA 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
(57.16 lower 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
73  (18.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.47  (0.3 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.76  (0.08 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.23  (0.36 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.02  (5.47 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.02  (0.08 lower than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 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: 03/22/2012
date Of Correction: 04/20/2012 

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: 09/16/2011
date Of Correction: 10/04/2011 

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: 09/21/2010
date Of Correction: 10/19/2010 

Deficiency #4 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: 11/30/2009
date Of Correction: 12/21/2009 

Deficiency #5 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: 09/11/2009
date Of Correction: 10/07/2009 

Mistreatment Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 1
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 03/22/2012
date Of Correction: 06/08/2012 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 12/20/2011
date Of Correction: 01/25/2012 

Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Notify The Resident Or Provide Reasons For A Transfer Or Discharge.
survey Date: 05/21/2009
date Of Correction: 06/21/2009 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 03/22/2012
date Of Correction: 06/08/2012 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.
survey Date: 09/16/2011
date Of Correction: 10/04/2011 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 09/21/2010
date Of Correction: 12/08/2010 

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: 09/11/2009
date Of Correction: 10/07/2009 

Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Operate And Provide Services According To Federal, State, And Local Laws And Professional Standards.
survey Date: 05/21/2009
date Of Correction: 06/21/2009 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
13 % (12.09 % lower than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
9.1 % (23.85 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
15.7 % (0.96 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
10.9 % (1.68 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
12.9 (55.2) % (1.07 % higher than average)
vs
11.83 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
5.2 % (10.43 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
11.4 % (2.06 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
2.9 % (25.48 % 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 short-stay residents who self-report moderate to severe pain
27.6 % (2.58 % higher than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
97.1 % (12.46 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
94.4 % (10.46 % 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
75.2 % (59.68 % higher than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
11.4 % (13.99 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
6.3 % (17.4 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
16.2 % (2.1 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
8.3 % (0.92 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
7.1 % (1.4 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
37.3 % (6.08 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder 7.9:1 % 
Percent of long-stay residents with a urinary tract infection 9.4 / 10.4 % 
Percent of long-stay residents who have depressive symptoms 10.3:1 % 
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
0.9 % (9.83 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
20.2 (68.4) % (4.56 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
93.4 % (11.96 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
93.7 % (18.95 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
20.2 (68.4) % (2.86 % higher than average)
vs
17.34 %



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