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DEANWOOD REHABILITATION AND WELLNESS CENTER

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DEANWOOD REHABILITATION AND WELLNESS CENTER VS
All other Nursing Homes USA
General
City Washington  vs 0.2% Nursing Homes USA have Washington
State attribute explanation DC   vs 0.1% Nursing Homes USA have DC
Street 5000 BURROUGHS AVE. NE  
Zip Code 20019  
Phone 2023997504  
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
(2.17 lower than average)
vs
3.17

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

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

Number of Certified Beds
296  (187.06 higher than average)
vs
108.94

Total Number of Residents
269  (177.75 higher than average)
vs
91.25

Percent of Occupied Beds
91 % (7.35 % higher than average)
vs
83.65 %

Health Survey Date 3/28/2012  
Fire Survey Date 3/29/2012  
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 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? Yes  vs 54.9% Nursing Homes USA 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? Yes  vs 31.3% Nursing Homes USA have Quality Indicator Survey?
Special Focus Facility? No  vs 99% Nursing Homes USA don't have Special Focus Facility?
Civil Money Penalty Count
(55.16 lower than average)
vs
58.16

Total Enforcement Actions Count
(50.31 lower than average)
vs
56.31

# of deficiencies 25  
Staff Information
Number of Residents
269  (177.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.36  (0.41 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
1.26  (0.42 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.63  (0.04 higher than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.06  (5.43 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.06  (0.04 lower than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 4
deficiency: Keep All Essential Equipment Working Safely.
survey Date: 12/01/2009
date Of Correction: 12/11/2009 

Deficiency #2 Scope: Many
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: 12/01/2009
date Of Correction: 12/11/2009 

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: 07/26/2009
date Of Correction: 08/21/2009 

Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 4
deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.
survey Date: 12/01/2009
date Of Correction: 12/11/2009 

Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Establish And Follow A Written Policy That Permits A Resident To Return To The Nursing Home After Hospitalization.
survey Date: 11/08/2011
date Of Correction: 12/12/2011 

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: 06/14/2010
date Of Correction: 07/07/2010 

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: 09/16/2009
date Of Correction: 10/24/2009 

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: 04/15/2009
date Of Correction: 05/07/2009 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 01/17/2012
date Of Correction: 03/06/2012 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 01/06/2012
date Of Correction: 01/30/2012 

Deficiency #3 Scope: Some
level Of Harm: 4
deficiency: Properly Care For Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, And Prostheses.
survey Date: 07/19/2010
date Of Correction: 08/20/2010 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 07/19/2010
date Of Correction: 08/20/2010 

Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 07/09/2010
date Of Correction: 08/20/2010 

Deficiency #6 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 11/16/2009
date Of Correction: 11/20/2009 

Resident Assessment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Doctors See A Resident's Plan Of Care At Every Visit And Make Notes About Progress And Orders In Writing.
survey Date: 11/18/2009
date Of Correction: 11/20/2009 

Administration Deficiencies
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: 01/06/2012
date Of Correction: 01/30/2012 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 07/19/2010
date Of Correction: 08/20/2010 

Deficiency #3 Scope: Some
level Of Harm: 4
deficiency: 1) Set Up A Group That Is Legally Responsible For Writing And Setting Up Policies For Leading And Running The Nursing Home; Or 2) Hire A Properly Licensed Administrator.
survey Date: 07/19/2010
date Of Correction: 08/20/2010 

Deficiency #4 Scope: Some
level Of Harm: 4
deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .
survey Date: 07/19/2010
date Of Correction: 08/20/2010 

Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: 1) Set Up A Group That Is Legally Responsible For Writing And Setting Up Policies For Leading And Running The Nursing Home; Or 2) Hire A Properly Licensed Administrator.
survey Date: 12/01/2009
date Of Correction: 12/11/2009 

Deficiency #6 Scope: Many
level Of Harm: 4
deficiency: Operate And Provide Services According To Federal, State, And Local Laws And Professional Standards.
survey Date: 12/01/2009
date Of Correction: 12/11/2009 

Deficiency #7 Scope: Few
level Of Harm: 2
deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .
survey Date: 12/01/2009
date Of Correction: 12/11/2009 

Deficiency #8 Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 11/18/2009
date Of Correction: 11/20/2009 

Deficiency #9 Scope: Few
level Of Harm: 2
deficiency: Operate And Provide Services According To Federal, State, And Local Laws And Professional Standards.
survey Date: 11/18/2009
date Of Correction: 11/20/2009 

Deficiency #10 Scope: Few
level Of Harm: 2
deficiency: Operate And Provide Services According To Federal, State, And Local Laws And Professional Standards.
survey Date: 10/26/2009
date Of Correction: 11/20/2009 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
34.4 % (9.31 % higher than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
1.8 % (31.15 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
0.4 % (16.26 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
16 % (3.42 % higher than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
4.1 % (7.73 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
51.5 % (6.96 % higher than average)
vs
44.54 %

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 %

Percent of long-stay residents with a urinary tract infection
4.9 % (8.56 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
6.1 % (22.28 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
0.4 % (43.28 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
4.8 % (20.22 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
40.9 % (43.74 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
39.6 % (44.34 % lower than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
13.2 % (32.7 % lower than average)
vs
45.90 %

Percent of long-stay residents experiencing one or more falls with major injury
3.6 % (11.92 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
32 % (6.61 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
2.5 % (21.2 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
2.9 % (11.2 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
14.2 % (4.98 % higher than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
4.8 % (3.7 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
49.5 % (6.12 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.9 % (8.75 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
3.4 % (6.18 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
4.6 % (15.26 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
0.8 % (37.73 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
2.3 % (8.43 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
10.9 % (13.86 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
41.6 % (39.84 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
35.6 % (39.15 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
12.4-2413.6-24 % (4.94 % lower than average)
vs
17.34 %



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