Compare with other Nursing Homes USA
Compare
Compare
| DERBY HEALTH & REHABILITATION LLC | VS | All other Nursing Homes USA |
| Staff Information | |||||
|---|---|---|---|---|---|
| Number of Residents |
69 (22.38 lower than average)
|
vs |
91.38
|
||
| Number of RN Hours Per Resident Per Day |
1.09 (0.32 higher than average)
|
vs |
0.77
|
||
| Number of LPN/LVN Hours Per Resident Per Day |
0.66 (0.18 lower than average)
|
vs |
0.84
|
||
| Total Number of Licensed Staff Hours Per Resident Per Day |
1.75 (0.16 higher than average)
|
vs |
1.59
|
||
| Number of CNA Hours Per Resident Per Day |
0.16 (5.33 lower than average)
|
vs |
5.49
|
||
| Number Therapy Hours Per Resident Per Day |
0.16 (0.06 higher than average)
|
vs |
0.10
|
||
| Environmental Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Some level Of Harm: 2 deficiency: Make Sure That A Working Call System Is Available In Each Resident's Room Or Bathroom And Bathing Area. survey Date: 05/19/2011 date Of Correction: 06/10/2011 |
||||
| 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: 05/19/2011 date Of Correction: 06/10/2011 |
||||
| 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: 06/17/2010 date Of Correction: 08/02/2010 |
||||
| 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: 05/04/2010 date Of Correction: 05/18/2010 |
||||
| Deficiency #5 |
Scope: Many level Of Harm: 2 deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading. survey Date: 02/09/2010 date Of Correction: 02/12/2010 |
||||
| Mistreatment Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: 1) Hire Only People With No Legal History Of Abusing, Neglecting Or Mistreating Residents; Or 2) Report And Investigate Any Acts Or Reports Of Abuse, Neglect Or Mistreatment Of Residents. survey Date: 06/17/2010 date Of Correction: 08/02/2010 |
||||
| Deficiency #2 |
Scope: Few level Of Harm: 2 deficiency: 1) Hire Only People With No Legal History Of Abusing, Neglecting Or Mistreating Residents; Or 2) Report And Investigate Any Acts Or Reports Of Abuse, Neglect Or Mistreatment Of Residents. survey Date: 05/04/2010 date Of Correction: 05/12/2010 |
||||
| Deficiency #3 |
Scope: Few level Of Harm: 2 deficiency: 1) Hire Only People With No Legal History Of Abusing, Neglecting Or Mistreating Residents; Or 2) Report And Investigate Any Acts Or Reports Of Abuse, Neglect Or Mistreatment Of Residents. survey Date: 02/09/2010 date Of Correction: 02/12/2010 |
||||
| Resident Rights Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Make Sure Each Resident Has The Right To Have A Choice Over Activities, Their Schedules And Health Care According To His Or Her Interests, Assessment, And Plan Of Care. survey Date: 05/19/2011 date Of Correction: 06/10/2011 |
||||
| Deficiency #2 |
Scope: Some level Of Harm: 2 deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality. survey Date: 05/19/2011 date Of Correction: 06/10/2011 |
||||
| Deficiency #3 |
Scope: Few level Of Harm: 2 deficiency: Notify The Resident Or Provide Reasons For A Transfer Or Discharge. survey Date: 05/19/2011 date Of Correction: 06/10/2011 |
||||
| Deficiency #4 |
Scope: Many level Of Harm: 1 deficiency: Allow Residents To Easily View The Results Of The Nursing Home's Most Recent Survey. survey Date: 05/19/2011 date Of Correction: 06/10/2011 |
||||
| Deficiency #5 |
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: 05/19/2011 date Of Correction: 06/10/2011 |
||||
| Deficiency #6 |
Scope: Many level Of Harm: 1 deficiency: Give Each Resident A Notice Of Rights, Rules, Services And Charges. Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items And Services Medicaid Covers And Which The Resident Must Pay For. survey Date: 05/19/2011 date Of Correction: 06/10/2011 |
||||
| Deficiency #7 |
Scope: Few level Of Harm: 2 deficiency: Provide Enough Notice Before Discharging Or Transferring A Resident. survey Date: 09/09/2010 date Of Correction: 09/14/2010 |
||||
| Deficiency #8 |
Scope: Few level Of Harm: 2 deficiency: Let The Resident Or The Resident's Legal Representative The Right To Access Or Purchase Copies Of All Records. survey Date: 06/17/2010 date Of Correction: 08/02/2010 |
||||
| Quality Care Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Some level Of Harm: 2 deficiency: Have Enough Nurses To Care For Every Resident In A Way That Maximizes The Resident's Well Being. survey Date: 09/07/2011 date Of Correction: Not Available |
||||
| 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: 07/19/2011 date Of Correction: Not Available |
||||
| Deficiency #3 |
Scope: Few level Of Harm: 2 deficiency: Make Sure That Each Resident Who Enters The Nursing Home Without A Catheter Is Not Given A Catheter, And Receive Proper Services To Prevent Urinary Tract Infections And Restore Normal Bladder Function. survey Date: 05/19/2011 date Of Correction: 06/10/2011 |
||||
| Deficiency #4 |
Scope: Few level Of Harm: 2 deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores. survey Date: 05/19/2011 date Of Correction: 06/10/2011 |
||||
| Deficiency #5 |
Scope: Few level Of Harm: 2 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 05/19/2011 date Of Correction: 06/10/2011 |
||||
| Deficiency #6 |
Scope: Many level Of Harm: 2 deficiency: Have Enough Nurses To Care For Every Resident In A Way That Maximizes The Resident's Well Being. survey Date: 05/04/2010 date Of Correction: 05/14/2010 |
||||
| Deficiency #7 |
Scope: Few level Of Harm: 2 deficiency: Develop Policies And Procedures For Influenza And Pneumococcal Immunizations. survey Date: 02/09/2010 date Of Correction: 02/12/2010 |
||||
| Deficiency #8 |
Scope: Few level Of Harm: 2 deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So. survey Date: 02/09/2010 date Of Correction: 02/12/2010 |
||||
| Deficiency #9 |
Scope: Few level Of Harm: 2 deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores. survey Date: 02/09/2010 date Of Correction: 02/12/2010 |
||||
| Resident Assessment Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Few 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: 05/19/2011 date Of Correction: 06/10/2011 |
||||
| Deficiency #2 |
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: 05/19/2011 date Of Correction: 06/10/2011 |
||||
| Deficiency #3 |
Scope: Few level Of Harm: 2 deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity. survey Date: 05/19/2011 date Of Correction: 06/10/2011 |
||||
| Deficiency #4 |
Scope: Few 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: 06/17/2010 date Of Correction: 08/02/2010 |
||||
| Deficiency #5 |
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: 02/09/2010 date Of Correction: 02/12/2010 |
||||
| Administration Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Many level Of Harm: 2 deficiency: Set Up An Ongoing Quality Assessment And Assurance Group To Review Quality Deficiencies Quarterly, And Develop Corrective Plans Of Action. survey Date: 08/02/2010 date Of Correction: 08/30/2010 |
||||
| Deficiency #2 |
Scope: Many level Of Harm: 2 deficiency: Set Up An Ongoing Quality Assessment And Assurance Group To Review Quality Deficiencies Quarterly, And Develop Corrective Plans Of Action. survey Date: 06/17/2010 date Of Correction: 08/30/2010 |
||||
| Deficiency #3 |
Scope: Few level Of Harm: 2 deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards. survey Date: 06/17/2010 date Of Correction: 08/02/2010 |
||||
| 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: 07/19/2011 date Of Correction: Not Available |
||||
| Deficiency #2 |
Scope: Some level Of Harm: 2 deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards. survey Date: 05/19/2011 date Of Correction: 06/10/2011 |
||||
| Deficiency #3 |
Scope: Few level Of Harm: 2 deficiency: Keep The Rate Of Medication Errors (wrong Drug, Wrong Dose, Wrong Time) To Less Than 5%. survey Date: 05/19/2011 date Of Correction: 06/10/2011 |
||||
| Deficiency #4 |
Scope: Some 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: 05/19/2011 date Of Correction: 06/10/2011 |
||||
| Deficiency #5 |
Scope: Few level Of Harm: 2 deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist. survey Date: 02/09/2010 date Of Correction: 02/12/2010 |
||||
| Deficiency #6 |
Scope: Some 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: 02/09/2010 date Of Correction: 02/12/2010 |
||||
| Nutrition and Dietary Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Many level Of Harm: 2 deficiency: Store, Cook, And Serve Food In A Safe And Clean Way. survey Date: 05/19/2011 date Of Correction: 06/10/2011 |
||||
| Deficiency #2 |
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: 08/02/2010 date Of Correction: 08/30/2010 |
||||
| Deficiency #3 |
Scope: Many level Of Harm: 2 deficiency: Store, Cook, And Serve Food In A Safe And Clean Way. survey Date: 02/09/2010 date Of Correction: 02/12/2010 |
||||
| Quality Measures Q1 | |||||
|---|---|---|---|---|---|
| Percent of long-stay residents who received an antipsychotic medication |
13.2 % (11.89 % lower than average)
|
vs |
25.09 %
|
||
| Percent of long-stay residents whose need for help with daily activities has increased |
2.5 % (30.45 % lower than average)
|
vs |
32.95 %
|
||
| Percent of long-stay residents who lose too much weight |
2.9 % (8.93 % lower than average)
|
vs |
11.83 %
|
||
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
3.3 % (12.33 % 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 |
14.3 % (14.08 % 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 |
33 % (7.98 % higher than average)
|
vs |
25.02 %
|
||
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
91 % (6.36 % higher than average)
|
vs |
84.64 %
|
||
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
89.3 % (5.36 % higher than average)
|
vs |
83.94 %
|
||
| Percent of short-stay residents who newly received an antipsychotic medication |
3 % (42.9 % lower than average)
|
vs |
45.90 %
|
||
| Percent of long-stay residents experiencing one or more falls with major injury |
2.7 % (12.82 % lower than average)
|
vs |
15.52 %
|
||
| Quality Measures Q3 | |||||
|---|---|---|---|---|---|
| Percent of long-stay residents who received an antipsychotic medication |
18.8 % (6.59 % lower than average)
|
vs |
25.39 %
|
||
| Percent of long-stay residents whose need for help with daily activities has increased |
2 % (21.7 % 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 |
2.7 % (6.52 % lower than average)
|
vs |
9.22 %
|
||
| Percent of long-stay residents who lose too much weight | 5.6:1 % | ||||
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
35.1 % (8.28 % lower than average)
|
vs |
43.38 %
|
||
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
6.3 % (4.35 % lower than average)
|
vs |
10.65 %
|
||
| Percent of long-stay residents with a urinary tract infection | 9.4 / 10.4 % | ||||
| Percent of long-stay residents who have depressive symptoms | 17.1:1 % | ||||
| 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 |
2.7 % (8.03 % lower than average)
|
vs |
10.73 %
|
||
| Percent of short-stay residents who self-report moderate to severe pain |
35 % (10.24 % higher than average)
|
vs |
24.76 %
|
||
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
90.1 % (8.66 % higher than average)
|
vs |
81.44 %
|
||
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
81.4 % (6.65 % higher than average)
|
vs |
74.75 %
|
||
| Percent of short-stay residents who newly received an antipsychotic medication |
20.7 (69.3) % (3.36 % higher than average)
|
vs |
17.34 %
|
||