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DESERET HEALTH AND REHAB AT KENSINGTON LLC

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DESERET HEALTH AND REHAB AT KENSINGTON LLC VS
All other Nursing Homes USA
General
City KENSINGTON   vs 0% Nursing Homes USA have KENSINGTON
State attribute explanation KS   vs 2.2% Nursing Homes USA have KS
Street 613  
Zip Code 66951  
Phone 7854762623  
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
(1.17 lower than average)
vs
3.17

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

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

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

Total Number of Residents
22  (69.25 lower than average)
vs
91.25

Percent of Occupied Beds
44 % (39.65 % lower than average)
vs
83.65 %

Health Survey Date 1/23/2012  
Fire Survey Date 1/23/2012  
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 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
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
(1.48 lower than average)
vs
7.48

Staff Information
Number of Residents
22  (69.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.65  (0.12 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.91  (0.07 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.56  (0.03 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.07  (5.42 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.07  (0.03 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: 01/23/2012
date Of Correction: 02/21/2012 

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: 01/23/2012
date Of Correction: 02/21/2012 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 01/23/2012
date Of Correction: 02/21/2012 

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: 01/23/2012
date Of Correction: 02/21/2012 

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: 01/23/2012
date Of Correction: 02/21/2012 

Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.
survey Date: 01/23/2012
date Of Correction: 02/21/2012 

Quality Measures Q1
Percent of short-stay residents who newly received an antipsychotic medication
75.2  (29.3 higher than average)
vs
45.90

Quality Measures Q3
Deficiency #1 18.1:1 % 
Percent of long-stay residents who received an antipsychotic medication
32.9 % (7.51 % 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
21.6 % (7.5 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
2.3 % (6.92 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
75.2 % (66.7 % higher than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
21.6 % (21.78 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
75.2 % (64.55 % higher than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
75.2 % (65.62 % higher than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
54.8 % (34.94 % higher than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
4.1 % (34.43 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
1.4 % (9.33 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
20 % (4.76 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
33.3 % (48.14 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
33.3 % (41.45 % lower than average)
vs
74.75 %



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