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Home > Nursing Homes USA > DESERET HEALTHCARE & REHABILITATION AT WICHITA LLC

DESERET HEALTHCARE & REHABILITATION AT WICHITA LLC

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DESERET HEALTHCARE & REHABILITATION AT WICHITA LLC VS
All other Nursing Homes USA
General
City WICHITA   vs 0.1% Nursing Homes USA have WICHITA
State attribute explanation KS   vs 2.2% Nursing Homes USA have KS
compare KS Nursing Homes USA
Street 1600 S. WOODLAWN  
Zip Code 67218  
Phone 3166919999  
Overall Star Rating
1  (2.11 lower than average)
vs
3.11

Compare similar Overall Star Rating (1)
Health Inspections Star Rating
1  (1.83 lower than average)
vs
2.83

Compare similar Health Inspections Star Rating (1)
Nurse Staffing Star Rating
1  (2.17 lower than average)
vs
3.17

Compare similar Nurse Staffing Star Rating (1)
Quality Measures Star Rating
3  (0.31 lower than average)
vs
3.31

Compare similar Quality Measures Star Rating (3)
RN Only Star Rating
1  (2.17 lower than average)
vs
3.17

Compare similar RN Only Star Rating (1)
Number of Certified Beds
93  (15.94 lower than average)
vs
108.94

Compare similar Number of Certified Beds (93)
Total Number of Residents
87  (4.25 lower than average)
vs
91.25

Compare similar Total Number of Residents (87)
Percent of Occupied Beds
94 % (10.35 % higher than average)
vs
83.65 %

Compare similar Percent of Occupied Beds (94) %
Health Survey Date 7/9/2012  
Fire Survey Date 1/10/2012  
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
compare Medicare and Medicaid Nursing Homes USA
Type of Ownership For Profit - Corporation  vs 56.7% Nursing Homes USA have For profit - Corporation
compare For profit - Corporation Nursing Homes USA
Located Within a Hospital? No  vs 93.6% Nursing Homes USA don't have Located Within a Hospital?
Compare similar 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? 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
1  (55.31 lower than average)
vs
56.31

# of deficiencies
49  (41.52 higher than average)
vs
7.48

Staff Information
Number of Residents
87  (4.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.4  (0.37 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.48  (0.36 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
0.88  (0.71 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: Some
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: 04/06/2011
date Of Correction: 05/06/2011 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 04/06/2011
date Of Correction: 05/06/2011 
Deficiency #3 Scope: Many
level Of Harm: 2
deficiency: Make Sure That The Nursing Home Area Is Safe, Easy To Use, Clean And Comfortable For Residents, Staff And The Public.
survey Date: 05/26/2010
date Of Correction: 09/13/2010 
Deficiency #4 Scope: Some
level Of Harm: 2
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 12/10/2009
date Of Correction: 01/10/2010 
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: 12/10/2009
date Of Correction: 01/10/2010 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment.
survey Date: 05/04/2009
date Of Correction: 06/03/2009 
Resident Rights Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Provide Proof That All Residents' Personal Money Which Is Deposited With The Nursing Home, Is Secure.
survey Date: 04/06/2011
date Of Correction: 05/06/2011 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Follow Policies And Procedures To Convey The Resident's Personal Funds To The Appropriate Party Responsible After The Resident's Death.
survey Date: 04/06/2011
date Of Correction: 05/06/2011 
Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Properly Hold, Secure And Manage Each Resident's Personal Money Which Is Deposited With The Nursing Home.
survey Date: 04/06/2011
date Of Correction: 05/06/2011 
Deficiency #4 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: 04/06/2011
date Of Correction: 04/15/2011 
Deficiency #5 Scope: Many
level Of Harm: 1
deficiency: Send And Promptly Deliver Unopened Mail To Residents.
survey Date: 12/10/2009
date Of Correction: 01/10/2010 
Deficiency #6 Scope: Some
level Of Harm: 2
deficiency: Properly Hold, Secure And Manage Each Resident's Personal Money Which Is Deposited With The Nursing Home.
survey Date: 12/10/2009
date Of Correction: 01/10/2010 
Quality Care Deficiencies
Deficiency #1 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: 05/16/2011
date Of Correction: Not Available 
Deficiency #2 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: 04/06/2011
date Of Correction: 05/06/2011 
Deficiency #3 Scope: Few
level Of Harm: 3
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 04/06/2011
date Of Correction: 05/06/2011 
Deficiency #4 Scope: Some
level Of Harm: 2
deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.
survey Date: 04/06/2011
date Of Correction: 05/06/2011 
Deficiency #5 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: 02/16/2011
date Of Correction: 03/17/2011 
Deficiency #6 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: 02/16/2011
date Of Correction: 03/17/2011 
Deficiency #7 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 02/16/2011
date Of Correction: 03/17/2011 
Deficiency #8 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: 12/10/2009
date Of Correction: 01/10/2010 
Deficiency #9 Scope: Few
level Of Harm: 2
deficiency: Develop Policies And Procedures For Influenza And Pneumococcal Immunizations.
survey Date: 12/10/2009
date Of Correction: 01/10/2010 
Deficiency #10 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: 12/10/2009
date Of Correction: 01/10/2010 
Deficiency #11 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: 12/10/2009
date Of Correction: 01/10/2010 
Deficiency #12 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: 12/10/2009
date Of Correction: 01/10/2010 
Deficiency #13 Scope: Few
level Of Harm: 2
deficiency: Provide Activities To Meet The Interests And Needs Of Each Resident.
survey Date: 12/10/2009
date Of Correction: 01/10/2010 
Deficiency #14 Scope: Few
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 08/19/2009
date Of Correction: 09/17/2009 
Deficiency #15 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: 08/19/2009
date Of Correction: 09/17/2009 
Deficiency #16 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 08/19/2009
date Of Correction: 09/17/2009 
Deficiency #17 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 08/19/2009
date Of Correction: 09/17/2009 
Deficiency #18 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: 06/12/2009
date Of Correction: 07/12/2009 
Resident Assessment Deficiencies
Deficiency #1 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: 05/16/2011
date Of Correction: Not Available 
Deficiency #2 Scope: Some
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: 04/06/2011
date Of Correction: 05/06/2011 
Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.
survey Date: 04/06/2011
date Of Correction: 05/06/2011 
Deficiency #4 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: 02/16/2011
date Of Correction: 03/17/2011 
Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Check And Assess Each Resident's Assessment At Least Every 3 Months.
survey Date: 02/16/2011
date Of Correction: 03/17/2011 
Deficiency #6 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: 12/10/2009
date Of Correction: 01/10/2010 
Deficiency #7 Scope: Few
level Of Harm: 2
deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.
survey Date: 12/10/2009
date Of Correction: 01/10/2010 
Administration Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 1
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 12/10/2009
date Of Correction: 01/10/2010 
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: 08/19/2009
date Of Correction: 09/17/2009 
Deficiency #3 Scope: Many
level Of Harm: 1
deficiency: Post Nurse Staffing Information/data On A Daily Basis.
survey Date: 08/19/2009
date Of Correction: 09/17/2009 
Pharmacy Service Deficiencies
Deficiency #1 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: 05/16/2011
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: 04/06/2011
date Of Correction: 05/06/2011 
Deficiency #3 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: 04/06/2011
date Of Correction: 05/06/2011 
Deficiency #4 Scope: Some
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: 12/10/2009
date Of Correction: 01/10/2010 
Deficiency #5 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: 12/10/2009
date Of Correction: 01/10/2010 
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: 04/06/2011
date Of Correction: 05/06/2011 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Prepare Food That Is Nutritional, Appetizing, Tasty, Attractive, Well-cooked, And At The Right Temperature.
survey Date: 04/06/2011
date Of Correction: 05/06/2011 
Deficiency #3 Scope: Many
level Of Harm: 2
deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.
survey Date: 02/16/2011
date Of Correction: 03/17/2011 
Deficiency #4 Scope: Many
level Of Harm: 2
deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.
survey Date: 12/10/2009
date Of Correction: 01/10/2010 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
36.8 % (11.71 % higher than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
75.2 % (42.25 % higher than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
8.8 % (7.86 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
8.8 % (3.78 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
4.7 % (7.13 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
4.9 % (39.64 % lower than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
7.8 % (7.83 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
20 % (6.54 % higher than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
76.8 % (48.42 % higher 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
24.3 % (0.72 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
63.4 % (21.24 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
60 % (23.94 % lower than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
1  (44.9 lower than average)
vs
45.90

Percent of long-stay residents experiencing one or more falls with major injury
2.4 % (13.12 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
33.5 % (8.11 % 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
10.6 % (3.5 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
6.2 % (3.02 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
6.7 % (1.8 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
9.7 % (33.68 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
6.7 % (3.95 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
18.7 % (9.12 % higher than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
79.1 % (59.24 % higher 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
4.6 % (6.13 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
25.4 % (0.64 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
56.2 % (25.24 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
34.4 % (40.35 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
4.8 % (12.54 % lower than average)
vs
17.34 %



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