DUNBAR CARE AND REHABILITATION CENTER

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General
City	DUNBAR	vs	0% Nursing Homes USA have DUNBAR
State attribute explanation	WV	vs	0.8% Nursing Homes USA have WV	compare WV Nursing Homes USA
Street	501 CALDWELL LANE
Zip Code	25064
Phone	3047444761
Overall Star Rating	2 (1.11 lower than average)	vs	3.11	Compare similar Overall Star Rating (2)
Health Inspections Star Rating	2 (0.83 lower than average)	vs	2.83	Compare similar Health Inspections Star Rating (2)
Nurse Staffing Star Rating	3 (0.17 lower than average)	vs	3.17	Compare similar Nurse Staffing Star Rating (3)
Quality Measures Star Rating	3 (0.31 lower than average)	vs	3.31	Compare similar Quality Measures Star Rating (3)
RN Only Star Rating	4 (0.83 higher than average)	vs	3.17	Compare similar RN Only Star Rating (4)
Number of Certified Beds	120 (11.06 higher than average)	vs	108.94	Compare similar Number of Certified Beds (120)
Total Number of Residents	116 (24.75 higher than average)	vs	91.25	Compare similar Total Number of Residents (116)
Percent of Occupied Beds	97 % (13.35 % higher than average)	vs	83.65 %	Compare similar Percent of Occupied Beds (97) %
Health Survey Date	4/14/2011
Fire Survey Date	4/13/2011
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	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	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	2 (54.31 lower than average)	vs	56.31
# of deficiencies	43 (35.52 higher than average)	vs	7.48

Staff Information
Number of Residents	116 (24.62 higher than average)	vs	91.38
Number of RN Hours Per Resident Per Day	0.76 (0.01 lower than average)	vs	0.77
Number of LPN/LVN Hours Per Resident Per Day	0.97 (0.13 higher than average)	vs	0.84
Total Number of Licensed Staff Hours Per Resident Per Day	1.72 (0.13 higher 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: 07/20/2011 date Of Correction: 07/12/2011
Deficiency #2		Scope: Some 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: 06/30/2011 date Of Correction: 07/25/2011
Deficiency #3		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: 06/30/2011 date Of Correction: 07/25/2011
Deficiency #4		Scope: Many level Of Harm: 2 deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading. survey Date: 04/14/2011 date Of Correction: 06/30/2011

Mistreatment Deficiencies
Deficiency #1		Scope: Few level Of Harm: 3 deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property. survey Date: 06/30/2011 date Of Correction: 07/25/2011
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: 12/09/2010 date Of Correction: 02/09/2011
Deficiency #3		Scope: Few level Of Harm: 3 deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property. survey Date: 12/09/2010 date Of Correction: 02/09/2011
Deficiency #4		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: 11/11/2010 date Of Correction: 02/09/2011
Deficiency #5		Scope: Some 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: 07/30/2010
Deficiency #6		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: 09/01/2009 date Of Correction: 10/02/2009
Deficiency #7		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: 07/08/2009 date Of Correction: 07/24/2009

Resident Rights Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: Provide Enough Notice Before Discharging Or Transferring A Resident. survey Date: 07/20/2011 date Of Correction: 08/10/2011
Deficiency #2		Scope: Few level Of Harm: 2 deficiency: Try To Resolve Each Resident's Complaints Quickly. survey Date: 07/20/2011 date Of Correction: 08/10/2011
Deficiency #3		Scope: Few level Of Harm: 2 deficiency: Try To Resolve Each Resident's Complaints Quickly. survey Date: 06/30/2011 date Of Correction: 07/25/2011
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: 12/09/2010 date Of Correction: 02/09/2011
Deficiency #5		Scope: Few level Of Harm: 2 deficiency: Let The Resident Refuse Treatment Or Refuse To Take Part In An Experiment And Formulate Advance Directives. survey Date: 12/09/2010 date Of Correction: 02/09/2011
Deficiency #6		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: 11/11/2010 date Of Correction: 02/09/2011
Deficiency #7		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: 10/19/2010 date Of Correction: 02/09/2011
Deficiency #8		Scope: Few 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: 10/19/2010 date Of Correction: 02/09/2011
Deficiency #9		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: 05/20/2010 date Of Correction: 07/01/2010
Deficiency #10		Scope: Few level Of Harm: 2 deficiency: Tell The Resident Or The Resident's Representative In Writing How Long The Nursing Home Will Hold The Resident's Bed. survey Date: 05/20/2010 date Of Correction: 07/01/2010
Deficiency #11		Scope: Few level Of Harm: 2 deficiency: Provide Enough Notice Before Discharging Or Transferring A Resident. survey Date: 05/20/2010 date Of Correction: 07/01/2010
Deficiency #12		Scope: Few 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: 09/01/2009 date Of Correction: 10/02/2009
Deficiency #13		Scope: Few level Of Harm: 2 deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident. survey Date: 05/15/2009 date Of Correction: 06/20/2009

Quality Care Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 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: 11/11/2010 date Of Correction: 02/09/2011
Deficiency #2		Scope: Few level Of Harm: 3 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 11/11/2010 date Of Correction: 02/09/2011
Deficiency #3		Scope: Few level Of Harm: 2 deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality. survey Date: 11/11/2010 date Of Correction: 02/09/2011
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: 06/17/2010 date Of Correction: 07/30/2010
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: 06/17/2010 date Of Correction: 07/30/2010
Deficiency #6		Scope: Some level Of Harm: 2 deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality. survey Date: 06/17/2010 date Of Correction: 07/30/2010
Deficiency #7		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: 05/20/2010 date Of Correction: 07/15/2010
Deficiency #8		Scope: Few level Of Harm: 2 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 05/15/2009 date Of Correction: 06/20/2009

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: 07/20/2011 date Of Correction: 08/10/2011
Deficiency #2		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: 06/30/2011 date Of Correction: 07/25/2011
Deficiency #3		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: 10/19/2010 date Of Correction: 02/09/2011
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: 05/20/2010 date Of Correction: 07/01/2010

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: 07/20/2011 date Of Correction: 08/10/2011
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: 11/11/2010 date Of Correction: 02/09/2011
Deficiency #3		Scope: Many level Of Harm: 1 deficiency: Post Nurse Staffing Information/data On A Daily Basis. survey Date: 10/19/2010 date Of Correction: 02/09/2011
Deficiency #4		Scope: Few level Of Harm: 2 deficiency: Keep Clinical Record Information Safe, So That It Will Not Be Lost, Destroyed Or Used By The Wrong Person. survey Date: 05/20/2010 date Of Correction: 07/15/2010

Nutrition and Dietary Deficiencies
Deficiency #1		Scope: Some level Of Harm: 2 deficiency: Offer Other Nutritional Food To Each Resident Who Will Not Eat The Food Served. survey Date: 05/15/2009 date Of Correction: 06/20/2009
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: 05/15/2009 date Of Correction: 06/20/2009
Deficiency #3		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: 05/15/2009 date Of Correction: 06/20/2009

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication	15.6 % (9.49 % lower than average)	vs	25.09 %
Percent of long-stay residents whose need for help with daily activities has increased	2.20 % (30.75 % lower than average)	vs	32.95 %
Percent of long-stay residents who self-report moderate to severe pain	16.1 % (0.56 % lower than average)	vs	16.66 %
Percent of long-stay high-risk residents with pressure ulcers	2.5 % (10.08 % lower than average)	vs	12.58 %
Percent of long-stay residents who lose too much weight	14 % (2.17 % higher than average)	vs	11.83 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder	7 % (8.63 % lower than average)	vs	15.63 %
Percent of long-stay residents with a urinary tract infection	4.3 % (9.16 % lower than average)	vs	13.46 %
Percent of long-stay residents who have depressive symptoms	75.2 % (46.82 % higher than average)	vs	28.38 %
Percent of long-stay residents who were physically restrained	3.1 % (40.58 % lower than average)	vs	43.68 %
Percent of short-stay residents who self-report moderate to severe pain	13.6-28 % (11.42 % lower than average)	vs	25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine	28.2 % (56.44 % lower than average)	vs	84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened	26 % (57.94 % lower than average)	vs	83.94 %
Percent of short-stay residents who newly received an antipsychotic medication	2.6 / 3 %
Percent of long-stay residents experiencing one or more falls with major injury	2.1 % (13.42 % lower than average)	vs	15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication	16.7 % (8.69 % lower than average)	vs	25.39 %
Percent of long-stay residents whose need for help with daily activities has increased	2.8 % (20.9 % lower than average)	vs	23.70 %
Percent of long-stay residents who self-report moderate to severe pain	15.9:1 %
Percent of long-stay high-risk residents with pressure ulcers	6.3 % (2.92 % lower than average)	vs	9.22 %
Percent of long-stay residents who lose too much weight	10.5 % (2 % higher than average)	vs	8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder	35 % (8.38 % lower than average)	vs	43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder	5.7 % (4.95 % lower than average)	vs	10.65 %
Percent of long-stay residents with a urinary tract infection	4.1 % (5.48 % lower than average)	vs	9.58 %
Percent of long-stay residents who have depressive symptoms	75.2 % (55.34 % higher than average)	vs	19.86 %
Percent of long-stay residents who were physically restrained	1.7 % (36.83 % lower than average)	vs	38.53 %
Percent of long-stay residents experiencing one or more falls with major injury	1.7 % (9.03 % 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	26 % (55.44 % lower than average)	vs	81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened	15.8 % (58.95 % lower than average)	vs	74.75 %
Percent of short-stay residents who newly received an antipsychotic medication	25.8 % (8.46 % higher than average)	vs	17.34 %