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EAST GLEN

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EAST GLEN VS
All other Nursing Homes USA
General
City Birmingham  vs 0.1% Nursing Homes USA have Birmingham
State attribute explanation AL   vs 1.5% Nursing Homes USA have AL
Street 53 MEDICAL PARK DRIVE EAST  
Zip Code 35235  
Phone 2058331777  
Overall Star Rating
(1.11 lower than average)
vs
3.11

Health Inspections Star Rating
(1.83 lower than average)
vs
2.83

Nurse Staffing Star Rating
(0.83 higher 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
108  (0.94 lower than average)
vs
108.94

Total Number of Residents
106  (14.75 higher than average)
vs
91.25

Percent of Occupied Beds
98 % (14.35 % higher than average)
vs
83.65 %

Health Survey Date 3/28/2012  
Fire Survey Date 3/29/2012  
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 Non Profit - Corporation  vs 18.7% Nursing Homes USA have Non 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? No  vs 68.7% Nursing Homes USA don't have Quality Indicator Survey?
Special Focus Facility? No  vs 99% Nursing Homes USA don't have Special Focus Facility?
Civil Money Penalty Count
(57.16 lower than average)
vs
58.16

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

# of deficiencies 5  
Staff Information
Number of Residents
106  (14.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.55  (0.22 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
1.52  (0.07 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: 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: 07/15/2011
date Of Correction: 08/19/2011 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 03/25/2010
date Of Correction: 04/29/2010 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 07/15/2011
date Of Correction: 09/16/2011 

Resident Assessment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.
survey Date: 03/25/2010
date Of Correction: 04/29/2010 

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: 07/15/2011
date Of Correction: 09/16/2011 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
12.9 (55.2) % (12.19 % lower 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
7.6 % (9.06 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
5.7 % (6.88 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight 11.8:1 % 
Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.3 % (14.33 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
1.2 % (12.26 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
4.5 % (23.88 % 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 12.8:1 % 
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
92.6 % (7.96 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
86.7 % (2.76 % higher than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
2.5 % (43.4 % lower than average)
vs
45.90 %

Percent of long-stay residents experiencing one or more falls with major injury
1.1 % (14.42 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
13 % (12.39 % lower 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 11.8:1 % 
Percent of long-stay high-risk residents with pressure ulcers
2.5 % (6.72 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
10.9 % (2.4 % higher than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
29.8 % (13.58 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
2.20 % (8.45 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
0.4 % (9.18 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
4.1 % (15.76 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
0.4 % (38.13 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
1.8 % (8.93 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
20.5 % (4.26 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
88.9 % (7.46 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
79.1 % (4.35 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
35 % (17.66 % higher than average)
vs
17.34 %



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