ELM'S NURSING AND REHAB CENTER (THE)

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General
City	MILFORD	vs	0.1% Nursing Homes USA have MILFORD
State attribute explanation	NH	vs	0.5% Nursing Homes USA have NH	compare NH Nursing Homes USA
Street	71 ELM STREET
Zip Code	3055
Phone	6036732907
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	2 (1.31 lower than average)	vs	3.31	Compare similar Quality Measures Star Rating (2)
RN Only Star Rating	5 (1.83 higher than average)	vs	3.17	Compare similar RN Only Star Rating (5)
Number of Certified Beds	52 (56.94 lower than average)	vs	108.94	Compare similar Number of Certified Beds (52)
Total Number of Residents	46 (45.25 lower than average)	vs	91.25	Compare similar Total Number of Residents (46)
Percent of Occupied Beds	88 % (4.35 % higher than average)	vs	83.65 %	Compare similar Percent of Occupied Beds (88) %
Health Survey Date	1/5/2012
Fire Survey Date	1/13/2012
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?	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	2 (56.16 lower than average)	vs	58.16
Total Enforcement Actions Count	2 (54.31 lower than average)	vs	56.31
# of deficiencies	12 (4.52 higher than average)	vs	7.48

Staff Information
Number of Residents	46 (45.38 lower than average)	vs	91.38
Number of RN Hours Per Resident Per Day	1.06 (0.29 higher than average)	vs	0.77
Number of LPN/LVN Hours Per Resident Per Day	0.4 (0.44 lower than average)	vs	0.84
Total Number of Licensed Staff Hours Per Resident Per Day	1.45 (0.14 lower than average)	vs	1.59
Number of CNA Hours Per Resident Per Day	0.14 (5.35 lower than average)	vs	5.49
Number Therapy Hours Per Resident Per Day	0.14 (0.04 higher than average)	vs	0.10

Environmental Deficiencies
Deficiency #1		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: 07/13/2011 date Of Correction: 08/05/2011

Mistreatment Deficiencies
Deficiency #1		Scope: Few level Of Harm: 4 deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property. survey Date: 02/22/2012 date Of Correction: 02/20/2012
Deficiency #2		Scope: Few level Of Harm: 2 deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property. survey Date: 07/13/2011 date Of Correction: 08/05/2011
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: 07/13/2011 date Of Correction: 08/05/2011
Deficiency #4		Scope: Few level Of Harm: 2 deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property. survey Date: 01/20/2011 date Of Correction: 03/01/2011
Deficiency #5		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: 01/20/2011 date Of Correction: 03/01/2011
Deficiency #6		Scope: Few level Of Harm: 2 deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property. survey Date: 01/20/2011 date Of Correction: 03/01/2011

Resident Rights Deficiencies
Deficiency #1		Scope: Few level Of Harm: 3 deficiency: Let The Resident Refuse Treatment Or Refuse To Take Part In An Experiment And Formulate Advance Directives. survey Date: 02/22/2012 date Of Correction: 02/20/2012

Quality Care Deficiencies
Deficiency #1		Scope: Few level Of Harm: 4 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 02/22/2012 date Of Correction: 02/20/2012
Deficiency #2		Scope: Few level Of Harm: 2 deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality. survey Date: 01/20/2011 date Of Correction: 03/01/2011

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: 07/13/2011 date Of Correction: 08/05/2011
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: 01/20/2011 date Of Correction: 03/01/2011

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication	10.5 % (14.59 % lower than average)	vs	25.09 %
Percent of long-stay residents whose need for help with daily activities has increased	3.4 % (29.55 % lower than average)	vs	32.95 %
Percent of long-stay residents who self-report moderate to severe pain	2.1 % (14.56 % lower than average)	vs	16.66 %
Percent of long-stay residents who lose too much weight	5.4 % (6.43 % lower than average)	vs	11.83 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder	2.4 % (13.23 % lower than average)	vs	15.63 %
Percent of long-stay residents with a urinary tract infection	4.9 % (8.56 % lower than average)	vs	13.46 %
Percent of long-stay residents who have depressive symptoms	2.3 % (26.08 % 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	12 % (13.02 % lower than average)	vs	25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine	77.8 % (6.84 % lower than average)	vs	84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened	88.9 % (4.96 % higher than average)	vs	83.94 %
Percent of short-stay residents who newly received an antipsychotic medication	75.2 (29.3 higher than average)	vs	45.90
Percent of long-stay residents experiencing one or more falls with major injury	4.7 % (10.82 % lower than average)	vs	15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication	14.9-28 % (10.49 % lower than average)	vs	25.39 %
Percent of long-stay residents whose need for help with daily activities has increased	7.7 % (16 % lower than average)	vs	23.70 %
Percent of long-stay residents who self-report moderate to severe pain	8.4 % (5.7 % lower than average)	vs	14.10 %
Percent of long-stay high-risk residents with pressure ulcers	17.5 % (8.28 % higher than average)	vs	9.22 %
Percent of long-stay residents who lose too much weight	8.4 % (0.1 % lower than average)	vs	8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder	33.3 % (10.08 % lower than average)	vs	43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder	3.6 % (7.05 % lower than average)	vs	10.65 %
Percent of long-stay residents with a urinary tract infection	5.7 % (3.88 % lower than average)	vs	9.58 %
Percent of long-stay residents who have depressive symptoms	7 % (12.86 % lower 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	7 % (3.73 % lower than average)	vs	10.73 %
Percent of short-stay residents who self-report moderate to severe pain	11.8:1 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine	71 % (10.44 % lower than average)	vs	81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened	77.5 % (2.75 % higher than average)	vs	74.75 %
Percent of short-stay residents who newly received an antipsychotic medication	24.5 % (7.16 % higher than average)	vs	17.34 %