Compare with other Nursing Homes USA
Compare
Compare
| ELMS HAVEN CARE AND REHABILITATION CENTER | VS | All other Nursing Homes USA |
| Staff Information | |||||
|---|---|---|---|---|---|
| Number of Residents |
206 (114.62 higher than average)
|
vs |
91.38
|
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| Number of RN Hours Per Resident Per Day |
0.54 (0.23 lower than average)
|
vs |
0.77
|
||
| Number of LPN/LVN Hours Per Resident Per Day |
0.83 (0.01 lower than average)
|
vs |
0.84
|
||
| Total Number of Licensed Staff Hours Per Resident Per Day |
1.36 (0.23 lower than average)
|
vs |
1.59
|
||
| Number of CNA Hours Per Resident Per Day |
0.05 (5.44 lower than average)
|
vs |
5.49
|
||
| Number Therapy Hours Per Resident Per Day |
0.05 (0.05 lower than average)
|
vs |
0.10
|
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| Environmental Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Many level Of Harm: 2 deficiency: Make Sure There Is A Pest Control Program To Prevent/deal With Mice, Insects, Or Other Pests. survey Date: 10/05/2011 date Of Correction: 11/04/2011 |
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| Deficiency #2 |
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: 10/05/2011 date Of Correction: 11/04/2011 |
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| Deficiency #3 |
Scope: Some level Of Harm: 2 deficiency: Provide Housekeeping And Maintenance Services. survey Date: 07/27/2011 date Of Correction: Not Available |
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| Deficiency #4 |
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: 03/03/2011 date Of Correction: 03/31/2011 |
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| Deficiency #5 |
Scope: Some level Of Harm: 2 deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading. survey Date: 08/30/2010 date Of Correction: 09/27/2010 |
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| Deficiency #6 |
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: 08/30/2010 date Of Correction: 09/27/2010 |
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| Deficiency #7 |
Scope: Some level Of Harm: 4 deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents. survey Date: 03/22/2010 date Of Correction: 04/11/2010 |
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| Deficiency #8 |
Scope: Some level Of Harm: 2 deficiency: Keep All Essential Equipment Working Safely. survey Date: 10/20/2009 date Of Correction: 11/19/2009 |
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| Deficiency #9 |
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: 10/20/2009 date Of Correction: 11/19/2009 |
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| 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: 03/03/2011 date Of Correction: 03/31/2011 |
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| Deficiency #2 |
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: 03/22/2010 date Of Correction: 04/11/2010 |
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| Deficiency #3 |
Scope: Few level Of Harm: 3 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: 10/20/2009 date Of Correction: 11/19/2009 |
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| Resident Rights Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Try To Resolve Each Resident's Complaints Quickly. survey Date: 05/23/2012 date Of Correction: Not Available |
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| Deficiency #2 |
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: 05/23/2012 date Of Correction: Not Available |
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| Deficiency #3 |
Scope: Some level Of Harm: 1 deficiency: Listen To The Resident Or Family Groups Or Act On Their Complaints Or Suggestions. survey Date: 10/05/2011 date Of Correction: 11/04/2011 |
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| Deficiency #4 |
Scope: Some level Of Harm: 1 deficiency: Follow Policies And Procedures To Convey The Resident's Personal Funds To The Appropriate Party Responsible After The Resident's Death. survey Date: 10/05/2011 date Of Correction: 11/04/2011 |
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| Deficiency #5 |
Scope: Some 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: 07/27/2011 date Of Correction: Not Available |
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| 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: 10/15/2010 date Of Correction: 11/12/2010 |
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| 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: 08/30/2010 date Of Correction: 09/27/2010 |
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| Deficiency #8 |
Scope: Few level Of Harm: 2 deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident. survey Date: 03/22/2010 date Of Correction: 04/11/2010 |
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| Quality Care Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Few level Of Harm: 3 deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores. survey Date: 05/23/2012 date Of Correction: Not Available |
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| Deficiency #2 |
Scope: Few level Of Harm: 2 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 05/23/2012 date Of Correction: Not Available |
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| Deficiency #3 |
Scope: Few level Of Harm: 2 deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality. survey Date: 05/23/2012 date Of Correction: Not Available |
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| Deficiency #4 |
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: 10/05/2011 date Of Correction: 11/04/2011 |
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| 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: 10/05/2011 date Of Correction: 11/04/2011 |
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| Deficiency #6 |
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: 07/27/2011 date Of Correction: Not Available |
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| Deficiency #7 |
Scope: Few level Of Harm: 2 deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality. survey Date: 07/27/2011 date Of Correction: Not Available |
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| Deficiency #8 |
Scope: Few level Of Harm: 3 deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores. survey Date: 03/03/2011 date Of Correction: 03/31/2011 |
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| Deficiency #9 |
Scope: Few level Of Harm: 3 deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores. survey Date: 08/30/2010 date Of Correction: 09/27/2010 |
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| Deficiency #10 |
Scope: Few level Of Harm: 2 deficiency: Make Sure That Residents Receive Treatment/services To Not Only Continue, But Improve The Ability To Care For Themselves. survey Date: 08/30/2010 date Of Correction: 09/27/2010 |
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| Deficiency #11 |
Scope: Few level Of Harm: 2 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 08/30/2010 date Of Correction: 09/27/2010 |
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| Deficiency #12 |
Scope: Few level Of Harm: 2 deficiency: Provide Medically-related Social Services To Help Each Resident Achieve The Highest Possible Quality Of Life. survey Date: 08/30/2010 date Of Correction: 09/27/2010 |
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| Deficiency #13 |
Scope: Few level Of Harm: 2 deficiency: Give Each Resident Enough Fluids To Keep Them Healthy And Prevent Dehydration. survey Date: 03/22/2010 date Of Correction: 04/11/2010 |
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| Deficiency #14 |
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: 03/22/2010 date Of Correction: 04/11/2010 |
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| Deficiency #15 |
Scope: Few level Of Harm: 2 deficiency: Make Sure That Residents With Reduced Range Of Motion Get Proper Treatment And Services To Increase Range Of Motion. survey Date: 03/22/2010 date Of Correction: 04/11/2010 |
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| Deficiency #16 |
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: 03/22/2010 date Of Correction: 04/11/2010 |
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| Deficiency #17 |
Scope: Few level Of Harm: 3 deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores. survey Date: 03/22/2010 date Of Correction: 04/11/2010 |
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| Deficiency #18 |
Scope: Few level Of Harm: 3 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 03/22/2010 date Of Correction: 04/11/2010 |
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| Deficiency #19 |
Scope: Some level Of Harm: 2 deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality. survey Date: 03/22/2010 date Of Correction: 04/11/2010 |
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| Deficiency #20 |
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: 10/20/2009 date Of Correction: 11/19/2009 |
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| 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: 10/05/2011 date Of Correction: 11/04/2011 |
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| Deficiency #2 |
Scope: Few level Of Harm: 2 deficiency: Develop A Post-discharge Plan With The Resident And Family For The Resident's Care After Leaving The Nursing Home. survey Date: 07/27/2011 date Of Correction: Not Available |
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| Deficiency #3 |
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: 07/27/2011 date Of Correction: Not Available |
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| 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: 03/22/2010 date Of Correction: 04/11/2010 |
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| Administration Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Some level Of Harm: 2 deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards. survey Date: 03/22/2010 date Of Correction: 04/11/2010 |
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| Pharmacy Service Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
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: 10/05/2011 date Of Correction: 11/04/2011 |
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| Deficiency #2 |
Scope: Few level Of Harm: 3 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: 10/05/2011 date Of Correction: 11/04/2011 |
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| 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: 10/05/2011 date Of Correction: 11/04/2011 |
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| Deficiency #2 |
Scope: Many level Of Harm: 2 deficiency: Store, Cook, And Serve Food In A Safe And Clean Way. survey Date: 07/27/2011 date Of Correction: Not Available |
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| Deficiency #3 |
Scope: Some level Of Harm: 2 deficiency: Prepare Food That Is Nutritional, Appetizing, Tasty, Attractive, Well-cooked, And At The Right Temperature. survey Date: 07/27/2011 date Of Correction: Not Available |
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| Quality Measures Q1 | |||||
|---|---|---|---|---|---|
| Percent of long-stay residents who received an antipsychotic medication |
25 % (0.09 % lower than average)
|
vs |
25.09 %
|
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| Percent of long-stay residents whose need for help with daily activities has increased |
4.8 % (28.15 % lower than average)
|
vs |
32.95 %
|
||
| Percent of long-stay residents who self-report moderate to severe pain |
20.7 (69.3) % (4.04 % higher than average)
|
vs |
16.66 %
|
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| Percent of long-stay high-risk residents with pressure ulcers |
4 % (8.58 % lower than average)
|
vs |
12.58 %
|
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| Percent of long-stay residents who lose too much weight |
7.5 % (4.33 % lower than average)
|
vs |
11.83 %
|
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| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
43.1 % (1.44 % lower than average)
|
vs |
44.54 %
|
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| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
5.2 % (10.43 % lower than average)
|
vs |
15.63 %
|
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| Percent of long-stay residents with a urinary tract infection |
8 % (5.46 % lower than average)
|
vs |
13.46 %
|
||
| Percent of long-stay residents who have depressive symptoms |
3.8 % (24.58 % lower than average)
|
vs |
28.38 %
|
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| Percent of long-stay residents who were physically restrained |
4 % (39.68 % lower than average)
|
vs |
43.68 %
|
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| Percent of short-stay residents who self-report moderate to severe pain |
49.4 % (24.38 % higher than average)
|
vs |
25.02 %
|
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| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
39.6 % (45.04 % lower than average)
|
vs |
84.64 %
|
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| Percent of short-stay residents with Pressure ulcers that are new or worsened |
39.4 % (44.54 % lower than average)
|
vs |
83.94 %
|
||
| Percent of short-stay residents who newly received an antipsychotic medication |
7.6 % (38.3 % lower than average)
|
vs |
45.90 %
|
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| Percent of long-stay residents experiencing one or more falls with major injury |
4 % (11.52 % lower than average)
|
vs |
15.52 %
|
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| Quality Measures Q3 | |||||
|---|---|---|---|---|---|
| Percent of long-stay residents who received an antipsychotic medication |
25.2 % (0.19 % lower than average)
|
vs |
25.39 %
|
||
| Percent of long-stay residents whose need for help with daily activities has increased |
2.1 % (21.6 % lower than average)
|
vs |
23.70 %
|
||
| Percent of long-stay residents who self-report moderate to severe pain |
16.5 % (2.4 % higher than average)
|
vs |
14.10 %
|
||
| Percent of long-stay high-risk residents with pressure ulcers |
5.4 % (3.82 % lower than average)
|
vs |
9.22 %
|
||
| Percent of long-stay residents who lose too much weight | 9.4 / 10.4 % | ||||
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
43 % (0.38 % lower than average)
|
vs |
43.38 %
|
||
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
7 % (3.65 % lower than average)
|
vs |
10.65 %
|
||
| Percent of long-stay residents with a urinary tract infection |
6.8 % (2.78 % lower than average)
|
vs |
9.58 %
|
||
| Percent of long-stay residents who have depressive symptoms |
2.9 % (16.96 % lower than average)
|
vs |
19.86 %
|
||
| Percent of long-stay residents who were physically restrained |
3.6 % (34.93 % lower than average)
|
vs |
38.53 %
|
||
| Percent of long-stay residents experiencing one or more falls with major injury |
3.7 % (7.03 % lower than average)
|
vs |
10.73 %
|
||
| Percent of short-stay residents who self-report moderate to severe pain |
41.4 % (16.64 % higher than average)
|
vs |
24.76 %
|
||
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
26.6 (79.9) % (54.84 % lower than average)
|
vs |
81.44 %
|
||
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
30.4 % (44.35 % lower than average)
|
vs |
74.75 %
|
||
| Percent of short-stay residents who newly received an antipsychotic medication |
5.3 % (12.04 % lower than average)
|
vs |
17.34 %
|
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