Compare with other Nursing Homes USA
Compare
Compare
| EMILY P. BISSELL HOSPITAL | VS | All other Nursing Homes USA |
| Staff Information | |||||
|---|---|---|---|---|---|
| Number of Residents |
78 (13.38 lower than average)
|
vs |
91.38
|
||
| Number of RN Hours Per Resident Per Day |
1.63 (0.86 higher than average)
|
vs |
0.77
|
||
| Number of LPN/LVN Hours Per Resident Per Day |
1.27 (0.43 higher than average)
|
vs |
0.84
|
||
| Total Number of Licensed Staff Hours Per Resident Per Day |
2.89 (1.3 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: 2 deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading. survey Date: 05/04/2012 date Of Correction: 06/30/2012 |
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| Deficiency #2 |
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: 05/04/2012 date Of Correction: 06/30/2012 |
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| Deficiency #3 |
Scope: Few level Of Harm: 2 deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading. survey Date: 05/31/2011 date Of Correction: 06/24/2011 |
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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: 05/04/2012 date Of Correction: 06/30/2012 |
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| Deficiency #2 |
Scope: Few level Of Harm: 2 deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others. survey Date: 05/04/2012 date Of Correction: 06/30/2012 |
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| 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: 10/12/2010 date Of Correction: 12/07/2010 |
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| Deficiency #4 |
Scope: Few level Of Harm: 2 deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others. survey Date: 10/12/2010 date Of Correction: 12/07/2010 |
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| Deficiency #5 |
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: 09/23/2009 date Of Correction: 12/17/2009 |
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| Resident Rights Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
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: 07/07/2011 date Of Correction: 08/19/2011 |
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| Quality Care Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 05/04/2012 date Of Correction: 06/30/2012 |
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| Deficiency #2 |
Scope: Few level Of Harm: 3 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: 10/12/2010 date Of Correction: 12/07/2010 |
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| Deficiency #3 |
Scope: Few level Of Harm: 2 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 10/12/2010 date Of Correction: 01/03/2011 |
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| Deficiency #4 |
Scope: Few level Of Harm: 3 deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores. survey Date: 09/23/2009 date Of Correction: 02/01/2010 |
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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: 09/23/2009 date Of Correction: 02/01/2010 |
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| 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: 10/12/2010 date Of Correction: 12/07/2010 |
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| 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: 10/12/2010 date Of Correction: 01/03/2011 |
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| Pharmacy Service Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Make Sure That Residents Are Safe From Serious Medication Errors. survey Date: 05/31/2011 date Of Correction: 06/24/2011 |
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| Miscellaneous Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Many level Of Harm: 2 deficiency: Other Fire Safety Features Required By Fire Safety Codes. survey Date: 04/16/2009 date Of Correction: 06/15/2009 |
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| Quality Measures Q1 | |||||
|---|---|---|---|---|---|
| Percent of long-stay residents who received an antipsychotic medication |
27.3 % (2.21 % higher than average)
|
vs |
25.09 %
|
||
| Percent of long-stay residents who self-report moderate to severe pain |
5.4 % (11.26 % lower than average)
|
vs |
16.66 %
|
||
| Percent of long-stay high-risk residents with pressure ulcers |
10.6 % (1.98 % lower than average)
|
vs |
12.58 %
|
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| Percent of long-stay residents who lose too much weight |
5.5 % (6.33 % lower than average)
|
vs |
11.83 %
|
||
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
6.5 % (9.13 % lower than average)
|
vs |
15.63 %
|
||
| Percent of long-stay residents with a urinary tract infection |
4.1 % (9.36 % lower than average)
|
vs |
13.46 %
|
||
| Percent of long-stay residents who have depressive symptoms |
1.4 % (26.98 % lower than average)
|
vs |
28.38 %
|
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| Percent of long-stay residents who were physically restrained |
2.7 % (40.98 % lower than average)
|
vs |
43.68 %
|
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| Percent of long-stay residents experiencing one or more falls with major injury |
75.2 % (59.68 % higher than average)
|
vs |
15.52 %
|
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| Quality Measures Q3 | |||||
|---|---|---|---|---|---|
| Percent of long-stay residents who received an antipsychotic medication |
27.4 % (2.01 % higher than average)
|
vs |
25.39 %
|
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| Percent of long-stay residents who self-report moderate to severe pain |
5.8 % (8.3 % lower than average)
|
vs |
14.10 %
|
||
| Percent of long-stay high-risk residents with pressure ulcers |
9.5 % (0.28 % higher 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 |
13.7 % (29.68 % lower than average)
|
vs |
43.38 %
|
||
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
5.1 % (5.55 % lower than average)
|
vs |
10.65 %
|
||
| Percent of long-stay residents with a urinary tract infection |
4.4 % (5.18 % lower than average)
|
vs |
9.58 %
|
||
| Percent of long-stay residents who have depressive symptoms |
2.8 % (17.06 % lower than average)
|
vs |
19.86 %
|
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| Percent of long-stay residents who were physically restrained |
7.6 % (30.93 % lower than average)
|
vs |
38.53 %
|
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| Percent of long-stay residents experiencing one or more falls with major injury |
75.2 % (64.47 % higher than average)
|
vs |
10.73 %
|
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