Compare with other Nursing Homes USA
Compare
Compare
| ESPANOLA VALLEY NURSING & REHAB CENTER | VS | All other Nursing Homes USA |
| Staff Information | |||||
|---|---|---|---|---|---|
| Number of Residents |
89 (2.38 lower than average)
|
vs |
91.38
|
||
| Number of RN Hours Per Resident Per Day |
0.42 (0.35 lower than average)
|
vs |
0.77
|
||
| Number of LPN/LVN Hours Per Resident Per Day |
0.68 (0.16 lower than average)
|
vs |
0.84
|
||
| Total Number of Licensed Staff Hours Per Resident Per Day |
1.11 (0.48 lower than average)
|
vs |
1.59
|
||
| Number of CNA Hours Per Resident Per Day |
0.06 (5.43 lower than average)
|
vs |
5.49
|
||
| Number Therapy Hours Per Resident Per Day |
0.06 (0.04 lower than average)
|
vs |
0.10
|
||
| Environmental Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Many level Of Harm: 2 deficiency: Keep All Essential Equipment Working Safely. survey Date: 02/07/2012 date Of Correction: 05/23/2012 |
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| Deficiency #2 |
Scope: Many 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: 02/07/2012 date Of Correction: 05/23/2012 |
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| Mistreatment Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Few level Of Harm: 4 deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property. survey Date: 02/07/2012 date Of Correction: 05/23/2012 |
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| Deficiency #2 |
Scope: Few level Of Harm: 4 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: 02/07/2012 date Of Correction: 05/23/2012 |
||||
| Deficiency #3 |
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: 02/07/2012 date Of Correction: 05/23/2012 |
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| Quality Care Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Few level Of Harm: 4 deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care. survey Date: 02/07/2012 date Of Correction: 05/23/2012 |
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| Resident Assessment Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Coordinate Assessments With The Pre-admission Screening And Resident Review Program For Mentally-ill And Mentally-retarded Patients. survey Date: 02/07/2012 date Of Correction: 05/23/2012 |
||||
| Deficiency #2 |
Scope: Few level Of Harm: 4 deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured. survey Date: 02/07/2012 date Of Correction: 05/23/2012 |
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| Administration Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Many level Of Harm: 2 deficiency: 1) Receive Registry Verification That A Nurse Aide Has Met The Required Training And Skills That The State Requires; And 2) Ensure Nurse Aides Receive The Required Retraining After 24 Months If Nursing Related Services Were Not Provided For Monetary Compensation survey Date: 02/07/2012 date Of Correction: 05/23/2012 |
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| Quality Measures Q1 | |||||
|---|---|---|---|---|---|
| Percent of long-stay residents who received an antipsychotic medication | 13.1:1 % | ||||
| 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 | 23.8:1 % | ||||
| Percent of long-stay high-risk residents with pressure ulcers |
3.4 % (9.18 % lower than average)
|
vs |
12.58 %
|
||
| Percent of long-stay residents who lose too much weight |
18.8 % (6.97 % higher than average)
|
vs |
11.83 %
|
||
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
29.3 % (15.24 % lower than average)
|
vs |
44.54 %
|
||
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
1.6 % (14.03 % lower than average)
|
vs |
15.63 %
|
||
| Percent of long-stay residents with a urinary tract infection |
3.5 % (9.96 % lower than average)
|
vs |
13.46 %
|
||
| Percent of long-stay residents who have depressive symptoms |
17.2 % (11.18 % lower than average)
|
vs |
28.38 %
|
||
| Percent of long-stay residents who were physically restrained | 8.9 / 9.9 % | ||||
| Percent of short-stay residents who self-report moderate to severe pain |
31.9 % (6.88 % higher than average)
|
vs |
25.02 %
|
||
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
13.8 % (70.84 % lower than average)
|
vs |
84.64 %
|
||
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
12.4-2413.6-24 % (71.54 % lower than average)
|
vs |
83.94 %
|
||
| Percent of short-stay residents who newly received an antipsychotic medication |
3.7 % (42.2 % lower than average)
|
vs |
45.90 %
|
||
| Percent of long-stay residents experiencing one or more falls with major injury |
4.4 % (11.12 % lower than average)
|
vs |
15.52 %
|
||
| Quality Measures Q3 | |||||
|---|---|---|---|---|---|
| Percent of long-stay residents who received an antipsychotic medication |
13.2 % (12.19 % 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 |
21.4 % (7.3 % higher than average)
|
vs |
14.10 %
|
||
| Percent of long-stay high-risk residents with pressure ulcers |
1.8 % (7.42 % lower than average)
|
vs |
9.22 %
|
||
| Percent of long-stay residents who lose too much weight |
19.2 % (10.7 % higher than average)
|
vs |
8.50 %
|
||
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
34.5 % (8.88 % 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 |
5 % (4.58 % lower than average)
|
vs |
9.58 %
|
||
| Percent of long-stay residents who have depressive symptoms |
14.8 % (5.06 % lower than average)
|
vs |
19.86 %
|
||
| Percent of long-stay residents who were physically restrained |
8 % (30.53 % lower than average)
|
vs |
38.53 %
|
||
| Percent of long-stay residents experiencing one or more falls with major injury |
3.2 % (7.53 % lower than average)
|
vs |
10.73 %
|
||
| Percent of short-stay residents who self-report moderate to severe pain |
37.7 % (12.94 % higher than average)
|
vs |
24.76 %
|
||
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
8.8 % (72.64 % lower than average)
|
vs |
81.44 %
|
||
| Percent of short-stay residents with Pressure ulcers that are new or worsened | 11.6:1 % | ||||
| Percent of short-stay residents who newly received an antipsychotic medication |
8.5 % (8.84 % lower than average)
|
vs |
17.34 %
|
||