Compare with other Nursing Homes USA
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EXCEL REHABILITATION AND HEALTH CENTER | VS | All other Nursing Homes USA |
Staff Information | |||||
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Number of Residents |
105 (13.62 higher than average)
|
vs |
91.38
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Number of RN Hours Per Resident Per Day |
0.85 (0.08 higher than average)
|
vs |
0.77
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||
Number of LPN/LVN Hours Per Resident Per Day |
0.92 (0.08 higher than average)
|
vs |
0.84
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Total Number of Licensed Staff Hours Per Resident Per Day |
1.77 (0.18 higher than average)
|
vs |
1.59
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Number of CNA Hours Per Resident Per Day |
0.18 (5.31 lower than average)
|
vs |
5.49
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Number Therapy Hours Per Resident Per Day |
0.18 (0.08 higher than average)
|
vs |
0.10
|
Environmental Deficiencies | |||||
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Deficiency #1 |
Scope: Some level Of Harm: 2 deficiency: Provide Clean Bed And Bath Linens That Are In Good Condition. survey Date: 05/18/2010 date Of Correction: 05/19/2010 |
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Deficiency #2 |
Scope: Some level Of Harm: 2 deficiency: Make Sure That A Working Call System Is Available In Each Resident's Room Or Bathroom And Bathing Area. survey Date: 11/17/2009 date Of Correction: 12/16/2009 |
Resident Rights Deficiencies | |||||
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Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Establish And Follow A Written Policy That Permits A Resident To Return To The Nursing Home After Hospitalization. survey Date: 04/25/2012 date Of Correction: 05/06/2012 |
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Deficiency #2 |
Scope: Few level Of Harm: 2 deficiency: 1) Protect Current Or Future Residents From Giving Up Their Medicaid Or Medicare Benefits; Or 2) Follow Federal Rules For Admissions. survey Date: 11/15/2011 date Of Correction: 12/15/2011 |
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Deficiency #3 |
Scope: Few level Of Harm: 2 deficiency: Establish And Follow A Written Policy That Permits A Resident To Return To The Nursing Home After Hospitalization. survey Date: 11/15/2011 date Of Correction: 12/15/2011 |
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Deficiency #4 |
Scope: Few level Of Harm: 2 deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident. survey Date: 08/15/2011 date Of Correction: 09/15/2011 |
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Deficiency #5 |
Scope: Few level Of Harm: 2 deficiency: Make Sure That Private Space Is Available In The Nursing Home For Resident Groups Or Residents' Families To Meet. survey Date: 05/16/2011 date Of Correction: 06/14/2011 |
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Deficiency #6 |
Scope: Few level Of Harm: 2 deficiency: Help And Prepare Each Resident For A Safe And Easy Discharge And Transfer From The Nursing Home. survey Date: 05/16/2011 date Of Correction: 06/14/2011 |
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Deficiency #7 |
Scope: Few level Of Harm: 2 deficiency: Let The Resident Refuse Treatment Or Refuse To Take Part In An Experiment And Formulate Advance Directives. survey Date: 03/03/2011 date Of Correction: 04/03/2011 |
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Deficiency #8 |
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: 02/12/2010 date Of Correction: 03/08/2010 |
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Deficiency #9 |
Scope: Few 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: 06/22/2009 date Of Correction: 06/23/2009 |
Quality Care Deficiencies | |||||
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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: 04/06/2012 date Of Correction: 05/06/2012 |
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Deficiency #2 |
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: 11/15/2011 date Of Correction: 12/15/2011 |
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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: 11/01/2010 date Of Correction: 12/01/2010 |
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Deficiency #4 |
Scope: Few level Of Harm: 2 deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care. survey Date: 11/01/2010 date Of Correction: 12/01/2010 |
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Deficiency #5 |
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: 02/12/2010 date Of Correction: 03/08/2010 |
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Deficiency #6 |
Scope: Few level Of Harm: 2 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 02/12/2010 date Of Correction: 03/08/2010 |
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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: 02/12/2010 date Of Correction: 03/08/2010 |
Administration Deficiencies | |||||
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Deficiency #1 |
Scope: Many level Of Harm: 2 deficiency: Have An Agreement With At Least One Or More Hospitals Certified By Medicare Or Medicaid To Make Sure Residents Can Be Moved Quickly To The Hospital When They Need Medical Care. survey Date: 08/17/2010 date Of Correction: 09/16/2010 |
Quality Measures Q1 | |||||
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Percent of long-stay residents who received an antipsychotic medication |
19.2 % (5.89 % lower than average)
|
vs |
25.09 %
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Percent of long-stay residents whose need for help with daily activities has increased |
0.8 % (32.15 % lower than average)
|
vs |
32.95 %
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Percent of long-stay residents who self-report moderate to severe pain |
6.7 % (9.96 % lower than average)
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vs |
16.66 %
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Percent of long-stay high-risk residents with pressure ulcers |
6.6 % (5.98 % lower than average)
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vs |
12.58 %
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Percent of long-stay residents who lose too much weight |
17.6 % (5.77 % higher than average)
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vs |
11.83 %
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Percent of long-stay residents who have had a catheter inserted and left in their bladder |
3.6 % (12.03 % lower than average)
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vs |
15.63 %
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Percent of long-stay residents with a urinary tract infection |
7.4 % (6.06 % lower than average)
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vs |
13.46 %
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Percent of long-stay residents who have depressive symptoms |
75.2 % (46.82 % higher than average)
|
vs |
28.38 %
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Percent of long-stay residents who were physically restrained |
13.2 % (30.48 % lower than average)
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vs |
43.68 %
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Percent of short-stay residents who self-report moderate to severe pain |
29.3 % (4.28 % higher than average)
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vs |
25.02 %
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Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
93.9 % (9.26 % higher than average)
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vs |
84.64 %
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Percent of short-stay residents with Pressure ulcers that are new or worsened |
94.4 % (10.46 % higher than average)
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vs |
83.94 %
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Percent of short-stay residents who newly received an antipsychotic medication |
75.2 (29.3 higher than average)
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vs |
45.90
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Percent of long-stay residents experiencing one or more falls with major injury |
75.2 % (59.68 % higher than average)
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vs |
15.52 %
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Quality Measures Q3 | |||||
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Percent of long-stay residents who received an antipsychotic medication |
24.8 % (0.59 % lower than average)
|
vs |
25.39 %
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Percent of long-stay residents whose need for help with daily activities has increased |
0.8 % (22.9 % lower than average)
|
vs |
23.70 %
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Percent of long-stay residents who self-report moderate to severe pain |
7.6 % (6.5 % lower than average)
|
vs |
14.10 %
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Percent of long-stay high-risk residents with pressure ulcers |
4.9 % (4.32 % lower than average)
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vs |
9.22 %
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Percent of long-stay residents who lose too much weight | 17.1:1 % | ||||
Percent of long-stay low-risk residents who lose control of their bowels or bladder |
56.4 % (13.02 % higher than average)
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vs |
43.38 %
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Percent of long-stay residents who have had a catheter inserted and left in their bladder |
5.1 % (5.55 % lower than average)
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vs |
10.65 %
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Percent of long-stay residents with a urinary tract infection |
4.3 % (5.28 % lower than average)
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vs |
9.58 %
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Percent of long-stay residents who have depressive symptoms |
75.2 % (55.34 % higher than average)
|
vs |
19.86 %
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Percent of long-stay residents who were physically restrained |
15.5 % (23.03 % lower than average)
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vs |
38.53 %
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Percent of long-stay residents experiencing one or more falls with major injury |
1.4 % (9.33 % lower than average)
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vs |
10.73 %
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Percent of short-stay residents who self-report moderate to severe pain |
25.5 % (0.74 % higher than average)
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vs |
24.76 %
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Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
93.2 % (11.76 % higher than average)
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vs |
81.44 %
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Percent of short-stay residents with Pressure ulcers that are new or worsened |
96.2 % (21.45 % higher than average)
|
vs |
74.75 %
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Percent of short-stay residents who newly received an antipsychotic medication |
13.8 % (3.54 % lower than average)
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vs |
17.34 %
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