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FAIRHAVEN CHRISTIAN RET CENTER

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FAIRHAVEN CHRISTIAN RET CENTER VS
All other Nursing Homes USA
General
Percent of short-stay residents with Pressure ulcers that are new or worsened 75.2 % 
City ROCKFORD   vs 0.1% Nursing Homes USA have ROCKFORD
State attribute explanation IL   vs 5% Nursing Homes USA have IL
Street 3470 NORTH ALPINE ROAD  
Zip Code 61114  
Phone 8158771441  
Overall Star Rating
(1.89 higher than average)
vs
3.11

Health Inspections Star Rating
(2.17 higher than average)
vs
2.83

Nurse Staffing Star Rating
(1.83 higher than average)
vs
3.17

Quality Measures Star Rating
(0.31 lower than average)
vs
3.31

RN Only Star Rating
(1.83 higher than average)
vs
3.17

Number of Certified Beds
96  (12.94 lower than average)
vs
108.94

Total Number of Residents
86  (5.25 lower than average)
vs
91.25

Percent of Occupied Beds
90 % (6.35 % higher than average)
vs
83.65 %

Health Survey Date 5/15/2012  
Fire Survey Date 5/15/2012  
Sprinkler Status Fully Sprinklered  vs 90.2% Nursing Homes USA have Fully Sprinklered
Program Participation Medicaid  vs 3.5% Nursing Homes USA have Medicaid
Type of Ownership Non Profit - Church Related  vs 4.4% Nursing Homes USA have Non profit - Church related
Located Within a Hospital? No  vs 93.6% Nursing Homes USA don't have Located Within a Hospital?
Multi Nursing Home Ownership? No  vs 45.1% Nursing Homes USA don't have Multi Nursing Home Ownership?
Resident and Family Councils RESIDENT   vs 66% Nursing Homes USA have RESIDENT
Continuing Care Retirement Community? Yes  vs 9.1% Nursing Homes USA 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
75.2  (17.04 higher than average)
vs
58.16

Total Enforcement Actions Count
75.2  (18.89 higher than average)
vs
56.31

# of deficiencies
(5.48 lower than average)
vs
7.48

Staff Information
Number of Residents
86  (5.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.98  (0.21 higher than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.93  (0.09 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.91  (0.32 higher than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.01  (5.48 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.01  (0.09 lower than average)
vs
0.10

Mistreatment Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 1
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 12/16/2011
date Of Correction: 01/26/2012 

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: 12/16/2011
date Of Correction: 01/26/2012 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
26.8 % (1.71 % higher than average)
vs
25.09 %

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
24.3 % (7.64 % higher than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
2 % (10.58 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
11 % (0.83 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
71.4 % (26.86 % higher than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
6.2 % (9.43 % 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 9.9:1 % 
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
32 % (6.98 % higher than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
96 % (11.36 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
96.2 % (12.26 % higher than average)
vs
83.94 %

Percent of long-stay residents experiencing one or more falls with major injury
14.6 % (0.92 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
27 % (1.61 % higher 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
21.5 % (7.4 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
3.3 % (5.92 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
7.4 % (1.1 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
70.8 % (27.42 % higher 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
3.7 % (5.88 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
7.6 % (12.26 % 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 10.7:1 % 
Percent of short-stay residents who self-report moderate to severe pain
28.3 % (3.54 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
89.8 % (8.36 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
23.6 % (51.15 % lower than average)
vs
74.75 %



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