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FAIRHAVEN HEALTHCARE CENTER

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FAIRHAVEN HEALTHCARE CENTER VS
All other Nursing Homes USA
General
City LOWELL   vs 0.1% Nursing Homes USA have LOWELL
State attribute explanation MA   vs 2.8% Nursing Homes USA have MA
Street 476 VARNUM AVENUE  
Zip Code 1854  
Phone 9784583388  
Overall Star Rating
(1.11 lower than average)
vs
3.11

Health Inspections Star Rating
(0.83 lower than average)
vs
2.83

Nurse Staffing Star Rating
(1.17 lower than average)
vs
3.17

Quality Measures Star Rating
(0.69 higher than average)
vs
3.31

RN Only Star Rating
(1.17 lower than average)
vs
3.17

Number of Certified Beds
169  (60.06 higher than average)
vs
108.94

Total Number of Residents
162  (70.75 higher than average)
vs
91.25

Percent of Occupied Beds
96 % (12.35 % higher than average)
vs
83.65 %

Health Survey Date 2/6/2012  
Fire Survey Date 3/26/2012  
Sprinkler Status Fully Sprinklered  vs 90.2% Nursing Homes USA have Fully Sprinklered
Program Participation Medicare And Medicaid  vs 91.5% Nursing Homes USA have Medicare and Medicaid
Type of Ownership Non Profit - Corporation  vs 18.7% Nursing Homes USA have Non profit - Corporation
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? No  vs 90.9% Nursing Homes USA don't 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
(57.16 lower than average)
vs
58.16

Total Enforcement Actions Count
(55.31 lower than average)
vs
56.31

# of deficiencies
(1.48 lower than average)
vs
7.48

Staff Information
Number of Residents
162  (70.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.39  (0.38 lower 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
1.31  (0.28 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: Few
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: 09/13/2011
date Of Correction: 08/23/2011 

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: 11/18/2009
date Of Correction: 01/12/2010 

Resident Rights Deficiencies
Deficiency #1 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: 05/11/2011
date Of Correction: 07/18/2011 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 07/29/2010
date Of Correction: 09/14/2010 

Deficiency #2 Scope: Few
level Of Harm: 3
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 02/16/2010
date Of Correction: 04/06/2010 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
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: 09/28/2011
date Of Correction: 12/07/2011 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
30 % (4.91 % higher than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
1.4 % (31.55 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
9.8 % (6.86 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
6.5 % (6.08 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
8.8 % (3.03 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
36.8 % (7.74 % lower than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
2.1 % (13.53 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
4.3 % (9.16 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms 10.3:1 % 
Percent of long-stay residents who were physically restrained
1.4 % (42.28 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
22.1 (71.8) % (2.92 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
87.9 % (3.26 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
77.8 % (6.14 % lower than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
75.2  (29.3 higher than average)
vs
45.90

Percent of long-stay residents experiencing one or more falls with major injury
4.1 % (11.42 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
24.7 % (0.69 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
1.7 % (22 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
7.8 % (6.3 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
7.8 % (1.42 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
11 % (2.5 % higher than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
43.9 % (0.52 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
2 % (8.65 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
3.2 % (6.38 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
9.6 % (10.26 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
1 % (37.53 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
4.8 % (5.93 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
19 % (5.76 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
85.1 % (3.66 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
71.3 % (3.45 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
2.9 % (14.44 % lower than average)
vs
17.34 %



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