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FAYETTE NURSING AND REHABILITATION CENTER, LLC

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FAYETTE NURSING AND REHABILITATION CENTER, LLC VS
All other Nursing Homes USA
General
City FAYETTEVILLE   vs 0.1% Nursing Homes USA have FAYETTEVILLE
State attribute explanation WV   vs 0.8% Nursing Homes USA have WV
Street 100 HRESAN BOULEVARD  
Zip Code 25840  
Phone 3045740770  
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
(1.31 lower than average)
vs
3.31

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

Number of Certified Beds
60  (48.94 lower than average)
vs
108.94

Total Number of Residents
55  (36.25 lower than average)
vs
91.25

Percent of Occupied Beds
92 % (8.35 % higher than average)
vs
83.65 %

Health Survey Date 3/17/2011  
Fire Survey Date 3/17/2011  
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 For Profit - Corporation  vs 56.7% Nursing Homes USA have For profit - Corporation
Located Within a Hospital? No  vs 93.6% Nursing Homes USA don't have Located Within a Hospital?
Multi Nursing Home Ownership? Yes  vs 54.9% Nursing Homes USA have Multi Nursing Home Ownership?
Resident and Family Councils Both  vs 29.8% Nursing Homes USA have Both
Continuing Care Retirement Community? No  vs 90.9% Nursing Homes USA don't have Continuing Care Retirement Community?
Quality Indicator Survey? Yes  vs 31.3% Nursing Homes USA 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
11  (3.52 higher than average)
vs
7.48

Staff Information
Number of Residents
55  (36.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.72  (0.05 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.64  (0.2 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.36  (0.23 lower 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: Many
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 07/27/2011
date Of Correction: 08/26/2011 

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: 03/16/2011
date Of Correction: 06/15/2011 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Keep Each Resident's Personal And Medical Records Private And Confidential.
survey Date: 10/14/2010
date Of Correction: 11/05/2010 

Deficiency #3 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: 09/09/2010
date Of Correction: 10/15/2010 

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: 02/09/2012
date Of Correction: 03/20/2012 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 09/09/2010
date Of Correction: 10/15/2010 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Make Sure That Residents Receive Treatment/services To Not Only Continue, But Improve The Ability To Care For Themselves.
survey Date: 05/22/2009
date Of Correction: 07/09/2009 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 05/22/2009
date Of Correction: 07/09/2009 

Administration Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 02/09/2012
date Of Correction: 03/20/2012 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 09/09/2010
date Of Correction: 10/15/2010 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.
survey Date: 02/09/2012
date Of Correction: 03/20/2012 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
22 % (3.09 % lower than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
7.5 % (25.45 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
6.6 % (10.06 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers 13.9 / 15.3 % 
Percent of long-stay residents who lose too much weight 12.8:1 % 
Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.9 % (13.73 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
10.4 % (3.06 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
2.1 % (26.28 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
5.8 % (37.88 % lower 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
90.6 % (5.96 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
87.5 % (3.56 % higher 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
75.2 % (59.68 % higher than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
20.1 % (5.29 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
4.4 % (19.3 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain 9.9:1 % 
Percent of long-stay high-risk residents with pressure ulcers
8.4 % (0.82 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
16.2 % (7.7 % higher than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
65.5 % (22.12 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.1 % (6.55 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
11 % (1.42 % higher than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
1.4 % (18.46 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
5.1 % (33.43 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury 2.6 / 3 % 
Percent of short-stay residents who self-report moderate to severe pain 22.2:1 % 
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
91.5 % (10.06 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
85 % (10.25 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
1.50 % (15.84 % lower than average)
vs
17.34 %



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