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FOOTHILL ACRES REHABILITATION & NURSING CENTER

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FOOTHILL ACRES REHABILITATION & NURSING CENTER VS
All other Nursing Homes USA
General
City HILLSBOROUGH   vs 0% Nursing Homes USA have HILLSBOROUGH
State attribute explanation NJ   vs 2.4% Nursing Homes USA have NJ
Street 39 EAST MOUNTAIN ROAD  
Zip Code 8844  
Phone 9083698711  
Overall Star Rating
(0.11 lower than average)
vs
3.11

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

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

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

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

Number of Certified Beds
200  (91.06 higher than average)
vs
108.94

Total Number of Residents
173  (81.75 higher than average)
vs
91.25

Percent of Occupied Beds
87 % (3.35 % higher than average)
vs
83.65 %

Health Survey Date 11/22/2011  
Fire Survey Date 11/22/2011  
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? 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
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
173  (81.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.78  (0.01 higher than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.97  (0.13 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.75  (0.16 higher than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.14  (5.35 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.14  (0.04 higher than average)
vs
0.10

Resident Assessment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.
survey Date: 01/30/2012
date Of Correction: 03/30/2012 

Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: 1) Set Up A Group That Is Legally Responsible For Writing And Setting Up Policies For Leading And Running The Nursing Home; Or 2) Hire A Properly Licensed Administrator.
survey Date: 01/30/2012
date Of Correction: 03/30/2012 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication 17.8:1 % 
Percent of long-stay residents whose need for help with daily activities has increased
2.9 % (30.05 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
14.4 % (2.26 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
11.3 % (1.28 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
6.2 % (5.63 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
35.3 % (9.24 % lower 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
7.5 % (5.96 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
9.7 % (18.68 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained 10.3:1 % 
Percent of short-stay residents who self-report moderate to severe pain
29 % (3.98 % higher than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
93.7 % (9.06 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
85.1 % (1.16 % 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
1.9 % (13.62 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
18.5 % (6.89 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
3.2 % (20.5 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
15.2 % (1.1 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
11.1 % (1.88 % higher than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
7.3 % (1.2 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
35 % (8.38 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
5.9 % (4.75 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
6.8 % (2.78 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
6.6 % (13.26 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
11 % (27.53 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
2.1 % (8.63 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
26.9 % (2.14 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
83.3 % (1.86 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
80 % (5.25 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
10.6 % (6.74 % lower than average)
vs
17.34 %



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