Compare with other Nursing Homes USA
Compare
Compare
| FREDERICK VILLA NURSING CENTER | VS | All other Nursing Homes USA |
| Staff Information | |||||
|---|---|---|---|---|---|
| Number of Residents |
117 (25.62 higher than average)
|
vs |
91.38
|
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| Number of RN Hours Per Resident Per Day |
0.51 (0.26 lower than average)
|
vs |
0.77
|
||
| Number of LPN/LVN Hours Per Resident Per Day |
0.85 (0.01 higher 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 |
0.1 (5.39 lower than average)
|
vs |
5.49
|
||
| Number Therapy Hours Per Resident Per Day |
0.1 (equals average)
|
vs |
0.10
|
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| Environmental Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Many level Of Harm: 1 deficiency: Make Sure There Is A Pest Control Program To Prevent/deal With Mice, Insects, Or Other Pests. survey Date: 12/27/2011 date Of Correction: 01/18/2012 |
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| Deficiency #2 |
Scope: Many level Of Harm: 1 deficiency: Have Enough Outside Ventilation Via A Window Or Mechanical Ventilation, Or Both. survey Date: 12/27/2011 date Of Correction: 01/18/2012 |
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| Deficiency #3 |
Scope: Many level Of Harm: 1 deficiency: Be Designed, Built, Equipped, Or Well Kept To Protect The Health And Safety Of Residents, Workers, And The Public. survey Date: 12/27/2011 date Of Correction: 01/18/2012 |
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| Deficiency #4 |
Scope: Many level Of Harm: 1 deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading. survey Date: 12/27/2011 date Of Correction: 01/18/2012 |
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| Deficiency #5 |
Scope: Many level Of Harm: 1 deficiency: Dispose Of Garbage And Refuse Properly. survey Date: 12/27/2011 date Of Correction: 01/18/2012 |
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| Deficiency #6 |
Scope: Many level Of Harm: 1 deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents. survey Date: 12/27/2011 date Of Correction: 01/18/2012 |
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| Deficiency #7 |
Scope: Many level Of Harm: 1 deficiency: Provide Housekeeping And Maintenance Services. survey Date: 12/27/2011 date Of Correction: 01/18/2012 |
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| Deficiency #8 |
Scope: Few level Of Harm: 2 deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading. survey Date: 05/03/2011 date Of Correction: 06/03/2011 |
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| Deficiency #9 |
Scope: Few level Of Harm: 2 deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents. survey Date: 05/03/2011 date Of Correction: 06/03/2011 |
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| Deficiency #10 |
Scope: Some level Of Harm: 2 deficiency: Keep All Essential Equipment Working Safely. survey Date: 10/23/2009 date Of Correction: 12/08/2009 |
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| Deficiency #11 |
Scope: Some level Of Harm: 2 deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents. survey Date: 10/23/2009 date Of Correction: 12/08/2009 |
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| Deficiency #12 |
Scope: Some level Of Harm: 2 deficiency: Provide Housekeeping And Maintenance Services. survey Date: 10/23/2009 date Of Correction: 12/08/2009 |
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| Resident Rights Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Make Sure Each Resident Has The Right To Have A Choice Over Activities, Their Schedules And Health Care According To His Or Her Interests, Assessment, And Plan Of Care. survey Date: 05/03/2011 date Of Correction: 06/03/2011 |
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| Deficiency #2 |
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: 05/03/2011 date Of Correction: 06/03/2011 |
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| Deficiency #3 |
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: 10/23/2009 date Of Correction: 12/08/2009 |
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| Deficiency #4 |
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: 10/23/2009 date Of Correction: 12/08/2009 |
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| Quality Care Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Develop Policies And Procedures For Influenza And Pneumococcal Immunizations. survey Date: 05/03/2011 date Of Correction: 06/03/2011 |
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| Deficiency #2 |
Scope: Few level Of Harm: 2 deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores. survey Date: 05/03/2011 date Of Correction: 06/03/2011 |
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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: 05/03/2011 date Of Correction: 05/03/2011 |
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| 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: 03/23/2011 date Of Correction: 05/09/2011 |
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| Deficiency #5 |
Scope: Few level Of Harm: 2 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 08/11/2010 date Of Correction: 09/09/2010 |
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| Deficiency #6 |
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: 10/23/2009 date Of Correction: 12/08/2009 |
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| Deficiency #7 |
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: 10/23/2009 date Of Correction: 12/08/2009 |
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| Deficiency #8 |
Scope: Few level Of Harm: 2 deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality. survey Date: 10/23/2009 date Of Correction: 12/08/2009 |
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| 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: 03/23/2011 date Of Correction: 05/09/2011 |
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| Deficiency #2 |
Scope: Few level Of Harm: 2 deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity. survey Date: 03/23/2011 date Of Correction: 05/09/2011 |
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| Deficiency #3 |
Scope: Some 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: 10/23/2009 date Of Correction: 12/08/2009 |
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| Deficiency #4 |
Scope: Few level Of Harm: 2 deficiency: Make Sure Each Resident Receives An Accurate Assessment By A Qualified Health Professional. survey Date: 10/23/2009 date Of Correction: 12/08/2009 |
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| Administration Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Many level Of Harm: 1 deficiency: Operate And Provide Services According To Federal, State, And Local Laws And Professional Standards. survey Date: 12/27/2011 date Of Correction: 01/18/2012 |
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| Deficiency #2 |
Scope: Some level Of Harm: 1 deficiency: Operate And Provide Services According To Federal, State, And Local Laws And Professional Standards. survey Date: 05/03/2011 date Of Correction: 06/03/2011 |
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| Deficiency #3 |
Scope: Few level Of Harm: 2 deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards. survey Date: 03/23/2011 date Of Correction: 05/09/2011 |
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| Deficiency #4 |
Scope: Few level Of Harm: 2 deficiency: 1) Review The Work Of Each Nurse Aide Every Year; And 2) Give Regular In-service Training Based Upon These Reviews. survey Date: 03/23/2011 date Of Correction: 05/09/2011 |
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| Deficiency #5 |
Scope: Few level Of Harm: 2 deficiency: Operate And Provide Services According To Federal, State, And Local Laws And Professional Standards. survey Date: 10/23/2009 date Of Correction: 12/08/2009 |
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| Pharmacy Service Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: At Least Once A Month, Have A Licensed Pharmacist Review Each Resident's Medication(s) And Report Any Irregularities To The Attending Doctor. survey Date: 05/03/2011 date Of Correction: 06/03/2011 |
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| Deficiency #2 |
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: 05/03/2011 date Of Correction: 06/03/2011 |
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| Nutrition and Dietary Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Many level Of Harm: 1 deficiency: Store, Cook, And Serve Food In A Safe And Clean Way. survey Date: 12/27/2011 date Of Correction: 01/18/2012 |
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| Deficiency #2 |
Scope: Some level Of Harm: 2 deficiency: Store, Cook, And Serve Food In A Safe And Clean Way. survey Date: 05/03/2011 date Of Correction: 06/03/2011 |
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| Deficiency #3 |
Scope: Some level Of Harm: 2 deficiency: Make Sure Menus Meet The Resident's Nutritional Needs And That There Is A Prepared Menu By Which Nutritious Meals Have Been Planned For The Resident And Followed. survey Date: 05/03/2011 date Of Correction: 06/03/2011 |
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| Deficiency #4 |
Scope: Many level Of Harm: 2 deficiency: Store, Cook, And Serve Food In A Safe And Clean Way. survey Date: 10/23/2009 date Of Correction: 12/08/2009 |
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| Deficiency #5 |
Scope: Some level Of Harm: 2 deficiency: Offer Other Nutritional Food To Each Resident Who Will Not Eat The Food Served. survey Date: 10/23/2009 date Of Correction: 12/08/2009 |
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| Deficiency #6 |
Scope: Few level Of Harm: 2 deficiency: Provide Food In A Way That Meets A Resident's Needs. survey Date: 10/23/2009 date Of Correction: 12/08/2009 |
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| Deficiency #7 |
Scope: Some level Of Harm: 2 deficiency: Make Sure Menus Meet The Resident's Nutritional Needs And That There Is A Prepared Menu By Which Nutritious Meals Have Been Planned For The Resident And Followed. survey Date: 10/23/2009 date Of Correction: 12/08/2009 |
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| 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 |
75.2 % (42.25 % higher than average)
|
vs |
32.95 %
|
||
| Percent of long-stay residents who self-report moderate to severe pain |
6.4 % (10.26 % lower than average)
|
vs |
16.66 %
|
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| Percent of long-stay high-risk residents with pressure ulcers |
7.4 % (5.18 % lower than average)
|
vs |
12.58 %
|
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| Percent of long-stay residents who lose too much weight |
5.1 % (6.73 % lower than average)
|
vs |
11.83 %
|
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| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
5.8 % (9.83 % lower than average)
|
vs |
15.63 %
|
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| Percent of long-stay residents with a urinary tract infection |
7.1 % (6.36 % lower than average)
|
vs |
13.46 %
|
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| Percent of long-stay residents who have depressive symptoms | 11.8:1 % | ||||
| Percent of long-stay residents who were physically restrained |
75.2 % (31.52 % higher than average)
|
vs |
43.68 %
|
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| Percent of short-stay residents who self-report moderate to severe pain |
5.2 % (19.82 % lower than average)
|
vs |
25.02 %
|
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| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
100 % (15.36 % higher than average)
|
vs |
84.64 %
|
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| Percent of short-stay residents with Pressure ulcers that are new or worsened |
100 % (16.06 % higher than average)
|
vs |
83.94 %
|
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| Percent of short-stay residents who newly received an antipsychotic medication |
1.6 % (44.3 % lower than average)
|
vs |
45.90 %
|
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| Percent of long-stay residents experiencing one or more falls with major injury |
3.9 % (11.62 % lower than average)
|
vs |
15.52 %
|
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| Quality Measures Q3 | |||||
|---|---|---|---|---|---|
| Percent of long-stay residents who received an antipsychotic medication |
21.8 % (3.59 % lower than average)
|
vs |
25.39 %
|
||
| Percent of long-stay residents whose need for help with daily activities has increased |
0.3 % (23.4 % lower than average)
|
vs |
23.70 %
|
||
| Percent of long-stay residents who self-report moderate to severe pain |
5.3 % (8.8 % lower than average)
|
vs |
14.10 %
|
||
| Percent of long-stay high-risk residents with pressure ulcers |
7.1 % (2.12 % lower than average)
|
vs |
9.22 %
|
||
| Percent of long-stay residents who lose too much weight |
4.1 % (4.4 % lower than average)
|
vs |
8.50 %
|
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| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
58.4 % (15.02 % higher than average)
|
vs |
43.38 %
|
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| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
5.3 % (5.35 % lower than average)
|
vs |
10.65 %
|
||
| Percent of long-stay residents with a urinary tract infection |
8.8 % (0.78 % 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 |
3.3 % (7.43 % lower than average)
|
vs |
10.73 %
|
||
| Percent of short-stay residents who self-report moderate to severe pain | 11.6:1 % | ||||
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
100 % (18.56 % higher than average)
|
vs |
81.44 %
|
||
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
100 % (25.25 % higher than average)
|
vs |
74.75 %
|
||
| Percent of short-stay residents who newly received an antipsychotic medication |
2.20 % (15.14 % lower than average)
|
vs |
17.34 %
|
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