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GALLERIA WOODS SKILLED NURSING FACILITY

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GALLERIA WOODS SKILLED NURSING FACILITY VS
All other Nursing Homes USA
General
City Birmingham  vs 0.1% Nursing Homes USA have Birmingham
State attribute explanation AL   vs 1.5% Nursing Homes USA have AL
Street 3850 GALLERIA WOODS DRIVE  
Zip Code 35244  
Phone 2059857537  
Overall Star Rating
(0.89 higher than average)
vs
3.11

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

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

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

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

Number of Certified Beds
30  (78.94 lower than average)
vs
108.94

Total Number of Residents
30  (61.25 lower than average)
vs
91.25

Percent of Occupied Beds
100 % (16.35 % higher than average)
vs
83.65 %

Health Survey Date 8/4/2011  
Fire Survey Date 8/10/2011  
Sprinkler Status Fully Sprinklered  vs 90.2% Nursing Homes USA have Fully Sprinklered
Program Participation Medicare  vs 5% Nursing Homes USA have Medicare
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? 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 4  
Staff Information
Number of Residents
30  (61.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.48  (0.29 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
1.17  (0.33 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.64  (0.05 higher than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.17  (5.32 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.17  (0.07 higher than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 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: 12/09/2010
date Of Correction: 01/13/2011 

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: 12/09/2010
date Of Correction: 01/13/2011 

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: 12/09/2010
date Of Correction: 01/13/2011 

Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 12/09/2010
date Of Correction: 01/13/2011 

Quality Measures Q1
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 short-stay residents who self-report moderate to severe pain
36.4 % (11.38 % 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
88 % (4.06 % 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 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
21.6 % (3.79 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
0.7 % (23 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
24.9 % (10.8 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
4.8 % (4.42 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
8.2 % (0.3 % lower than average)
vs
8.50 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.3 % (9.35 % 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
75.2 % (55.34 % higher 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
6.8 % (3.93 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
36 % (11.24 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
88 % (6.56 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
83.8 % (9.05 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
21 % (3.66 % higher than average)
vs
17.34 %



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