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GILL ODD FELLOWS HOME

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GILL ODD FELLOWS HOME VS
All other Nursing Homes USA
General
City Ludlow  vs 0% Nursing Homes USA have Ludlow
State attribute explanation VT   vs 0.2% Nursing Homes USA have VT
Street 8 GILL TERRACE  
Zip Code 5149  
Phone 8022284571  
Overall Star Rating
(0.89 higher than average)
vs
3.11

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

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

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

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

Number of Certified Beds
46  (62.94 lower than average)
vs
108.94

Total Number of Residents
32  (59.25 lower than average)
vs
91.25

Percent of Occupied Beds
70 % (13.65 % lower than average)
vs
83.65 %

Health Survey Date 3/14/2012  
Fire Survey Date 3/14/2012  
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? 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
20  (12.52 higher than average)
vs
7.48

Staff Information
Number of Residents
32  (59.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.94  (0.17 higher than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.68  (0.16 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.62  (0.03 higher 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

Mistreatment Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 04/20/2011
date Of Correction: 05/20/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.
survey Date: 04/20/2011
date Of Correction: 05/20/2011 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.
survey Date: 03/18/2010
date Of Correction: 05/07/2010 

Resident Rights Deficiencies
Deficiency #1 Scope: Some
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: 04/20/2011
date Of Correction: 05/20/2011 

Deficiency #2 Scope: Some
level Of Harm: 1
deficiency: Send And Promptly Deliver Unopened Mail To Residents.
survey Date: 02/15/2011
date Of Correction: 03/15/2011 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Honor All Of The Resident's Rights As A Resident Of The Nursing Home, Free Of Coercion And Reprisal, And As A Citizen Or Resident Of The United States.
survey Date: 03/18/2010
date Of Correction: 05/07/2010 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Help And Prepare Each Resident For A Safe And Easy Discharge And Transfer From The Nursing Home.
survey Date: 06/23/2009
date Of Correction: 07/15/2009 

Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Provide Enough Notice Before Discharging Or Transferring A Resident.
survey Date: 06/23/2009
date Of Correction: 07/15/2009 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 02/15/2011
date Of Correction: 03/15/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 02/15/2011
date Of Correction: 03/15/2011 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 10/29/2009
date Of Correction: Not Available 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Residents Receive Proper Treatment And Assistive Devices To Maintain Their Vision And Hearing.
survey Date: 09/09/2009
date Of Correction: 09/21/2009 

Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 09/09/2009
date Of Correction: 09/21/2009 

Deficiency #6 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 04/22/2009
date Of Correction: 05/01/2009 

Resident Assessment Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 1
deficiency: Check And Assess Each Resident's Assessment At Least Every 3 Months.
survey Date: 02/15/2011
date Of Correction: 03/15/2011 

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: 02/15/2011
date Of Correction: 03/15/2011 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Set Up An Ongoing Quality Assessment And Assurance Group To Review Quality Deficiencies Quarterly, And Develop Corrective Plans Of Action.
survey Date: 03/18/2010
date Of Correction: 05/07/2010 

Deficiency #3 Scope: Many
level Of Harm: 2
deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .
survey Date: 03/18/2010
date Of Correction: 05/07/2010 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.
survey Date: 03/18/2010
date Of Correction: 05/07/2010 

Deficiency #2 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: 04/22/2009
date Of Correction: 05/01/2009 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
34.4 % (9.31 % higher than average)
vs
25.09 %

Percent of long-stay residents who self-report moderate to severe pain
3 % (13.66 % lower than average)
vs
16.66 %

Percent of long-stay residents who lose too much weight 17.1:1 % 
Percent of long-stay residents who have had a catheter inserted and left in their bladder
4 % (11.63 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
11.4 % (2.06 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
75.2 % (46.82 % higher than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
2.9 % (40.78 % lower than average)
vs
43.68 %

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
30.5 % (5.11 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
75.2 % (51.5 % higher than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
2.20 % (11.9 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
2.4 % (6.82 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
8.7 % (0.2 % higher than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
53.3 % (9.92 % higher than average)
vs
43.38 %

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
8.7 % (0.88 % 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
1 % (37.53 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
29.9 % (19.17 % higher than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
5.2 % (19.56 % lower than average)
vs
24.76 %

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
98.4 % (23.65 % 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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