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GOLDEN GLADES NURSING AND REHABILITATION CENTER

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GOLDEN GLADES NURSING AND REHABILITATION CENTER VS
All other Nursing Homes USA
General
City MIAMI   vs 0.2% Nursing Homes USA have MIAMI
State attribute explanation FL   vs 4.4% Nursing Homes USA have FL
Street 220 SIERRA DRIVE  
Zip Code 33179  
Phone 3056538427  
Overall Star Rating
(1.11 lower than average)
vs
3.11

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

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

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

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

Number of Certified Beds
180  (71.06 higher than average)
vs
108.94

Total Number of Residents
125  (33.75 higher than average)
vs
91.25

Percent of Occupied Beds
69 % (14.65 % lower than average)
vs
83.65 %

Health Survey Date 12/1/2011  
Fire Survey Date 11/30/2011  
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 - Partnership  vs 7.9% Nursing Homes USA have For profit - Partnership
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 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
(57.16 lower than average)
vs
58.16

Total Enforcement Actions Count
(54.31 lower than average)
vs
56.31

# of deficiencies 9  
Staff Information
Number of Residents
156  (64.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.62  (0.15 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.83  (0.01 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.45  (0.14 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.07  (5.42 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.07  (0.03 lower 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: 09/01/2009
date Of Correction: 10/06/2009 

Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 4
deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.
survey Date: 09/19/2011
date Of Correction: 10/10/2011 

Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 4
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: 09/19/2011
date Of Correction: 10/10/2011 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Residents With Reduced Range Of Motion Get Proper Treatment And Services To Increase Range Of Motion.
survey Date: 09/01/2009
date Of Correction: 10/06/2009 

Administration Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 4
deficiency: Set Up An Ongoing Quality Assessment And Assurance Group To Review Quality Deficiencies Quarterly, And Develop Corrective Plans Of Action.
survey Date: 09/19/2011
date Of Correction: 10/10/2011 

Deficiency #2 Scope: Many
level Of Harm: 4
deficiency: Choose A Doctor To Serve As The Medical Director To Create Resident Care Policies And Coordinate Medical Care In The Facility.
survey Date: 09/19/2011
date Of Correction: 10/10/2011 

Deficiency #3 Scope: Many
level Of Harm: 4
deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .
survey Date: 09/19/2011
date Of Correction: 10/10/2011 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 4
deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.
survey Date: 09/19/2011
date Of Correction: 10/10/2011 

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: 05/23/2012
date Of Correction: 06/21/2012 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
37.8 % (12.71 % higher than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
7.1 % (25.85 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
7.4 % (9.26 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
8.8 % (3.78 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
1.7 % (10.13 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder 19.4:1 % 
Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.50 % (14.13 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
2.5 % (10.96 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
1.9 % (26.48 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
13.2 % (30.48 % lower than average)
vs
43.68 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
67.4 % (17.24 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
46.8 % (37.14 % lower than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
10 % (35.9 % lower than average)
vs
45.90 %

Percent of long-stay residents experiencing one or more falls with major injury
1.6 % (13.92 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
38.3 % (12.91 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased 8.9 / 9.9 % 
Percent of long-stay residents who self-report moderate to severe pain
7.5 % (6.6 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
9.3 % (0.08 % higher than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
3.8 % (4.7 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
26.1 % (17.28 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.5 % (7.15 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
2 % (7.58 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
2.3 % (17.56 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
13.4 % (25.13 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
1.50 % (9.23 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
8.8 % (15.96 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
46.1 % (35.34 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
22.7 (72.9) % (52.05 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication 5.6:1 % 


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