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GOLDEN LIVINGCENTER-HAGERSTOWN

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GOLDEN LIVINGCENTER-HAGERSTOWN VS
All other Nursing Homes USA
General
City HAGERSTOWN   vs 0% Nursing Homes USA have HAGERSTOWN
State attribute explanation MD   vs 1.5% Nursing Homes USA have MD
Street 750 DUAL HIGHWAY  
Zip Code 21740  
Phone 3017974020  
Overall Star Rating
(0.89 higher than average)
vs
3.11

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

Nurse Staffing Star Rating
(1.17 lower than average)
vs
3.17

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

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

Number of Certified Beds
140  (31.06 higher than average)
vs
108.94

Total Number of Residents
135  (43.75 higher than average)
vs
91.25

Percent of Occupied Beds
96 % (12.35 % higher than average)
vs
83.65 %

Health Survey Date 10/7/2011  
Fire Survey Date 12/28/2011  
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? 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? 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
135  (43.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.61  (0.16 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.56  (0.28 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.17  (0.42 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.05  (5.44 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.05  (0.05 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 Safe, Easy To Use, Clean And Comfortable For Residents, Staff And The Public.
survey Date: 08/05/2009
date Of Correction: 09/20/2009 

Deficiency #2 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: 08/05/2009
date Of Correction: 09/20/2009 

Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide Written Records When A Resident Is Transferred Or Discharged.
survey Date: 08/11/2010
date Of Correction: 08/24/2010 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Notify The Resident Or Provide Reasons For A Transfer Or Discharge.
survey Date: 08/11/2010
date Of Correction: 08/24/2010 

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: 02/23/2012
date Of Correction: 03/23/2012 

Deficiency #2 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: 10/07/2011
date Of Correction: 11/12/2011 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Provide Routine And 24-hour Emergency Dental Care For Each Resident.
survey Date: 08/05/2009
date Of Correction: 09/20/2009 

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: 08/05/2009
date Of Correction: 09/20/2009 

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: 10/07/2011
date Of Correction: 11/12/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan.
survey Date: 08/05/2009
date Of Correction: 09/20/2009 

Deficiency #3 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: 08/05/2009
date Of Correction: 09/20/2009 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.
survey Date: 08/05/2009
date Of Correction: 09/20/2009 

Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Operate And Provide Services According To Federal, State, And Local Laws And Professional Standards.
survey Date: 10/07/2011
date Of Correction: 11/12/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Operate And Provide Services According To Federal, State, And Local Laws And Professional Standards.
survey Date: 10/20/2010
date Of Correction: 11/18/2010 

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: 08/05/2009
date Of Correction: 09/20/2009 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Operate And Provide Services According To Federal, State, And Local Laws And Professional Standards.
survey Date: 08/05/2009
date Of Correction: 09/20/2009 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.
survey Date: 10/07/2011
date Of Correction: 11/12/2011 

Deficiency #2 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: 10/07/2011
date Of Correction: 11/12/2011 

Deficiency #3 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: 10/07/2011
date Of Correction: 11/12/2011 

Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.
survey Date: 08/05/2009
date Of Correction: 09/20/2009 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
12.2 % (12.89 % lower than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
1.4 % (31.55 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
13.3 % (3.36 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
2.4 % (10.18 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
5.7 % (6.13 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
41 % (3.54 % lower than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.8 % (10.83 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
5.7 % (7.76 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
13.5 % (14.88 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
0.9 % (42.78 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
26.3 (79.3) % (1.28 % higher than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
72.3 % (12.34 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
78.3 % (5.64 % lower than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
2.20 % (43.7 % lower than average)
vs
45.90 %

Percent of long-stay residents experiencing one or more falls with major injury
2.8 % (12.72 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
14.9-28 % (10.49 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
1.2 % (22.5 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
12.2 % (1.9 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
3 % (6.22 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
4.2 % (4.3 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
45.5 % (2.12 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
5.1 % (5.55 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
5.2 % (4.38 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms 14.7:1 % 
Percent of long-stay residents who were physically restrained
1.3 % (37.23 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
3.2 % (7.53 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
23.4 % (1.36 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
63.9 % (17.54 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
79.3 % (4.55 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
23.3 % (5.96 % higher than average)
vs
17.34 %



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