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GOLDEN LIVINGCENTER - WAKEFIELD

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GOLDEN LIVINGCENTER - WAKEFIELD VS
All other Nursing Homes USA
General
City Wakefield  vs 0% Nursing Homes USA have Wakefield
State attribute explanation KS   vs 2.2% Nursing Homes USA have KS
Street 509  
Zip Code 67487  
Phone 7854615417  
Overall Star Rating
(1.11 lower than average)
vs
3.11

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

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

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

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

Number of Certified Beds
48  (60.94 lower than average)
vs
108.94

Total Number of Residents
27  (64.25 lower than average)
vs
91.25

Percent of Occupied Beds
56 % (27.65 % lower than average)
vs
83.65 %

Health Survey Date 8/10/2011  
Fire Survey Date 4/18/2011  
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 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
(55.31 lower than average)
vs
56.31

# of deficiencies
23  (15.52 higher than average)
vs
7.48

Staff Information
Number of Residents
27  (64.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
1.02  (0.25 higher than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.87  (0.03 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.89  (0.3 higher than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.19  (5.3 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.19  (0.09 higher than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 09/02/2010
date Of Correction: 09/30/2010 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 11/23/2009
date Of Correction: 01/15/2010 

Deficiency #3 Scope: Few
level Of Harm: 3
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 11/23/2009
date Of Correction: 12/08/2009 

Resident Rights Deficiencies
Deficiency #1 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: 11/23/2009
date Of Correction: 12/08/2009 

Quality Care Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Use A Registered Nurse At Least 8 Hours A Day, 7 Days A Week.
survey Date: 09/02/2010
date Of Correction: 09/30/2010 

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: 09/02/2010
date Of Correction: 09/30/2010 

Deficiency #3 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: 09/02/2010
date Of Correction: 09/30/2010 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 09/02/2010
date Of Correction: 09/30/2010 

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: 09/02/2010
date Of Correction: 09/30/2010 

Deficiency #6 Scope: Few
level Of Harm: 3
deficiency: Provide Medically-related Social Services To Help Each Resident Achieve The Highest Possible Quality Of Life.
survey Date: 09/02/2010
date Of Correction: 09/30/2010 

Deficiency #7 Scope: Few
level Of Harm: 2
deficiency: Give Proper Treatment To Residents With Feeding Tubes To Prevent Problems (such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-pharyngeal Ulcers) And Help Restore Eating Skills, If Possible.
survey Date: 11/23/2009
date Of Correction: 01/15/2010 

Deficiency #8 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: 11/23/2009
date Of Correction: 01/15/2010 

Deficiency #9 Scope: Few
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 11/23/2009
date Of Correction: 01/15/2010 

Resident Assessment Deficiencies
Deficiency #1 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: 09/02/2010
date Of Correction: 09/30/2010 

Deficiency #2 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: 09/02/2010
date Of Correction: 09/30/2010 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.
survey Date: 09/02/2010
date Of Correction: 09/30/2010 

Deficiency #4 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: 11/23/2009
date Of Correction: 01/15/2010 

Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Check And Assess Each Resident's Assessment At Least Every 3 Months.
survey Date: 11/23/2009
date Of Correction: 01/15/2010 

Pharmacy Service Deficiencies
Deficiency #1 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: 04/16/2012
date Of Correction: 05/15/2012 

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: 09/02/2010
date Of Correction: 09/30/2010 

Deficiency #3 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: 09/02/2010
date Of Correction: 09/30/2010 

Deficiency #4 Scope: Some
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: 09/02/2010
date Of Correction: 09/30/2010 

Quality Measures Q1
Percent of short-stay residents who newly received an antipsychotic medication
(44.9 lower than average)
vs
45.90

Quality Measures Q3
Deficiency #4 19.4:1 % 
Percent of long-stay residents who received an antipsychotic medication
29.7 % (4.31 % 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
15.1 % (1 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
9.5 % (0.28 % higher than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
3.9 % (4.6 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
21.6 % (21.78 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
11.4 % (0.75 % higher than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
1.3 % (8.28 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms 2.6 / 3 % 
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
9.1 % (1.63 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain 10.3:1 % 
Percent of short-stay residents with Pressure ulcers that are new or worsened
90.9 % (16.15 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
12.5 % (4.84 % lower than average)
vs
17.34 %



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