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GOOD SAMARITAN - LOVINGTON

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GOOD SAMARITAN - LOVINGTON VS
All other Nursing Homes USA
General
City LOVINGTON   vs 0% Nursing Homes USA have LOVINGTON
State attribute explanation NM   vs 0.5% Nursing Homes USA have NM
Street 1600 WEST AVE I  
Zip Code 88260  
Phone 5753965212  
Overall Star Rating
(2.11 lower than average)
vs
3.11

Health Inspections Star Rating
(1.83 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
62  (46.94 lower than average)
vs
108.94

Total Number of Residents
58  (33.25 lower than average)
vs
91.25

Percent of Occupied Beds
94 % (10.35 % higher than average)
vs
83.65 %

Health Survey Date 4/1/2011  
Fire Survey Date 3/30/2011  
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 Non Profit - Church Related  vs 4.4% Nursing Homes USA have Non profit - Church related
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
(52.16 lower than average)
vs
58.16

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

# of deficiencies
18  (10.52 higher than average)
vs
7.48

Staff Information
Number of Residents
59  (32.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.93  (0.16 higher than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.6  (0.24 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.53  (0.06 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.1  (5.39 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.1  (equals average)
vs
0.10

Environmental Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 04/01/2011
date Of Correction: 05/01/2011 

Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 11/10/2011
date Of Correction: 01/17/2012 

Deficiency #2 Scope: Few
level Of Harm: 3
deficiency: 1) Hire Only People With No Legal History Of Abusing, Neglecting Or Mistreating Residents; Or 2) Report And Investigate Any Acts Or Reports Of Abuse, Neglect Or Mistreatment Of Residents.
survey Date: 11/10/2011
date Of Correction: 01/17/2012 

Deficiency #3 Scope: Few
level Of Harm: 3
deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.
survey Date: 11/10/2011
date Of Correction: 12/27/2011 

Deficiency #4 Scope: Some
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 04/01/2011
date Of Correction: 05/11/2011 

Deficiency #5 Scope: Some
level Of Harm: 2
deficiency: 1) Hire Only People With No Legal History Of Abusing, Neglecting Or Mistreating Residents; Or 2) Report And Investigate Any Acts Or Reports Of Abuse, Neglect Or Mistreatment Of Residents.
survey Date: 04/01/2011
date Of Correction: 05/11/2011 

Deficiency #6 Scope: Some
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 04/09/2009
date Of Correction: 06/16/2009 

Deficiency #7 Scope: Some
level Of Harm: 2
deficiency: 1) Hire Only People With No Legal History Of Abusing, Neglecting Or Mistreating Residents; Or 2) Report And Investigate Any Acts Or Reports Of Abuse, Neglect Or Mistreatment Of Residents.
survey Date: 04/09/2009
date Of Correction: 06/16/2009 

Deficiency #8 Scope: Some
level Of Harm: 2
deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.
survey Date: 04/09/2009
date Of Correction: 06/16/2009 

Resident Rights Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Try To Resolve Each Resident's Complaints Quickly.
survey Date: 04/01/2011
date Of Correction: 05/11/2011 

Quality Care Deficiencies
Deficiency #1 Scope: Some
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: 04/01/2011
date Of Correction: 05/11/2011 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Make Sure That Residents Receive Treatment/services To Not Only Continue, But Improve The Ability To Care For Themselves.
survey Date: 04/01/2011
date Of Correction: 05/11/2011 

Deficiency #3 Scope: Few
level Of Harm: 3
deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So.
survey Date: 05/25/2010
date Of Correction: 07/06/2010 

Deficiency #4 Scope: Few
level Of Harm: 3
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 05/25/2010
date Of Correction: 06/14/2010 

Deficiency #5 Scope: Some
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 04/09/2009
date Of Correction: 06/16/2009 

Resident Assessment Deficiencies
Deficiency #1 Scope: Some
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: 05/25/2010
date Of Correction: 07/16/2010 

Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .
survey Date: 11/10/2011
date Of Correction: 12/27/2011 

Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide Special Eating Equipment And Utensils For Each Resident Who Needs Them.
survey Date: 04/01/2011
date Of Correction: 05/09/2011 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
17.9 (64.2) % (7.19 % lower than average)
vs
25.09 %

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 long-stay residents who self-report moderate to severe pain
4.3 % (12.36 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
13.2 % (0.62 % higher than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
17.9 (64.2) % (6.07 % higher than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
54.5 % (9.96 % higher than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
75.2 % (59.57 % higher than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
16.1 % (2.64 % higher than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
9.3 % (19.08 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
75.2 % (31.52 % higher than average)
vs
43.68 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
90.5 % (6.56 % higher than average)
vs
83.94 %

Percent of long-stay residents experiencing one or more falls with major injury
10.5 % (5.02 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
17.4 % (7.99 % lower 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 9.9:1 % 
Percent of long-stay high-risk residents with pressure ulcers
14.4 % (5.18 % higher than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight 17.1:1 % 
Percent of long-stay low-risk residents who lose control of their bowels or bladder
48.9 % (5.52 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
75.2 % (64.55 % higher than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection 13.1:1 % 
Percent of long-stay residents who have depressive symptoms
11.2-20 % (8.66 % lower 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
11.9 % (1.17 % higher than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain 22.2:1 % 
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 14.7:1 % 
Percent of short-stay residents who newly received an antipsychotic medication
75.2 % (57.86 % higher than average)
vs
17.34 %



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