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GOOD SAMARITAN SOCIETY-PEORIA GOOD SHEPHERD

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GOOD SAMARITAN SOCIETY-PEORIA GOOD SHEPHERD VS
All other Nursing Homes USA
General
City PEORIA   vs 0.1% Nursing Homes USA have PEORIA
State attribute explanation AZ   vs 0.9% Nursing Homes USA have AZ
Street 10323 WEST OLIVE AVENUE  
Zip Code 85345  
Phone 6238750100  
Overall Star Rating
(0.11 lower than average)
vs
3.11

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

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

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

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

Number of Certified Beds
150  (41.06 higher than average)
vs
108.94

Total Number of Residents
106  (14.75 higher than average)
vs
91.25

Percent of Occupied Beds
71 % (12.65 % lower than average)
vs
83.65 %

Health Survey Date 9/23/2011  
Fire Survey Date 9/29/2011  
Sprinkler Status Partially Sprinklered  vs 8.5% Nursing Homes USA have Partially 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? 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
75.2  (18.89 higher than average)
vs
56.31

# of deficiencies 12  
Staff Information
Number of Residents
106  (14.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.5 - 2.0  (0.27 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.92  (0.08 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.42  (0.17 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.04  (5.45 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.04  (0.06 lower than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 09/23/2011
date Of Correction: 11/01/2011 

Mistreatment Deficiencies
Deficiency #1 Scope: Few
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: 11/17/2010
date Of Correction: 12/20/2010 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.
survey Date: 11/17/2010
date Of Correction: 12/20/2010 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 06/10/2009
date Of Correction: 07/23/2009 

Deficiency #4 Scope: Few
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: 06/10/2009
date Of Correction: 07/23/2009 

Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.
survey Date: 09/23/2011
date Of Correction: 11/01/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.
survey Date: 09/23/2011
date Of Correction: 11/01/2011 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Let Residents Voice A Complaint Or Grievance Without Being Treated Differently Or Badly.
survey Date: 09/23/2011
date Of Correction: 11/01/2011 

Deficiency #4 Scope: Some
level Of Harm: 2
deficiency: Properly Hold, Secure And Manage Each Resident's Personal Money Which Is Deposited With The Nursing Home.
survey Date: 11/17/2010
date Of Correction: 12/20/2010 

Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.
survey Date: 06/10/2009
date Of Correction: 07/23/2009 

Administration Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Employ Or Obtain Outside Professional Resources Providing Services In The Nursing Home That Meet Professional Standards.
survey Date: 06/10/2009
date Of Correction: 07/23/2009 

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: 09/23/2011
date Of Correction: 11/01/2011 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
32.6 % (7.51 % higher than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
1.1 % (31.85 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
25.1 % (8.44 % higher 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
6.4 % (5.43 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
65.6 % (21.06 % higher than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.2 % (14.43 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection 12.6:1 % 
Percent of long-stay residents who have depressive symptoms
8 % (20.38 % 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 who self-report moderate to severe pain
30.8 % (5.78 % higher than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
88.9 % (4.26 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
86.8 % (2.86 % higher than average)
vs
83.94 %

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
3.1 % (12.42 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
34.9 % (9.51 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
1.1 % (22.6 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
22.9 % (8.8 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
5 % (4.22 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
5.3 % (3.2 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
74.2 % (30.82 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.6 % (9.05 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
12.5 % (2.92 % higher than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
9.3 % (10.56 % 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
2.8 % (7.93 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
33.8 % (9.04 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
94.3 % (12.86 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
90.5 % (15.75 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
7.4 % (9.94 % lower than average)
vs
17.34 %



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