GOVE COUNTY MEDICAL CENTER LTCU

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General
Percent of short-stay residents with Pressure ulcers that are new or worsened	75.2 %
City	QUINTER	vs	0% Nursing Homes USA have QUINTER
State attribute explanation	KS	vs	2.2% Nursing Homes USA have KS	compare KS Nursing Homes USA
Street	PO BOX 129
Zip Code	67752
Phone	7857543335
Overall Star Rating	3 (0.11 lower than average)	vs	3.11	Compare similar Overall Star Rating (3)
Health Inspections Star Rating	2 (0.83 lower than average)	vs	2.83	Compare similar Health Inspections Star Rating (2)
Nurse Staffing Star Rating	4 (0.83 higher than average)	vs	3.17	Compare similar Nurse Staffing Star Rating (4)
Quality Measures Star Rating	3 (0.31 lower than average)	vs	3.31	Compare similar Quality Measures Star Rating (3)
RN Only Star Rating	4 (0.83 higher than average)	vs	3.17	Compare similar RN Only Star Rating (4)
Number of Certified Beds	46 (62.94 lower than average)	vs	108.94	Compare similar Number of Certified Beds (46)
Total Number of Residents	44 (47.25 lower than average)	vs	91.25	Compare similar Total Number of Residents (44)
Percent of Occupied Beds	96 % (12.35 % higher than average)	vs	83.65 %	Compare similar Percent of Occupied Beds (96) %
Health Survey Date	6/11/2012
Fire Survey Date	4/4/2012
Sprinkler Status	Fully Sprinklered	vs	90.2% Nursing Homes USA have Fully Sprinklered
Program Participation	Medicaid	vs	3.5% Nursing Homes USA have Medicaid	compare Medicaid Nursing Homes USA
Type of Ownership	Government - County	vs	2.9% Nursing Homes USA have Government - County	compare Government - County Nursing Homes USA
Located Within a Hospital?	Yes	vs	6.4% Nursing Homes USA have Located Within a Hospital?
Multi Nursing Home Ownership?	No	vs	45.1% Nursing Homes USA don't 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	31 (23.52 higher than average)	vs	7.48

Staff Information
Number of Residents	44 (47.38 lower than average)	vs	91.38
Number of RN Hours Per Resident Per Day	0.64 (0.13 lower than average)	vs	0.77
Number of LPN/LVN Hours Per Resident Per Day	0.28 (0.56 lower than average)	vs	0.84
Total Number of Licensed Staff Hours Per Resident Per Day	0.92 (0.67 lower than average)	vs	1.59
Number of CNA Hours Per Resident Per Day	0.02 (5.47 lower than average)	vs	5.49
Number Therapy Hours Per Resident Per Day	0.02 (0.08 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: 06/11/2012 date Of Correction: 07/11/2012
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: 06/11/2012 date Of Correction: 07/11/2012
Deficiency #3		Scope: Few level Of Harm: 4 deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents. survey Date: 08/12/2010 date Of Correction: Not Available
Deficiency #4		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: 05/18/2010 date Of Correction: 06/16/2010
Deficiency #5		Scope: Some level Of Harm: 2 deficiency: Provide Housekeeping And Maintenance Services. survey Date: 05/18/2010 date Of Correction: 06/16/2010

Mistreatment Deficiencies
Deficiency #1		Scope: Some level Of Harm: 2 deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property. survey Date: 12/03/2009 date Of Correction: 12/17/2009
Deficiency #2		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: 12/03/2009 date Of Correction: 12/17/2009

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: 06/11/2012 date Of Correction: 07/11/2012
Deficiency #2		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: 12/03/2009 date Of Correction: 12/17/2009

Quality Care Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: Give Each Resident Enough Fluids To Keep Them Healthy And Prevent Dehydration. survey Date: 09/28/2011 date Of Correction: 10/28/2011
Deficiency #2		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: 09/28/2011 date Of Correction: 10/28/2011
Deficiency #3		Scope: Few level Of Harm: 3 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 02/03/2011 date Of Correction: 02/25/2011
Deficiency #4		Scope: Few level Of Harm: 2 deficiency: Give Each Resident Enough Fluids To Keep Them Healthy And Prevent Dehydration. survey Date: 05/18/2010 date Of Correction: 06/16/2010
Deficiency #5		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: 05/18/2010 date Of Correction: 06/16/2010
Deficiency #6		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: 05/18/2010 date Of Correction: 06/16/2010
Deficiency #7		Scope: Few level Of Harm: 3 deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores. survey Date: 05/18/2010 date Of Correction: 06/16/2010
Deficiency #8		Scope: Few level Of Harm: 2 deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene. survey Date: 05/18/2010 date Of Correction: 06/16/2010
Deficiency #9		Scope: Few level Of Harm: 3 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 05/18/2010 date Of Correction: 06/16/2010
Deficiency #10		Scope: Few level Of Harm: 2 deficiency: Provide Activities To Meet The Interests And Needs Of Each Resident. survey Date: 05/18/2010 date Of Correction: 06/16/2010
Deficiency #11		Scope: Few level Of Harm: 2 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 12/03/2009 date Of Correction: 12/17/2009
Deficiency #12		Scope: Few level Of Harm: 2 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 06/18/2009 date Of Correction: 07/13/2009

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: 06/11/2012 date Of Correction: 07/11/2012
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: 09/28/2011 date Of Correction: 10/28/2011
Deficiency #3		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: 05/18/2010 date Of Correction: 06/16/2010
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: 05/18/2010 date Of Correction: 06/16/2010

Administration Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: Quickly Tell The Resident's Doctor The Results Of Lab Tests. survey Date: 09/28/2011 date Of Correction: 10/28/2011
Deficiency #2		Scope: Some level Of Harm: 2 deficiency: Set Up An Ongoing Quality Assessment And Assurance Group To Review Quality Deficiencies Quarterly, And Develop Corrective Plans Of Action. survey Date: 05/18/2010 date Of Correction: 06/16/2010

Pharmacy Service Deficiencies
Deficiency #1		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: 06/11/2012 date Of Correction: 07/11/2012
Deficiency #2		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: 06/11/2012 date Of Correction: 07/11/2012
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: 06/11/2012 date Of Correction: 07/11/2012
Deficiency #4		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: 05/18/2010 date Of Correction: 06/16/2010

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication	25.5 % (0.41 % higher than average)	vs	25.09 %
Percent of long-stay high-risk residents with pressure ulcers	8.6:1 %
Percent of long-stay residents who lose too much weight	6.4 % (5.43 % lower than average)	vs	11.83 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder	2.6 / 3 %
Percent of long-stay residents with a urinary tract infection	17 % (3.54 % higher than average)	vs	13.46 %
Percent of long-stay residents who have depressive symptoms	14.9-28 % (13.48 % 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 long-stay residents experiencing one or more falls with major injury	75.2 % (59.68 % higher than average)	vs	15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication	24.1 % (1.29 % lower than average)	vs	25.39 %
Percent of long-stay residents who self-report moderate to severe pain	3 % (11.1 % lower than average)	vs	14.10 %
Percent of long-stay high-risk residents with pressure ulcers	6.7 % (2.52 % lower than average)	vs	9.22 %
Percent of long-stay residents who lose too much weight	6.8 % (1.7 % lower than average)	vs	8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder	47.5 % (4.12 % higher than average)	vs	43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder	2.1 % (8.55 % lower than average)	vs	10.65 %
Percent of long-stay residents with a urinary tract infection	19.7 % (10.12 % higher than average)	vs	9.58 %
Percent of long-stay residents who have depressive symptoms	12.6:1 %
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	26.3 (79.3) % (15.57 % higher than average)	vs	10.73 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine	85 % (3.56 % higher than average)	vs	81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened	75 % (0.25 % higher than average)	vs	74.75 %