Compare with other Nursing Homes USA
Compare
Compare
| GOVERNOR'S HOUSE REHABILITATION & NURSING CENTER | VS | All other Nursing Homes USA |
| Staff Information | |||||
|---|---|---|---|---|---|
| Number of Residents |
58 (33.38 lower than average)
|
vs |
91.38
|
||
| Number of RN Hours Per Resident Per Day |
1 (0.23 higher than average)
|
vs |
0.77
|
||
| Number of LPN/LVN Hours Per Resident Per Day |
0.61 (0.23 lower than average)
|
vs |
0.84
|
||
| Total Number of Licensed Staff Hours Per Resident Per Day |
1.61 (0.02 higher than average)
|
vs |
1.59
|
||
| Number of CNA Hours Per Resident Per Day |
0.2 (5.29 lower than average)
|
vs |
5.49
|
||
| Number Therapy Hours Per Resident Per Day |
0.2 (0.1 higher 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: 03/29/2012 date Of Correction: 05/03/2012 |
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| 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: 03/29/2012 date Of Correction: 05/03/2012 |
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| Deficiency #3 |
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: 11/25/2009 date Of Correction: 12/30/2009 |
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| Mistreatment Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
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: 11/25/2009 date Of Correction: 12/30/2009 |
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| 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: 03/29/2012 date Of Correction: 05/03/2012 |
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| 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: 02/07/2011 date Of Correction: 03/18/2011 |
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| Deficiency #3 |
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: 11/25/2009 date Of Correction: 12/30/2009 |
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| 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: 11/25/2009 date Of Correction: 12/30/2009 |
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| Quality Care Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care. survey Date: 03/29/2012 date Of Correction: 05/03/2012 |
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| Deficiency #2 |
Scope: Few level Of Harm: 3 deficiency: Give Each Resident Enough Fluids To Keep Them Healthy And Prevent Dehydration. survey Date: 02/07/2011 date Of Correction: 03/18/2011 |
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| 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: 02/07/2011 date Of Correction: 03/18/2011 |
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| Deficiency #4 |
Scope: Few level Of Harm: 2 deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality. survey Date: 02/07/2011 date Of Correction: 03/18/2011 |
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| 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: 11/25/2009 date Of Correction: 12/30/2009 |
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| Deficiency #6 |
Scope: Few level Of Harm: 2 deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores. survey Date: 08/05/2009 date Of Correction: 09/16/2009 |
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| Deficiency #7 |
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: 08/05/2009 date Of Correction: 09/16/2009 |
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| 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: 03/29/2012 date Of Correction: 05/03/2012 |
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| 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: 11/25/2009 date Of Correction: 12/30/2009 |
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| Administration Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards. survey Date: 02/07/2011 date Of Correction: 03/18/2011 |
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| Quality Measures Q1 | |||||
|---|---|---|---|---|---|
| Percent of long-stay residents who received an antipsychotic medication |
31.8 % (6.71 % higher 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 |
21.4 % (4.74 % higher than average)
|
vs |
16.66 %
|
||
| Percent of long-stay high-risk residents with pressure ulcers |
2.9 % (9.68 % lower than average)
|
vs |
12.58 %
|
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| Percent of long-stay residents who lose too much weight |
7 % (4.83 % lower than average)
|
vs |
11.83 %
|
||
| 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 |
7 % (6.46 % lower than average)
|
vs |
13.46 %
|
||
| Percent of long-stay residents who have depressive symptoms |
75.2 % (46.82 % higher than average)
|
vs |
28.38 %
|
||
| Percent of long-stay residents who were physically restrained |
4.5 % (39.18 % lower than average)
|
vs |
43.68 %
|
||
| Percent of short-stay residents who self-report moderate to severe pain |
16.5 % (8.52 % lower than average)
|
vs |
25.02 %
|
||
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
86.2 % (1.56 % higher than average)
|
vs |
84.64 %
|
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| Percent of short-stay residents with Pressure ulcers that are new or worsened |
85.6 % (1.66 % 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 |
4.5 % (11.02 % lower than average)
|
vs |
15.52 %
|
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| Quality Measures Q3 | |||||
|---|---|---|---|---|---|
| Percent of long-stay residents who received an antipsychotic medication |
33.8 % (8.41 % higher than average)
|
vs |
25.39 %
|
||
| Percent of long-stay residents whose need for help with daily activities has increased |
0.9 % (22.8 % lower than average)
|
vs |
23.70 %
|
||
| Percent of long-stay residents who self-report moderate to severe pain |
18.8 % (4.7 % higher than average)
|
vs |
14.10 %
|
||
| Percent of long-stay high-risk residents with pressure ulcers |
3.9 % (5.32 % lower than average)
|
vs |
9.22 %
|
||
| Percent of long-stay residents who lose too much weight |
6.1 % (2.4 % lower than average)
|
vs |
8.50 %
|
||
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
20 % (23.38 % lower 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 |
6.8 % (2.78 % lower than average)
|
vs |
9.58 %
|
||
| Percent of long-stay residents who have depressive symptoms |
75.2 % (55.34 % higher than average)
|
vs |
19.86 %
|
||
| Percent of long-stay residents who were physically restrained |
2.20 % (36.33 % lower than average)
|
vs |
38.53 %
|
||
| Percent of long-stay residents experiencing one or more falls with major injury |
4.4 % (6.33 % lower than average)
|
vs |
10.73 %
|
||
| Percent of short-stay residents who self-report moderate to severe pain |
22.7 (72.9) % (2.06 % lower than average)
|
vs |
24.76 %
|
||
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
86.6 % (5.16 % higher than average)
|
vs |
81.44 %
|
||
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
80.4 % (5.65 % higher than average)
|
vs |
74.75 %
|
||
| Percent of short-stay residents who newly received an antipsychotic medication |
29.7 % (12.36 % higher than average)
|
vs |
17.34 %
|
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