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GOVERNORS CREEK HEALTH AND REHABILITATION

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GOVERNORS CREEK HEALTH AND REHABILITATION VS
All other Nursing Homes USA
General
City GREEN COVE SPRINGS   vs 0% Nursing Homes USA have GREEN COVE SPRINGS
State attribute explanation FL   vs 4.4% Nursing Homes USA have FL
Street 803  
Zip Code 32043  
Phone 9042845606  
Overall Star Rating
(1.11 lower than average)
vs
3.11

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

Nurse Staffing Star Rating
(0.83 higher than average)
vs
3.17

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

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

Number of Certified Beds
120  (11.06 higher than average)
vs
108.94

Total Number of Residents
113  (21.75 higher than average)
vs
91.25

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

Health Survey Date 5/17/2011  
Fire Survey Date 5/2/2011  
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 For Profit - Partnership  vs 7.9% Nursing Homes USA have For profit - Partnership
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 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
(57.16 lower than average)
vs
58.16

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

# of deficiencies 5  
Staff Information
Number of Residents
111  (19.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.31  (0.46 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
1.05  (0.21 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.36  (0.23 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.09  (5.4 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.09  (0.01 lower than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide A Safe, Clean, Comfortable And Homelike Environment.
survey Date: 09/01/2009
date Of Correction: 10/01/2009 

Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Let Residents Voice A Complaint Or Grievance Without Being Treated Differently Or Badly.
survey Date: 09/01/2009
date Of Correction: 10/01/2009 

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: 05/27/2011
date Of Correction: 06/17/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 01/31/2011
date Of Correction: 03/01/2011 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So.
survey Date: 09/01/2009
date Of Correction: 10/01/2009 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
26.8 % (1.71 % higher than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
1.6 % (31.35 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain 13.9 / 15.3 % 
Percent of long-stay high-risk residents with pressure ulcers
7.3 % (5.28 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
4.1 % (7.73 % lower than average)
vs
11.83 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.5 % (11.13 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
14.6 % (1.14 % higher than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
5 % (23.38 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
2 % (41.68 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
21.3 % (3.72 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
40 % (44.64 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
57.5 % (26.44 % lower than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
6.1 % (39.8 % lower than average)
vs
45.90 %

Percent of long-stay residents experiencing one or more falls with major injury
6 % (9.52 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
28.3 % (2.91 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
1.9 % (21.8 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
9.6 % (4.5 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
8.4 % (0.82 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
3.7 % (4.8 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
19 % (24.38 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
6 % (4.65 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
13.4 % (3.82 % higher than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
3.3 % (16.56 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
3.3 % (35.23 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
4.6 % (6.13 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain 13.9 / 15.3 % 
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
58.6 % (22.84 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
73.1 % (1.65 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
13.6-28 % (3.74 % lower than average)
vs
17.34 %



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