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GRACEPOINTE CROSSING GABLES WEST

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GRACEPOINTE CROSSING GABLES WEST VS
All other Nursing Homes USA
General
City Cambridge  vs 0.1% Nursing Homes USA have Cambridge
State attribute explanation MN   vs 2.4% Nursing Homes USA have MN
Street 135 FERN STREET NORTH  
Zip Code 55008  
Phone 7636912103  
Overall Star Rating
(0.11 lower than average)
vs
3.11

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

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

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

RN Only Star Rating
(1.83 higher than average)
vs
3.17

Number of Certified Beds
144  (35.06 higher than average)
vs
108.94

Total Number of Residents
117  (25.75 higher than average)
vs
91.25

Percent of Occupied Beds
81 % (2.65 % lower than average)
vs
83.65 %

Health Survey Date 4/5/2012  
Fire Survey Date 4/5/2012  
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 Both  vs 29.8% Nursing Homes USA have Both
Continuing Care Retirement Community? Yes  vs 9.1% Nursing Homes USA 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
(0.48 lower than average)
vs
7.48

Staff Information
Number of Residents
117  (25.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
1.14  (0.37 higher than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.45  (0.39 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.59  (equals average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.29  (5.2 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.29  (0.19 higher than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 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: 03/22/2010
date Of Correction: 05/14/2010 

Deficiency #2 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: 05/22/2009
date Of Correction: 06/14/2009 

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: 05/14/2009
date Of Correction: 06/14/2009 

Resident Rights Deficiencies
Deficiency #1 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: 02/01/2011
date Of Correction: 02/25/2011 

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: 03/22/2010
date Of Correction: 05/14/2010 

Resident Assessment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.
survey Date: 05/22/2009
date Of Correction: 06/14/2009 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.
survey Date: 05/14/2009
date Of Correction: 06/14/2009 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
23.5 % (1.59 % lower 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
9.5 % (7.16 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
1.50 % (11.08 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
5.1 % (6.73 % lower than average)
vs
11.83 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
6.3 % (9.33 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
5.9 % (7.56 % lower 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
1 % (42.68 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
41.8 % (16.78 % higher than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
93 % (8.36 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
95.8 % (11.86 % higher than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
0.7 % (45.2 % lower than average)
vs
45.90 %

Percent of long-stay residents experiencing one or more falls with major injury
4 % (11.52 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
20.4 % (4.99 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
2.5 % (21.2 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
6.9 % (7.2 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
2.4 % (6.82 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
4.1 % (4.4 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
27.4 % (15.98 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.5 % (7.15 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
4 % (5.58 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
7.4 % (12.46 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
0.3 % (38.23 % 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
37.5 % (12.74 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
91.5 % (10.06 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
94.1 % (19.35 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
19.6 % (2.26 % higher than average)
vs
17.34 %



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