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GRANDE PRAIRIE HLTH REHAB CTR

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GRANDE PRAIRIE HLTH REHAB CTR VS
All other Nursing Homes USA
General
City PLEASANT PRAIRIE   vs 0% Nursing Homes USA have PLEASANT PRAIRIE
State attribute explanation WI   vs 2.5% Nursing Homes USA have WI
Street 10330 PRAIRIE RIDGE BLVD  
Zip Code 53158  
Phone 2626122800  
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
(0.69 higher than average)
vs
3.31

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

Number of Certified Beds
118  (9.06 higher than average)
vs
108.94

Total Number of Residents
91  (0.25 lower than average)
vs
91.25

Percent of Occupied Beds
77 % (6.65 % lower than average)
vs
83.65 %

Health Survey Date 1/10/2012  
Fire Survey Date 1/6/2012  
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 For Profit - Corporation  vs 56.7% Nursing Homes USA have For 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? No  vs 68.7% Nursing Homes USA don't 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
(54.31 lower than average)
vs
56.31

# of deficiencies
19  (11.52 higher than average)
vs
7.48

Staff Information
Number of Residents
91  (0.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
1.09  (0.32 higher than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.67  (0.17 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.76  (0.17 higher than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.13  (5.36 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.13  (0.03 higher than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide Bedrooms That Don't Allow Residents To See Each Other When Privacy Is Needed.
survey Date: 06/07/2012
date Of Correction: 06/07/2012 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 06/07/2012
date Of Correction: 06/13/2012 

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: 06/07/2012
date Of Correction: 06/14/2012 

Deficiency #4 Scope: Few
level Of Harm: 3
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 11/03/2011
date Of Correction: 11/07/2011 

Deficiency #5 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: 06/29/2010
date Of Correction: 07/02/2010 

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: 11/03/2011
date Of Correction: 11/07/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 06/29/2010
date Of Correction: 07/02/2010 

Deficiency #3 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: 06/29/2010
date Of Correction: 07/02/2010 

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: 09/02/2009
date Of Correction: 09/08/2009 

Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 4
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: 06/04/2009
date Of Correction: 06/24/2009 

Quality Care Deficiencies
Deficiency #1 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: 06/07/2012
date Of Correction: 06/22/2012 

Deficiency #2 Scope: Few
level Of Harm: 4
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 11/23/2010
date Of Correction: 02/17/2011 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 06/29/2010
date Of Correction: 07/02/2010 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Give Each Resident Enough Fluids To Keep Them Healthy And Prevent Dehydration.
survey Date: 03/25/2010
date Of Correction: 04/25/2010 

Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 06/04/2009
date Of Correction: 06/24/2009 

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: 06/07/2012
date Of Correction: 06/22/2012 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.
survey Date: 06/07/2012
date Of Correction: 06/22/2012 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 4
deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.
survey Date: 06/04/2009
date Of Correction: 06/04/2009 

Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Prepare Food That Is Nutritional, Appetizing, Tasty, Attractive, Well-cooked, And At The Right Temperature.
survey Date: 01/25/2010
date Of Correction: 01/26/2010 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication 14.7:1 % 
Percent of long-stay residents whose need for help with daily activities has increased
2.20 % (30.75 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
5.1 % (11.56 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
3.3 % (9.28 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
6 % (5.83 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
65.3 % (20.76 % higher than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.4 % (14.23 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
13.4 % (0.06 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
5.9 % (22.48 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
1.50 % (42.18 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
9.1 % (15.92 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
91.5 % (6.86 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
94.7 % (10.76 % higher than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
1.1 % (44.8 % lower than average)
vs
45.90 %

Percent of long-stay residents experiencing one or more falls with major injury 11.8:1 % 
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
13.3 % (12.09 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
1.7 % (22 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
3.5 % (10.6 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers 5.6:1 % 
Percent of long-stay residents who lose too much weight
9.8 % (1.3 % higher than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
60.3 % (16.92 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.9 % (8.75 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
9.8 % (0.22 % higher than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
7.2 % (12.66 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
1.4 % (37.13 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
9.1 % (1.63 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
7 % (17.76 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
89.9 % (8.46 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
92.7 % (17.95 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
10.5 % (6.84 % lower than average)
vs
17.34 %



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