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HEALTH CARE CENTER LUCY CORR

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HEALTH CARE CENTER LUCY CORR VS
All other Nursing Homes USA
General
City Chesterfield  vs 0.1% Nursing Homes USA have Chesterfield
State attribute explanation VA   vs 1.8% Nursing Homes USA have VA
Street 6800 LUCY CORR BLVD  
Zip Code 23832  
Phone 8047481511  
Overall Star Rating
(2.11 lower than average)
vs
3.11

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

Nurse Staffing Star Rating
(2.17 lower than average)
vs
3.17

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

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

Number of Certified Beds
240  (131.06 higher than average)
vs
108.94

Total Number of Residents
224  (132.75 higher than average)
vs
91.25

Percent of Occupied Beds
93 % (9.35 % higher than average)
vs
83.65 %

Health Survey Date 10/14/2011  
Fire Survey Date 10/31/2011  
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 Government - Hospital District  vs 0.9% Nursing Homes USA have Government - Hospital district
Located Within a Hospital? No  vs 93.6% Nursing Homes USA don't 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? Yes  vs 9.1% Nursing Homes USA 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
28  (20.52 higher than average)
vs
7.48

Staff Information
Number of Residents
224  (132.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.33  (0.44 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.99  (0.15 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.32  (0.27 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.03  (5.46 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.03  (0.07 lower than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 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: 10/14/2011
date Of Correction: Not Available 

Deficiency #2 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: 09/23/2010
date Of Correction: Not Available 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Provide Adequate And Comfortable Lighting Levels In All Areas.
survey Date: 09/23/2010
date Of Correction: 11/04/2010 

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: 09/18/2009
date Of Correction: 10/30/2009 

Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Determine If It Is Safe For The Resident To Self-administer Drugs.
survey Date: 11/30/2011
date Of Correction: 12/30/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Keep Each Resident's Personal And Medical Records Private And Confidential.
survey Date: 11/30/2011
date Of Correction: 12/30/2011 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Determine If It Is Safe For The Resident To Self-administer Drugs.
survey Date: 10/14/2011
date Of Correction: Not Available 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Keep Each Resident's Personal And Medical Records Private And Confidential.
survey Date: 10/14/2011
date Of Correction: Not Available 

Deficiency #5 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: 09/23/2010
date Of Correction: 11/05/2010 

Deficiency #6 Scope: Few
level Of Harm: 2
deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.
survey Date: 09/18/2009
date Of Correction: 10/30/2009 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 11/30/2011
date Of Correction: 12/30/2011 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 11/30/2011
date Of Correction: 12/13/2011 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 10/14/2011
date Of Correction: Not Available 

Deficiency #4 Scope: Some
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 09/23/2010
date Of Correction: 10/29/2010 

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: 10/14/2011
date Of Correction: Not Available 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Make Sure Each Resident Receives An Accurate Assessment By A Qualified Health Professional.
survey Date: 10/14/2011
date Of Correction: Not Available 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Make Sure Each Resident Receives An Accurate Assessment By A Qualified Health Professional.
survey Date: 09/23/2010
date Of Correction: 10/24/2010 

Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Give Or Get Quality Lab Services/tests In A Timely Manner To Meet The Needs Of Residents.
survey Date: 12/29/2010
date Of Correction: 01/10/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Give Or Get X-rays And Other Tests In A Timely Manner To Meet The Needs Of Residents.
survey Date: 09/23/2010
date Of Correction: 10/29/2010 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Give Or Get Quality Lab Services/tests In A Timely Manner To Meet The Needs Of Residents.
survey Date: 09/23/2010
date Of Correction: Not Available 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .
survey Date: 09/23/2010
date Of Correction: 10/29/2010 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.
survey Date: 10/14/2011
date Of Correction: Not Available 

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: 10/14/2011
date Of Correction: Not Available 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.
survey Date: 10/14/2011
date Of Correction: Not Available 

Deficiency #4 Scope: Some
level Of Harm: 2
deficiency: Keep The Rate Of Medication Errors (wrong Drug, Wrong Dose, Wrong Time) To Less Than 5%.
survey Date: 10/14/2011
date Of Correction: Not Available 

Deficiency #5 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: 10/14/2011
date Of Correction: Not Available 

Deficiency #6 Scope: Some
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: 09/23/2010
date Of Correction: 10/29/2010 

Deficiency #7 Scope: Some
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: 09/23/2010
date Of Correction: 10/29/2010 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
24.6 % (0.49 % lower than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
0.5 - 2.0 % (32.45 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
13.4 % (3.26 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
4.1 % (8.48 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight 8.9 / 9.9 % 
Percent of long-stay low-risk residents who lose control of their bowels or bladder
60.4 % (15.86 % higher than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
2.1 % (13.53 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
12 % (1.46 % 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
2.1 % (41.58 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
37.5 % (12.48 % higher than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
55.9 % (28.74 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
57.2 % (26.74 % lower than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
3.3 % (42.6 % lower than average)
vs
45.90 %

Percent of long-stay residents experiencing one or more falls with major injury
6.3 % (9.22 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
22.6 % (2.79 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
0.4 % (23.3 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
16.5 % (2.4 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
4.5 % (4.72 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight 9.4 / 10.4 % 
Percent of long-stay low-risk residents who lose control of their bowels or bladder
53.8 % (10.42 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.6 % (9.05 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection 12.3:1 % 
Percent of long-stay residents who have depressive symptoms
0.2 % (19.66 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
1.9 % (36.63 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
6.3 % (4.43 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
28.9 % (4.14 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
63.1 % (18.34 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
63.2 % (11.55 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
16.7 % (0.64 % lower than average)
vs
17.34 %



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