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HEARTLAND OF KEYSER

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HEARTLAND OF KEYSER VS
All other Nursing Homes USA
General
City KEYSER   vs 0% Nursing Homes USA have KEYSER
State attribute explanation WV   vs 0.8% Nursing Homes USA have WV
Street 135 SOUTHERN DRIVE  
Zip Code 26726  
Phone 3047883415  
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
(1.17 lower than average)
vs
3.17

Quality Measures Star Rating
(0.69 higher than average)
vs
3.31

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

Number of Certified Beds
122  (13.06 higher than average)
vs
108.94

Total Number of Residents
111  (19.75 higher than average)
vs
91.25

Percent of Occupied Beds
91 % (7.35 % higher than average)
vs
83.65 %

Health Survey Date 5/20/2010  
Fire Survey Date 5/19/2010  
Sprinkler Status Missing/no Data  vs 0.2% Nursing Homes USA have Missing/No Data
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 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
(56.16 lower than average)
vs
58.16

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

# of deficiencies
36  (28.52 higher than average)
vs
7.48

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

Number of RN Hours Per Resident Per Day
0.71  (0.06 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.41  (0.43 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.11  (0.48 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.06  (5.43 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.06  (0.04 lower than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 04/13/2011
date Of Correction: 06/23/2011 

Deficiency #2 Scope: Many
level Of Harm: 1
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 03/16/2011
date Of Correction: 04/08/2011 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 02/05/2009
date Of Correction: 04/22/2009 

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: 11/22/2011
date Of Correction: 01/25/2012 

Deficiency #2 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: 04/13/2011
date Of Correction: 06/23/2011 

Deficiency #3 Scope: Some
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: 09/03/2010
date Of Correction: 11/03/2010 

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: 02/05/2009
date Of Correction: 05/28/2009 

Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Try To Resolve Each Resident's Complaints Quickly.
survey Date: 04/13/2011
date Of Correction: 06/23/2011 

Deficiency #2 Scope: Some
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: 04/13/2011
date Of Correction: 06/23/2011 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Tell The Resident Completely About His Or Her Health Status, Care And Treatments.
survey Date: 03/16/2011
date Of Correction: 04/08/2011 

Deficiency #4 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: 09/03/2010
date Of Correction: 11/20/2010 

Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Let The Resident Refuse Treatment Or Refuse To Take Part In An Experiment And Formulate Advance Directives.
survey Date: 09/03/2010
date Of Correction: 11/03/2010 

Deficiency #6 Scope: Many
level Of Harm: 1
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: 05/04/2010
date Of Correction: 05/21/2010 

Deficiency #7 Scope: Few
level Of Harm: 2
deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.
survey Date: 04/27/2009
date Of Correction: 05/28/2009 

Deficiency #8 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: 02/05/2009
date Of Correction: 04/22/2009 

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: 05/18/2012
date Of Correction: 07/18/2012 

Deficiency #2 Scope: Few
level Of Harm: 3
deficiency: Give Each Resident Enough Fluids To Keep Them Healthy And Prevent Dehydration.
survey Date: 11/22/2011
date Of Correction: 01/25/2012 

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: 11/22/2011
date Of Correction: 02/20/2012 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 03/16/2011
date Of Correction: 04/08/2011 

Deficiency #5 Scope: Few
level Of Harm: 3
deficiency: Give Each Resident Enough Fluids To Keep Them Healthy And Prevent Dehydration.
survey Date: 09/03/2010
date Of Correction: 11/03/2010 

Deficiency #6 Scope: Few
level Of Harm: 3
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 09/03/2010
date Of Correction: 11/03/2010 

Deficiency #7 Scope: Few
level Of Harm: 3
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 09/03/2010
date Of Correction: 11/03/2010 

Deficiency #8 Scope: Some
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 04/27/2009
date Of Correction: 05/28/2009 

Deficiency #9 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: 02/05/2009
date Of Correction: 04/22/2009 

Deficiency #10 Scope: Few
level Of Harm: 3
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 02/05/2009
date Of Correction: 05/28/2009 

Resident Assessment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure That A Doctor Approves A Resident's Admission In Writing And That Each Resident Remains Under The Care Of A Doctor.
survey Date: 05/18/2012
date Of Correction: 07/18/2012 

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: 05/18/2012
date Of Correction: 07/18/2012 

Deficiency #3 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: 04/13/2011
date Of Correction: 06/23/2011 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Make Sure Each Resident Receives An Accurate Assessment By A Qualified Health Professional.
survey Date: 04/13/2011
date Of Correction: 06/23/2011 

Deficiency #5 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: 09/03/2010
date Of Correction: 11/20/2010 

Deficiency #6 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: 09/03/2010
date Of Correction: 11/03/2010 

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: 11/22/2011
date Of Correction: 02/20/2012 

Deficiency #2 Scope: Many
level Of Harm: 2
deficiency: Set Up An Ongoing Quality Assessment And Assurance Group To Review Quality Deficiencies Quarterly, And Develop Corrective Plans Of Action.
survey Date: 04/13/2011
date Of Correction: 06/23/2011 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 09/03/2010
date Of Correction: 11/20/2010 

Deficiency #4 Scope: Some
level Of Harm: 1
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 05/04/2010
date Of Correction: 05/21/2010 

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: 04/13/2011
date Of Correction: 06/29/2011 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
14 % (11.09 % lower than average)
vs
25.09 %

Percent of short-stay residents who newly received an antipsychotic medication
75.2  (29.3 higher than average)
vs
45.90

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
15.1 % (10.29 % lower 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
4.8 % (9.3 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
7.3 % (1.92 % lower than average)
vs
9.22 %

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

Percent of long-stay low-risk residents who lose control of their bowels or bladder
49.3 % (5.92 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
3 % (7.65 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
8.3 % (1.28 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
1.1 % (18.76 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
75.2 % (36.67 % higher than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
2.9 % (7.83 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
13.2 % (11.56 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
66.5 % (14.94 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
73.6 % (1.15 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
26.2 % (8.86 % higher than average)
vs
17.34 %



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