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HEBERT NURSING HOME

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HEBERT NURSING HOME VS
All other Nursing Homes USA
General
City SMITHFIELD   vs 0% Nursing Homes USA have SMITHFIELD
State attribute explanation RI   vs 0.5% Nursing Homes USA have RI
Street 180 LOG ROAD  
Zip Code 2917  
Phone 4012317016  
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
(0.31 lower than average)
vs
3.31

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

Number of Certified Beds
133  (24.06 higher than average)
vs
108.94

Total Number of Residents
124  (32.75 higher than average)
vs
91.25

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

Health Survey Date 3/23/2012  
Fire Survey Date 3/23/2012  
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 - 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? No  vs 45.1% Nursing Homes USA don't 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
(55.31 lower than average)
vs
56.31

# of deficiencies
13  (5.52 higher than average)
vs
7.48

Staff Information
Number of Residents
124  (32.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.52  (0.25 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.34  (0.5 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
0.86  (0.73 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.07  (5.42 lower than average)
vs
5.49

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

Environmental Deficiencies
Deficiency #1 Scope: Some
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: 01/09/2012
date Of Correction: Not Available 

Mistreatment Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 4
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 01/09/2012
date Of Correction: 01/20/2012 

Deficiency #2 Scope: Some
level Of Harm: 4
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: 01/09/2012
date Of Correction: 01/20/2012 

Deficiency #3 Scope: Some
level Of Harm: 4
deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.
survey Date: 01/09/2012
date Of Correction: 01/20/2012 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 07/19/2011
date Of Correction: 08/15/2011 

Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Give Notice To The Resident Before A Room Or Roommate Change.
survey Date: 01/09/2012
date Of Correction: Not Available 

Deficiency #2 Scope: Some
level Of Harm: 4
deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.
survey Date: 01/09/2012
date Of Correction: 01/20/2012 

Quality Care Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 3
deficiency: Properly Care For Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, And Prostheses.
survey Date: 01/09/2012
date Of Correction: Not Available 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Provide Medically-related Social Services To Help Each Resident Achieve The Highest Possible Quality Of Life.
survey Date: 01/09/2012
date Of Correction: Not Available 

Deficiency #3 Scope: Many
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 07/19/2011
date Of Correction: 08/15/2011 

Administration Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 4
deficiency: Set Up An Ongoing Quality Assessment And Assurance Group To Review Quality Deficiencies Quarterly, And Develop Corrective Plans Of Action.
survey Date: 01/09/2012
date Of Correction: 01/20/2012 

Deficiency #2 Scope: Some
level Of Harm: 4
deficiency: Choose A Doctor To Serve As The Medical Director To Create Resident Care Policies And Coordinate Medical Care In The Facility.
survey Date: 01/09/2012
date Of Correction: 01/20/2012 

Deficiency #3 Scope: Some
level Of Harm: 4
deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .
survey Date: 01/09/2012
date Of Correction: 01/20/2012 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
26.1 % (1.01 % higher than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
1.7 % (31.25 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
12.4-2413.6-24 % (4.26 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
5.5 % (7.08 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight 7.9:1 % 
Percent of long-stay low-risk residents who lose control of their bowels or bladder
33.3 % (11.24 % lower than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
0.9 % (14.73 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
21.1 % (7.64 % higher 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
75.2 % (31.52 % higher than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
30.6 % (5.58 % higher than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
89.5 % (4.86 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
87.8 % (3.86 % higher than average)
vs
83.94 %

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

Percent of long-stay residents experiencing one or more falls with major injury 2.6 / 3 % 
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
27.2 % (1.81 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
1.6 % (22.1 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
11.9 % (2.2 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
10.6 % (1.38 % higher than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
7.6 % (0.9 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
36.2 % (7.18 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
2.20 % (8.45 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
18.3 % (8.72 % higher than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
1.7 % (18.16 % 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
3.2 % (7.53 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
29 % (4.24 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
87.6 % (6.16 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
80.5 % (5.75 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
9.6 % (7.74 % lower than average)
vs
17.34 %



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