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HILL CREST MANOR

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HILL CREST MANOR VS
All other Nursing Homes USA
General
City HAMILTON   vs 0.1% Nursing Homes USA have HAMILTON
State attribute explanation MO   vs 3.2% Nursing Homes USA have MO
Street 801 SOUTH COLBY  
Zip Code 64644  
Phone 8165832119  
Overall Star Rating
(1.11 lower than average)
vs
3.11

Health Inspections Star Rating
(0.83 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
(1.17 lower than average)
vs
3.17

Number of Certified Beds
90  (18.94 lower than average)
vs
108.94

Total Number of Residents
49  (42.25 lower than average)
vs
91.25

Percent of Occupied Beds
54 % (29.65 % lower than average)
vs
83.65 %

Health Survey Date 8/18/2011  
Fire Survey Date 8/18/2011  
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 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
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
12  (4.52 higher than average)
vs
7.48

Staff Information
Number of Residents
49  (42.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.39  (0.38 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.44  (0.4 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
0.83  (0.76 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.02  (5.47 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.02  (0.08 lower 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: 03/19/2012
date Of Correction: 05/10/2012 

Resident Rights Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Make Sure Each Resident Has The Right To Have A Choice Over Activities, Their Schedules And Health Care According To His Or Her Interests, Assessment, And Plan Of Care.
survey Date: 03/19/2012
date Of Correction: 05/10/2012 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Determine If It Is Safe For The Resident To Self-administer Drugs.
survey Date: 03/19/2012
date Of Correction: 05/10/2012 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Provide Access To A Telephone For Resident To Use In Private.
survey Date: 07/28/2009
date Of Correction: 09/16/2009 

Deficiency #4 Scope: Few
level Of Harm: 3
deficiency: Let The Resident Refuse Treatment Or Refuse To Take Part In An Experiment And Formulate Advance Directives.
survey Date: 07/28/2009
date Of Correction: 09/16/2009 

Quality Care Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: Have Enough Nurses To Care For Every Resident In A Way That Maximizes The Resident's Well Being.
survey Date: 03/19/2012
date Of Correction: 05/10/2012 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.
survey Date: 08/18/2011
date Of Correction: 09/04/2011 

Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Ensure That All Full-time Nurse Aids Employed For More Than 4 Months Are Fully Trained And Competent To Provide Nursing And Nursing-related Services, As Defined By Federal Requirements.
survey Date: 04/09/2010
date Of Correction: 05/21/2010 

Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.
survey Date: 03/19/2012
date Of Correction: 05/10/2012 

Deficiency #2 Scope: Many
level Of Harm: 2
deficiency: Prepare Food That Is Nutritional, Appetizing, Tasty, Attractive, Well-cooked, And At The Right Temperature.
survey Date: 03/19/2012
date Of Correction: 05/10/2012 

Deficiency #3 Scope: Many
level Of Harm: 2
deficiency: Make Sure Menus Meet The Resident's Nutritional Needs And That There Is A Prepared Menu By Which Nutritious Meals Have Been Planned For The Resident And Followed.
survey Date: 03/19/2012
date Of Correction: 05/10/2012 

Deficiency #4 Scope: Some
level Of Harm: 2
deficiency: Hire Sufficient Dietary Support Personnel.
survey Date: 03/19/2012
date Of Correction: 05/10/2012 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
14.6 % (10.49 % lower than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
9.5 % (23.45 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
2.3 % (14.36 % lower than average)
vs
16.66 %

Percent of long-stay residents who lose too much weight
4.7 % (7.13 % lower than average)
vs
11.83 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder 5.6:1 % 
Percent of long-stay residents with a urinary tract infection
75.2 % (61.74 % higher than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms 18.2:1 % 
Percent of long-stay residents who were physically restrained
2.20 % (41.48 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
8.7 % (16.32 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
91.7 % (7.06 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
96 % (12.06 % higher than average)
vs
83.94 %

Percent of long-stay residents experiencing one or more falls with major injury
2.20 % (13.32 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
13.6-28 % (11.79 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
5.9 % (17.8 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
5 % (9.1 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers 9.4 / 10.4 % 
Percent of long-stay residents who lose too much weight
7.5 % (1 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder 13.9 / 15.3 % 
Percent of long-stay residents who have had a catheter inserted and left in their bladder
6 % (4.65 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
3 % (6.58 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms 19.1:1 % 
Percent of long-stay residents who were physically restrained
2.20 % (36.33 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
2.20 % (8.53 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
8.2 % (16.56 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
92 % (10.56 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
98.2 % (23.45 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
75.2 % (57.86 % higher than average)
vs
17.34 %



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