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HILLSIDE VILLAGE OF DESOTO

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HILLSIDE VILLAGE OF DESOTO VS
All other Nursing Homes USA
General
Percent of short-stay residents with Pressure ulcers that are new or worsened 75.2 % 
City DE SOTO   vs 0% Nursing Homes USA have DE SOTO
State attribute explanation KS   vs 2.2% Nursing Homes USA have KS
Street 33600 WEST 85TH ST  
Zip Code 66018  
Phone 9135831266  
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
(0.83 higher than average)
vs
3.17

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

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

Number of Certified Beds
49  (59.94 lower than average)
vs
108.94

Total Number of Residents
47  (44.25 lower than average)
vs
91.25

Percent of Occupied Beds
96 % (12.35 % higher than average)
vs
83.65 %

Health Survey Date 6/2/2011  
Fire Survey Date 1/10/2011  
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 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
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
22  (14.52 higher than average)
vs
7.48

Staff Information
Number of Residents
47  (44.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.36  (0.41 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.97  (0.13 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.33  (0.26 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
75.2  (69.71 higher than average)
vs
5.49

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: 03/28/2012
date Of Correction: 04/28/2012 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Make Sure That A Working Call System Is Available In Each Resident's Room Or Bathroom And Bathing Area.
survey Date: 03/30/2010
date Of Correction: 04/29/2010 

Deficiency #3 Scope: Some
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: 03/30/2010
date Of Correction: 04/29/2010 

Deficiency #4 Scope: Some
level Of Harm: 2
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 03/30/2010
date Of Correction: 04/29/2010 

Mistreatment Deficiencies
Deficiency #1 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: 03/30/2010
date Of Correction: 04/29/2010 

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: 01/27/2010
date Of Correction: 02/22/2010 

Resident Rights Deficiencies
Deficiency #1 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: 03/28/2012
date Of Correction: 04/28/2012 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Give Each Resident A Notice Of Rights, Rules, Services And Charges. Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items And Services Medicaid Covers And Which The Resident Must Pay For.
survey Date: 03/30/2010
date Of Correction: 04/29/2010 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So.
survey Date: 05/15/2012
date Of Correction: 06/14/2012 

Deficiency #2 Scope: Few
level Of Harm: 3
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 05/15/2012
date Of Correction: 06/14/2012 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 05/15/2012
date Of Correction: 06/14/2012 

Deficiency #4 Scope: Few
level Of Harm: 3
deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So.
survey Date: 03/30/2010
date Of Correction: 04/29/2010 

Deficiency #5 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: 03/30/2010
date Of Correction: 04/29/2010 

Deficiency #6 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: 03/30/2010
date Of Correction: 04/29/2010 

Deficiency #7 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 03/30/2010
date Of Correction: 04/29/2010 

Resident Assessment Deficiencies
Deficiency #1 Scope: Some
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: 03/28/2012
date Of Correction: 04/28/2012 

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: 03/30/2010
date Of Correction: 04/29/2010 

Pharmacy Service Deficiencies
Deficiency #1 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: 03/28/2012
date Of Correction: 04/28/2012 

Deficiency #2 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: 03/30/2010
date Of Correction: 04/29/2010 

Deficiency #3 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: 03/30/2010
date Of Correction: 04/29/2010 

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: 03/30/2010
date Of Correction: 04/29/2010 

Deficiency #2 Scope: Some
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: 03/30/2010
date Of Correction: 04/29/2010 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
11.4 % (13.69 % lower than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
7.1 % (25.85 % lower than average)
vs
32.95 %

Percent of long-stay residents who lose too much weight
8.3 % (3.53 % lower than average)
vs
11.83 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
75.2 % (59.57 % higher than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
8.3 % (5.16 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms 11.8:1 % 
Percent of long-stay residents who were physically restrained
75.2 % (31.52 % higher than average)
vs
43.68 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
96.6 % (11.96 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
79.3 % (4.64 % lower 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
8.3 % (7.22 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
14.3 % (11.09 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
8.3 % (15.4 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
26.2 % (12.1 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
4.8 % (4.42 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
5.5 % (3 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
32.6 % (10.78 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
0.8 % (9.85 % 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
15.6 % (4.26 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
3.6 % (34.93 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury 8.1 / 8.8 % 
Percent of short-stay residents who self-report moderate to severe pain
50 % (25.24 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
95.6 % (14.16 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
74 % (0.75 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
1.9 % (15.44 % lower than average)
vs
17.34 %



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