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HODGEMAN COUNTY HEALTH CENTER LTCU

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HODGEMAN COUNTY HEALTH CENTER LTCU VS
All other Nursing Homes USA
General
City JETMORE   vs 0% Nursing Homes USA have JETMORE
State attribute explanation KS   vs 2.2% Nursing Homes USA have KS
Street 809 BRAMLEY PO BOX 367  
Zip Code 67854  
Phone 6203578361  
Overall Star Rating
(0.11 lower than average)
vs
3.11

Health Inspections Star Rating
(0.17 higher than average)
vs
2.83

Nurse Staffing Star Rating
(1.83 higher than average)
vs
3.17

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

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

Number of Certified Beds
25  (83.94 lower than average)
vs
108.94

Total Number of Residents
18  (73.25 lower than average)
vs
91.25

Percent of Occupied Beds
72 % (11.65 % lower than average)
vs
83.65 %

Health Survey Date 2/6/2012  
Fire Survey Date 12/28/2011  
Sprinkler Status Fully Sprinklered  vs 90.2% Nursing Homes USA have Fully Sprinklered
Program Participation Medicaid  vs 3.5% Nursing Homes USA have Medicaid
Type of Ownership Government - County  vs 2.9% Nursing Homes USA have Government - County
Located Within a Hospital? Yes  vs 6.4% Nursing Homes USA 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? 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
12  (4.52 higher than average)
vs
7.48

Staff Information
Number of Residents
18  (73.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
1.61  (0.84 higher than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.28  (0.56 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.89  (0.3 higher 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: 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: 03/01/2011
date Of Correction: 03/31/2011 

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: 03/01/2011
date Of Correction: 03/31/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment.
survey Date: 03/01/2011
date Of Correction: 03/31/2011 

Resident Rights Deficiencies
Deficiency #1 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: 03/01/2011
date Of Correction: 03/31/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Tell The Resident Or The Resident's Representative In Writing How Long The Nursing Home Will Hold The Resident's Bed.
survey Date: 03/01/2011
date Of Correction: 03/31/2011 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Keep Each Resident's Personal And Medical Records Private And Confidential.
survey Date: 03/01/2011
date Of Correction: 03/31/2011 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Give Proper Treatment To Residents With Feeding Tubes To Prevent Problems (such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-pharyngeal Ulcers) And Help Restore Eating Skills, If Possible.
survey Date: 03/01/2011
date Of Correction: 03/31/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 03/01/2011
date Of Correction: 03/31/2011 

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: 03/01/2011
date Of Correction: 03/31/2011 

Deficiency #2 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: 03/01/2011
date Of Correction: 03/31/2011 

Administration Deficiencies
Deficiency #1 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: 03/01/2011
date Of Correction: 03/31/2011 

Pharmacy Service Deficiencies
Deficiency #1 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: 03/01/2011
date Of Correction: 03/31/2011 

Quality Measures Q3
Deficiency #1 38.2 % 
Percent of long-stay residents who received an antipsychotic medication
36.4 % (11.01 % higher than average)
vs
25.39 %

Percent of long-stay residents who self-report moderate to severe pain
33.1 % (19 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
2.9 % (6.32 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight 7.9:1 % 
Percent of long-stay residents who have had a catheter inserted and left in their bladder
5.7 % (4.95 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
18.5 % (8.92 % higher than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
4.9 % (14.96 % 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 12.1:1 % 


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