HOLMESDALE HEALTHCARE AND REHABILITATION CENTER

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General
City	KANSAS CITY	vs	0.2% Nursing Homes USA have KANSAS CITY
State attribute explanation	MO	vs	3.2% Nursing Homes USA have MO	compare MO Nursing Homes USA
Street	8033
Zip Code	64131
Phone	8163636222
Overall Star Rating	1 (2.11 lower than average)	vs	3.11	Compare similar Overall Star Rating (1)
Health Inspections Star Rating	1 (1.83 lower than average)	vs	2.83	Compare similar Health Inspections Star Rating (1)
Nurse Staffing Star Rating	3 (0.17 lower than average)	vs	3.17	Compare similar Nurse Staffing Star Rating (3)
Quality Measures Star Rating	3 (0.31 lower than average)	vs	3.31	Compare similar Quality Measures Star Rating (3)
RN Only Star Rating	3 (0.17 lower than average)	vs	3.17	Compare similar RN Only Star Rating (3)
Number of Certified Beds	100 (8.94 lower than average)	vs	108.94	Compare similar Number of Certified Beds (100)
Total Number of Residents	82 (9.25 lower than average)	vs	91.25	Compare similar Total Number of Residents (82)
Percent of Occupied Beds	82 % (1.65 % lower than average)	vs	83.65 %	Compare similar Percent of Occupied Beds (82) %
Health Survey Date	2/6/2012
Fire Survey Date	2/6/2012
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	compare Medicare and Medicaid Nursing Homes USA
Type of Ownership	For Profit - Partnership	vs	7.9% Nursing Homes USA have For profit - Partnership	compare For profit - Partnership Nursing Homes USA
Located Within a Hospital?	No	vs	93.6% Nursing Homes USA don't have Located Within a Hospital?	Compare similar 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	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	1 (55.31 lower than average)	vs	56.31
# of deficiencies	7 (0.48 lower than average)	vs	7.48

Staff Information
Number of Residents	82 (9.38 lower than average)	vs	91.38
Number of RN Hours Per Resident Per Day	0.48 (0.29 lower than average)	vs	0.77
Number of LPN/LVN Hours Per Resident Per Day	0.98 (0.14 higher than average)	vs	0.84
Total Number of Licensed Staff Hours Per Resident Per Day	1.46 (0.13 lower than average)	vs	1.59
Number of CNA Hours Per Resident Per Day	0.09 (5.4 lower than average)	vs	5.49
Number Therapy Hours Per Resident Per Day	0.09 (0.01 lower than average)	vs	0.10

Environmental Deficiencies
Deficiency #1		Scope: Many level Of Harm: 1 deficiency: Provide Clean Bed And Bath Linens That Are In Good Condition. survey Date: 01/28/2011 date Of Correction: 02/28/2011

Mistreatment Deficiencies
Deficiency #1		Scope: Few level Of Harm: 4 deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others. survey Date: 02/06/2012 date Of Correction: 03/16/2012

Quality Care Deficiencies
Deficiency #1		Scope: Some level Of Harm: 2 deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality. survey Date: 11/04/2009 date Of Correction: 12/04/2009
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: 06/29/2009 date Of Correction: 07/21/2009
Deficiency #3		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: 05/07/2009 date Of Correction: 06/19/2009

Administration Deficiencies
Deficiency #1		Scope: Many level Of Harm: 2 deficiency: 1) Set Up A Group That Is Legally Responsible For Writing And Setting Up Policies For Leading And Running The Nursing Home; Or 2) Hire A Properly Licensed Administrator. survey Date: 12/16/2010 date Of Correction: 12/28/2010

Pharmacy Service Deficiencies
Deficiency #1		Scope: Few 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: 01/28/2011 date Of Correction: 02/28/2011

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication	19.7 % (5.39 % lower than average)	vs	25.09 %
Percent of long-stay residents whose need for help with daily activities has increased	4.9 % (28.05 % lower than average)	vs	32.95 %
Percent of long-stay residents who self-report moderate to severe pain	12.2 % (4.46 % lower than average)	vs	16.66 %
Percent of long-stay high-risk residents with pressure ulcers	7.7 % (4.88 % lower than average)	vs	12.58 %
Percent of long-stay residents who lose too much weight	4.2 % (7.63 % lower than average)	vs	11.83 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder	28.1 % (16.44 % lower than average)	vs	44.54 %
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	7 % (6.46 % lower 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	30.3 % (5.28 % higher than average)	vs	25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine	76.6 % (8.04 % lower than average)	vs	84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened	78.7 % (5.24 % lower than average)	vs	83.94 %
Percent of short-stay residents who newly received an antipsychotic medication	3 % (42.9 % lower than average)	vs	45.90 %
Percent of long-stay residents experiencing one or more falls with major injury	4.2 % (11.32 % lower than average)	vs	15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication	22.5 % (2.89 % lower than average)	vs	25.39 %
Percent of long-stay residents whose need for help with daily activities has increased	2.4 % (21.3 % lower than average)	vs	23.70 %
Percent of long-stay residents who self-report moderate to severe pain	12.5 % (1.6 % lower than average)	vs	14.10 %
Percent of long-stay high-risk residents with pressure ulcers	6.2 % (3.02 % lower than average)	vs	9.22 %
Percent of long-stay residents who lose too much weight	5.6:1 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder	25.5 % (17.88 % lower than average)	vs	43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder	1.50 % (9.15 % lower than average)	vs	10.65 %
Percent of long-stay residents with a urinary tract infection	7.9:1 %
Percent of long-stay residents who have depressive symptoms	1.6 % (18.26 % 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	36.7 % (11.94 % higher than average)	vs	24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine	70.8 % (10.64 % lower than average)	vs	81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened	65.9 % (8.85 % lower than average)	vs	74.75 %
Percent of short-stay residents who newly received an antipsychotic medication	11.7 % (5.64 % lower than average)	vs	17.34 %