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HOT SPRINGS HEALTH & REHABILITATION CENTER

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HOT SPRINGS HEALTH & REHABILITATION CENTER VS
All other Nursing Homes USA
General
City HOT SPRINGS   vs 0.1% Nursing Homes USA have HOT SPRINGS
State attribute explanation MT   vs 0.5% Nursing Homes USA have MT
Street 600 1ST AVE N  
Zip Code 59845  
Phone 4067412992  
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
(0.83 higher than average)
vs
3.17

Number of Certified Beds
64  (44.94 lower than average)
vs
108.94

Total Number of Residents
27  (64.25 lower than average)
vs
91.25

Percent of Occupied Beds
42 % (41.65 % lower than average)
vs
83.65 %

Health Survey Date 3/29/2012  
Fire Survey Date 3/27/2012  
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
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? 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? Yes  vs 1% Nursing Homes USA have Special Focus Facility?
Civil Money Penalty Count
75.2  (17.04 higher than average)
vs
58.16

Total Enforcement Actions Count
(55.31 lower than average)
vs
56.31

# of deficiencies
11  (3.52 higher than average)
vs
7.48

Staff Information
Number of Residents
27  (64.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.76  (0.01 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.51  (0.33 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.27  (0.32 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.03  (5.46 lower than average)
vs
5.49

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

Environmental Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 11/10/2010
date Of Correction: 01/11/2011 

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: 03/30/2011
date Of Correction: 05/28/2011 

Deficiency #2 Scope: Some
level Of Harm: 1
deficiency: Keep Each Resident's Personal And Medical Records Private And Confidential.
survey Date: 11/10/2010
date Of Correction: 01/11/2011 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 4
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 06/29/2011
date Of Correction: 07/25/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 03/30/2011
date Of Correction: 05/28/2011 

Deficiency #3 Scope: Some
level Of Harm: 1
deficiency: Use A Registered Nurse At Least 8 Hours A Day, 7 Days A Week.
survey Date: 11/10/2010
date Of Correction: Not Available 

Deficiency #4 Scope: Some
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 11/10/2010
date Of Correction: 01/11/2011 

Resident Assessment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide Proper Discharge Planning And Communication, Of The Resident's Health Status And Summary Of The Resident's Stay.
survey Date: 03/30/2011
date Of Correction: 05/28/2011 

Administration Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 1
deficiency: Post Nurse Staffing Information/data On A Daily Basis.
survey Date: 11/10/2010
date Of Correction: Not Available 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: At Least Once A Month, Have A Licensed Pharmacist Review Each Resident's Medication(s) And Report Any Irregularities To The Attending Doctor.
survey Date: 06/29/2011
date Of Correction: 07/25/2011 

Deficiency #2 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: 06/29/2011
date Of Correction: 07/25/2011 

Quality Measures Q1
Percent of short-stay residents who newly received an antipsychotic medication
(44.9 lower than average)
vs
45.90

Quality Measures Q3
Deficiency #2 28.3 % 
Percent of long-stay residents who received an antipsychotic medication
14.5 % (10.89 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
75.2 % (51.5 % higher than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
37.4 % (23.3 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
14.9-28 % (5.68 % higher than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight 10.7:1 % 
Percent of long-stay residents who have had a catheter inserted and left in their bladder
75.2 % (64.55 % higher than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
8 % (1.58 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
42.9 % (23.04 % higher than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
1.3 % (37.23 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
5.2 % (5.53 % lower than average)
vs
10.73 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
50 % (24.75 % lower than average)
vs
74.75 %



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