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ISLAND HEALTH AND REHABILITATION CENTER

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ISLAND HEALTH AND REHABILITATION CENTER VS
All other Nursing Homes USA
General
City MERRITT ISLAND   vs 0% Nursing Homes USA have MERRITT ISLAND
State attribute explanation FL   vs 4.4% Nursing Homes USA have FL
Street 125 ALMA BLVD  
Zip Code 32953  
Phone 3214530202  
Overall Star Rating
(1.11 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
(1.31 lower than average)
vs
3.31

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

Number of Certified Beds
120  (11.06 higher than average)
vs
108.94

Total Number of Residents
104  (12.75 higher than average)
vs
91.25

Percent of Occupied Beds
87 % (3.35 % higher than average)
vs
83.65 %

Health Survey Date 3/16/2012  
Fire Survey Date 3/13/2012  
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 - Individual  vs 3.5% Nursing Homes USA have For profit - Individual
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 18  
Staff Information
Number of Residents
104  (12.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.58  (0.19 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.66  (0.18 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.24  (0.35 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.16  (5.33 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.16  (0.06 higher than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 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: 07/06/2011
date Of Correction: 08/08/2011 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Make Sure That The Nursing Home Area Is Safe, Easy To Use, Clean And Comfortable For Residents, Staff And The Public.
survey Date: 12/02/2009
date Of Correction: 01/08/2010 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 12/02/2009
date Of Correction: 01/08/2010 

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: 12/02/2011
date Of Correction: 01/01/2012 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Keep Each Resident's Personal And Medical Records Private And Confidential.
survey Date: 07/06/2011
date Of Correction: 08/08/2011 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 12/02/2011
date Of Correction: 01/01/2012 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 12/02/2011
date Of Correction: 01/01/2012 

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: 12/02/2011
date Of Correction: 01/01/2012 

Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 01/27/2012
date Of Correction: 02/27/2012 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 07/06/2011
date Of Correction: 08/08/2011 

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: 07/06/2011
date Of Correction: 08/08/2011 

Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.
survey Date: 06/09/2011
date Of Correction: 06/30/2011 

Automatic Sprinkler Systems Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Automatic Sprinkler Systems That Have Been Maintained In Working Order.
survey Date: 12/03/2009
date Of Correction: 01/07/2010 

Electrical Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Properly Installed Electrical Wiring And Equipment.
survey Date: 12/03/2009
date Of Correction: 01/07/2010 

Building Service Equipment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Heating And Ventilation Systems That Have Been Properly Installed According To The Manufacturer's Instructions.
survey Date: 12/03/2009
date Of Correction: 01/07/2010 

Smoke Compartmentation and Control Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Walls Or Barriers That Prevent Smoke From Passing Through And Would Resist Fire For At Least One Hour.
survey Date: 12/03/2009
date Of Correction: 01/07/2010 

Miscellaneous Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Other Fire Safety Features Required By Fire Safety Codes.
survey Date: 12/03/2009
date Of Correction: 01/07/2010 

Vertical Openings Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Exit Doors That Are Held Open By Devices That Will Automatically Close On The Activation Of A Fire Alarm Or Smoke Detectors.
survey Date: 12/03/2009
date Of Correction: 01/07/2010 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
20.7 (69.3) % (4.39 % lower than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
1.9 % (31.05 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
22.3 % (5.64 % higher than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
11.5 % (1.08 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
5.7 % (6.13 % lower than average)
vs
11.83 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
2 % (13.63 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
6.9 % (6.56 % 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
42.3 % (17.28 % higher than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
89.1 % (4.46 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
97.7 % (13.76 % higher 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
4.5 % (11.02 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication 19.4:1 % 
Percent of long-stay residents whose need for help with daily activities has increased
1 % (22.7 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
23.7 (74.7) % (9.6 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
10.2 % (0.98 % higher than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
8.7 % (0.2 % higher than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
36.6 % (6.78 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.5 % (7.15 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
7.2 % (2.38 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
0.4 % (19.46 % 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
4.5 % (6.23 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
40.5 % (15.74 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
89.3 % (7.86 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
97.5 % (22.75 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
16.8 % (0.54 % lower than average)
vs
17.34 %



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