Compare with other Nursing Homes USA
Compare
Compare
| JACKIE WITHROW HOSPITAL | VS | All other Nursing Homes USA |
| Staff Information | |||||
|---|---|---|---|---|---|
| Number of Residents |
90 (1.38 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 |
1.07 (0.23 higher than average)
|
vs |
0.84
|
||
| Total Number of Licensed Staff Hours Per Resident Per Day |
1.83 (0.24 higher than average)
|
vs |
1.59
|
||
| Number of CNA Hours Per Resident Per Day |
0.01 (5.48 lower than average)
|
vs |
5.49
|
||
| Number Therapy Hours Per Resident Per Day |
0.01 (0.09 lower than average)
|
vs |
0.10
|
||
| Environmental Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Many level Of Harm: 2 deficiency: Keep All Essential Equipment Working Safely. survey Date: 10/07/2010 date Of Correction: 11/30/2010 |
||||
| Deficiency #2 |
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: 10/07/2010 date Of Correction: 12/02/2010 |
||||
| Deficiency #3 |
Scope: Many level Of Harm: 2 deficiency: Maintain Comfortable And Safe Temperature Levels. survey Date: 10/07/2010 date Of Correction: 11/30/2010 |
||||
| Mistreatment Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Some level Of Harm: 4 deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property. survey Date: 10/07/2010 date Of Correction: 12/02/2010 |
||||
| 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: 11/17/2009 date Of Correction: 12/31/2009 |
||||
| Deficiency #3 |
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: 07/02/2009 date Of Correction: 08/31/2009 |
||||
| 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: 04/20/2012 date Of Correction: 06/01/2012 |
||||
| 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: 04/05/2011 date Of Correction: 05/10/2011 |
||||
| Administration Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Many level Of Harm: 2 deficiency: Have A Detailed, Written Plan For Disasters And Emergencies, Such As Fire, Severe Weather, And Missing Residents. survey Date: 10/07/2010 date Of Correction: 11/30/2010 |
||||
| Deficiency #2 |
Scope: Some level Of Harm: 4 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: 10/07/2010 date Of Correction: 11/30/2010 |
||||
| Pharmacy Service Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Many 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: 04/05/2011 date Of Correction: 05/10/2011 |
||||
| Deficiency #2 |
Scope: Some level Of Harm: 1 deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards. survey Date: 10/07/2010 date Of Correction: Not Available |
||||
| Deficiency #3 |
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: 07/02/2009 date Of Correction: 08/31/2009 |
||||
| Quality Measures Q1 | |||||
|---|---|---|---|---|---|
| Percent of long-stay residents who received an antipsychotic medication |
48.5 % (23.41 % higher than average)
|
vs |
25.09 %
|
||
| Percent of long-stay residents who self-report moderate to severe pain |
29.2 % (12.54 % higher than average)
|
vs |
16.66 %
|
||
| Percent of long-stay high-risk residents with pressure ulcers |
10.8 % (1.78 % lower than average)
|
vs |
12.58 %
|
||
| Percent of long-stay residents who lose too much weight |
10 % (1.83 % lower than average)
|
vs |
11.83 %
|
||
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
36 % (8.54 % lower than average)
|
vs |
44.54 %
|
||
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
4.9 % (10.73 % lower than average)
|
vs |
15.63 %
|
||
| Percent of long-stay residents with a urinary tract infection |
6.7 % (6.76 % lower than average)
|
vs |
13.46 %
|
||
| Percent of long-stay residents who have depressive symptoms | 5.6:1 % | ||||
| Percent of long-stay residents who were physically restrained | 8.9 / 9.9 % | ||||
| Percent of long-stay residents experiencing one or more falls with major injury |
4.4 % (11.12 % lower than average)
|
vs |
15.52 %
|
||
| Quality Measures Q3 | |||||
|---|---|---|---|---|---|
| Percent of long-stay residents who received an antipsychotic medication |
47.4 % (22.01 % higher than average)
|
vs |
25.39 %
|
||
| Percent of long-stay residents who self-report moderate to severe pain |
29.2 % (15.1 % higher than average)
|
vs |
14.10 %
|
||
| Percent of long-stay high-risk residents with pressure ulcers |
10.8 % (1.58 % higher than average)
|
vs |
9.22 %
|
||
| Percent of long-stay residents who lose too much weight |
10 % (1.5 % higher than average)
|
vs |
8.50 %
|
||
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
36 % (7.38 % lower than average)
|
vs |
43.38 %
|
||
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
4.9 % (5.75 % lower than average)
|
vs |
10.65 %
|
||
| Percent of long-stay residents with a urinary tract infection |
6.7 % (2.88 % lower than average)
|
vs |
9.58 %
|
||
| Percent of long-stay residents who have depressive symptoms | 5.6:1 % | ||||
| Percent of long-stay residents who were physically restrained | 8.9 / 9.9 % | ||||
| Percent of long-stay residents experiencing one or more falls with major injury |
4.4 % (6.33 % lower than average)
|
vs |
10.73 %
|
||