JEFFERSON CITY NURSING AND REHABILITATION CTR, LLC

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General
City	JEFFERSON CITY	vs	0.1% Nursing Homes USA have JEFFERSON CITY
State attribute explanation	MO	vs	3.2% Nursing Homes USA have MO	compare MO Nursing Homes USA
Street	1221 SOUTHGATE LANE
Zip Code	65109
Phone	5736353131
Overall Star Rating	2 (1.11 lower than average)	vs	3.11	Compare similar Overall Star Rating (2)
Health Inspections Star Rating	1 (1.83 lower than average)	vs	2.83	Compare similar Health Inspections Star Rating (1)
Nurse Staffing Star Rating	4 (0.83 higher than average)	vs	3.17	Compare similar Nurse Staffing Star Rating (4)
Quality Measures Star Rating	2 (1.31 lower than average)	vs	3.31	Compare similar Quality Measures Star Rating (2)
RN Only Star Rating	3 (0.17 lower than average)	vs	3.17	Compare similar RN Only Star Rating (3)
Number of Certified Beds	120 (11.06 higher than average)	vs	108.94	Compare similar Number of Certified Beds (120)
Total Number of Residents	72 (19.25 lower than average)	vs	91.25	Compare similar Total Number of Residents (72)
Percent of Occupied Beds	60 % (23.65 % lower than average)	vs	83.65 %	Compare similar Percent of Occupied Beds (60) %
Health Survey Date	10/25/2011
Fire Survey Date	10/25/2011
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 - Limited Liability Company	vs	1.1% Nursing Homes USA have For profit - Limited liability company	compare For profit - Limited liability company 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?	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?	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	75.2 (18.89 higher than average)	vs	56.31
# of deficiencies	24 (16.52 higher than average)	vs	7.48

Staff Information
Number of Residents	72 (19.38 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	1.14 (0.3 higher than average)	vs	0.84
Total Number of Licensed Staff Hours Per Resident Per Day	1.62 (0.03 higher than average)	vs	1.59
Number of CNA Hours Per Resident Per Day	0.08 (5.41 lower than average)	vs	5.49
Number Therapy Hours Per Resident Per Day	0.08 (0.02 lower than average)	vs	0.10

Environmental Deficiencies
Deficiency #1		Scope: Some level Of Harm: 2 deficiency: Make Sure There Is A Pest Control Program To Prevent/deal With Mice, Insects, Or Other Pests. survey Date: 07/20/2011 date Of Correction: 08/29/2011
Deficiency #2		Scope: Some level Of Harm: 2 deficiency: Maintain Comfortable And Safe Temperature Levels. survey Date: 07/20/2011 date Of Correction: 08/29/2011
Deficiency #3		Scope: Few level Of Harm: 3 deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents. survey Date: 02/10/2011 date Of Correction: 03/30/2011

Resident Rights Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: Honor All Of The Resident's Rights As A Resident Of The Nursing Home, Free Of Coercion And Reprisal, And As A Citizen Or Resident Of The United States. survey Date: 02/02/2012 date Of Correction: 03/16/2012
Deficiency #2		Scope: Some level Of Harm: 2 deficiency: Make Sure Each Resident Has The Right To Have A Choice Over Activities, Their Schedules And Health Care According To His Or Her Interests, Assessment, And Plan Of Care. survey Date: 07/20/2011 date Of Correction: 08/29/2011

Quality Care Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality. survey Date: 03/16/2012 date Of Correction: 04/05/2012
Deficiency #2		Scope: Few level Of Harm: 2 deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality. survey Date: 02/02/2012 date Of Correction: 04/05/2012
Deficiency #3		Scope: Few level Of Harm: 2 deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality. survey Date: 07/20/2011 date Of Correction: 08/29/2011
Deficiency #4		Scope: Some level Of Harm: 2 deficiency: Have Enough Nurses To Care For Every Resident In A Way That Maximizes The Resident's Well Being. survey Date: 02/10/2011 date Of Correction: 03/30/2011
Deficiency #5		Scope: Few level Of Harm: 2 deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So. survey Date: 02/10/2011 date Of Correction: 03/30/2011
Deficiency #6		Scope: Few level Of Harm: 3 deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores. survey Date: 02/10/2011 date Of Correction: 03/30/2011
Deficiency #7		Scope: Some level Of Harm: 2 deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene. survey Date: 02/10/2011 date Of Correction: 03/30/2011
Deficiency #8		Scope: Few level Of Harm: 2 deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality. survey Date: 02/10/2011 date Of Correction: 03/30/2011
Deficiency #9		Scope: Few level Of Harm: 3 deficiency: Make Sure That Each Resident Who Enters The Nursing Home Without A Catheter Is Not Given A Catheter, And Receive Proper Services To Prevent Urinary Tract Infections And Restore Normal Bladder Function. survey Date: 01/19/2011 date Of Correction: 03/30/2011
Deficiency #10		Scope: Some level Of Harm: 2 deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene. survey Date: 10/21/2010 date Of Correction: 12/01/2010
Deficiency #11		Scope: Few level Of Harm: 2 deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores. survey Date: 08/20/2010 date Of Correction: 09/28/2010
Deficiency #12		Scope: Few level Of Harm: 3 deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores. survey Date: 04/12/2010 date Of Correction: 05/11/2010
Deficiency #13		Scope: Few level Of Harm: 2 deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality. survey Date: 02/11/2010 date Of Correction: 03/26/2010
Deficiency #14		Scope: Few level Of Harm: 2 deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality. survey Date: 09/28/2009 date Of Correction: 12/10/2009
Deficiency #15		Scope: Few level Of Harm: 2 deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality. survey Date: 08/20/2009 date Of Correction: 09/28/2009
Deficiency #16		Scope: Some level Of Harm: 2 deficiency: Make Sure That Each Resident Who Enters The Nursing Home Without A Catheter Is Not Given A Catheter, And Receive Proper Services To Prevent Urinary Tract Infections And Restore Normal Bladder Function. survey Date: 06/30/2009 date Of Correction: 08/17/2009
Deficiency #17		Scope: Few level Of Harm: 2 deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality. survey Date: 06/30/2009 date Of Correction: Not Available

Nutrition and Dietary Deficiencies
Deficiency #1		Scope: Some level Of Harm: 2 deficiency: Store, Cook, And Serve Food In A Safe And Clean Way. survey Date: 02/10/2011 date Of Correction: 03/30/2011
Deficiency #2		Scope: Many level Of Harm: 2 deficiency: Prepare Food That Is Nutritional, Appetizing, Tasty, Attractive, Well-cooked, And At The Right Temperature. survey Date: 02/10/2011 date Of Correction: 03/30/2011

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication	25 % (0.09 % lower than average)	vs	25.09 %
Percent of long-stay residents whose need for help with daily activities has increased	75.2 % (42.25 % higher than average)	vs	32.95 %
Percent of long-stay residents who self-report moderate to severe pain	7 % (9.66 % lower than average)	vs	16.66 %
Percent of long-stay residents who lose too much weight	11.1 % (0.73 % lower than average)	vs	11.83 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder	19.4:1 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder	8.5 % (7.13 % lower than average)	vs	15.63 %
Percent of long-stay residents with a urinary tract infection	9.3 % (4.16 % lower than average)	vs	13.46 %
Percent of long-stay residents who have depressive symptoms	3.6 % (24.78 % lower 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	18.6 (65.5) % (6.42 % lower than average)	vs	25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine	78.8 % (5.84 % lower than average)	vs	84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened	96.6 % (12.66 % 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	1.8 % (13.72 % lower than average)	vs	15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication	32 % (6.61 % higher than average)	vs	25.39 %
Percent of long-stay residents whose need for help with daily activities has increased	5.8 % (17.9 % lower than average)	vs	23.70 %
Percent of long-stay residents who self-report moderate to severe pain	8.4 % (5.7 % lower than average)	vs	14.10 %
Percent of long-stay high-risk residents with pressure ulcers	8.9 / 9.9 %
Percent of long-stay residents who lose too much weight	10.1:1 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder	24 % (19.38 % lower than average)	vs	43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder	9.5 % (1.15 % lower than average)	vs	10.65 %
Percent of long-stay residents with a urinary tract infection	10.1:1 %
Percent of long-stay residents who have depressive symptoms	1.8 % (18.06 % lower than average)	vs	19.86 %
Percent of long-stay residents who were physically restrained	1.1 % (37.43 % lower than average)	vs	38.53 %
Percent of long-stay residents experiencing one or more falls with major injury	2.9 % (7.83 % lower than average)	vs	10.73 %
Percent of short-stay residents who self-report moderate to severe pain	19.5-24 % (5.26 % lower than average)	vs	24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine	63.5 % (17.94 % lower than average)	vs	81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened	95.4 % (20.65 % higher than average)	vs	74.75 %
Percent of short-stay residents who newly received an antipsychotic medication	15.4 % (1.94 % lower than average)	vs	17.34 %