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JOY HEALTH & REHAB OF CLEVELAND, LLC

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JOY HEALTH & REHAB OF CLEVELAND, LLC VS
All other Nursing Homes USA
General
City CLEVELAND   vs 0.3% Nursing Homes USA have CLEVELAND
State attribute explanation MS   vs 1.3% Nursing Homes USA have MS
Street 200 DR MARTIN LUTHER KING JR DRIVE  
Zip Code 38732  
Phone 6628435347  
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
(2.17 lower than average)
vs
3.17

Quality Measures Star Rating
(0.69 higher than average)
vs
3.31

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

Number of Certified Beds
75  (33.94 lower than average)
vs
108.94

Total Number of Residents
71  (20.25 lower than average)
vs
91.25

Percent of Occupied Beds
95 % (11.35 % higher than average)
vs
83.65 %

Health Survey Date 7/8/2011  
Fire Survey Date 7/8/2011  
Sprinkler Status Partially Sprinklered  vs 8.5% Nursing Homes USA have Partially Sprinklered
Program Participation Medicare And Medicaid  vs 91.5% Nursing Homes USA have Medicare and Medicaid
Type of Ownership For Profit - Limited Liability Company  vs 1.1% Nursing Homes USA have For profit - Limited liability company
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 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? 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
(56.16 lower than average)
vs
58.16

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

# of deficiencies
17  (9.52 higher than average)
vs
7.48

Staff Information
Number of Residents
71  (20.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.47  (0.3 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.79  (0.05 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.26  (0.33 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.13  (5.36 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.13  (0.03 higher than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 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: 06/25/2009
date Of Correction: 07/24/2009 

Mistreatment Deficiencies
Deficiency #1 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: 02/16/2012
date Of Correction: 03/16/2012 

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: 06/25/2009
date Of Correction: 07/24/2009 

Deficiency #3 Scope: Some
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: 05/11/2009
date Of Correction: 05/28/2009 

Deficiency #4 Scope: Few
level Of Harm: 4
deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.
survey Date: 05/11/2009
date Of Correction: 05/28/2009 

Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide Enough Notice Before Discharging Or Transferring A Resident.
survey Date: 06/25/2009
date Of Correction: 07/24/2009 

Quality Care Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 02/16/2012
date Of Correction: 03/16/2012 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 02/16/2012
date Of Correction: 03/16/2012 

Deficiency #3 Scope: Few
level Of Harm: 4
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 05/11/2009
date Of Correction: 05/28/2009 

Resident Assessment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.
survey Date: 02/16/2012
date Of Correction: 03/16/2012 

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: 06/25/2009
date Of Correction: 07/24/2009 

Administration Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 02/16/2012
date Of Correction: 03/16/2012 

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: 06/06/2011
date Of Correction: 07/01/2011 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Nurse Aides Show They Have The Skills And Techniques To Be Able To Care For Residents' Needs.
survey Date: 06/25/2009
date Of Correction: 07/24/2009 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Give Or Get Quality Lab Services/tests In A Timely Manner To Meet The Needs Of Residents.
survey Date: 05/11/2009
date Of Correction: 05/28/2009 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Many
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: 02/16/2012
date Of Correction: 03/16/2012 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.
survey Date: 02/16/2012
date Of Correction: 03/16/2012 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication 21.2:1 % 
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
16.7 % (0.04 % higher than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
15.8 % (3.22 % higher than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
8.2 % (3.63 % lower than average)
vs
11.83 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
4 % (11.63 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
16.4 % (2.94 % higher than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
1.6 % (26.78 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
1.6 % (42.08 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
22.7 (72.9) % (2.32 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
38.5 % (46.14 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
42.3 % (41.64 % lower than average)
vs
83.94 %

Percent of long-stay residents experiencing one or more falls with major injury
1.6 % (13.92 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
20.7 (69.3) % (4.69 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
0.9 % (22.8 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
15.8 % (1.7 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
15 % (5.78 % higher than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
6.6 % (1.9 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
28 % (15.38 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.4 % (9.25 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
11 % (1.42 % higher than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
0.5 - 2.0 % (19.36 % 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
2.1 % (8.63 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
18.5 % (6.26 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
35.6 % (45.84 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
44.8 % (29.95 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
75.2 % (57.86 % higher than average)
vs
17.34 %



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