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KAWEAH MANOR CONV HOSPITAL

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KAWEAH MANOR CONV HOSPITAL VS
All other Nursing Homes USA
General
City VISALIA   vs 0% Nursing Homes USA have VISALIA
State attribute explanation CA   vs 7.8% Nursing Homes USA have CA
Street 3710 WEST TULARE AVE  
Zip Code 93277  
Phone 5597322244  
Overall Star Rating
(0.11 lower than average)
vs
3.11

Health Inspections Star Rating
(1.17 higher than average)
vs
2.83

Nurse Staffing Star Rating
(2.17 lower than average)
vs
3.17

Quality Measures Star Rating
(1.31 lower than average)
vs
3.31

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

Number of Certified Beds
99  (9.94 lower than average)
vs
108.94

Total Number of Residents
88  (3.25 lower than average)
vs
91.25

Percent of Occupied Beds
89 % (5.35 % higher than average)
vs
83.65 %

Health Survey Date 11/17/2011  
Fire Survey Date 11/22/2011  
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
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? 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 2  
Staff Information
Number of Residents
88  (3.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.34  (0.43 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
1.13  (0.46 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.06  (5.43 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.06  (0.04 lower than average)
vs
0.10

Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 04/26/2012
date Of Correction: 05/31/2012 

Resident Assessment Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 1
deficiency: Maintain 15 Months Of Resident Assessments In The Resident's Active Clinical Record.
survey Date: 01/30/2012
date Of Correction: Not Available 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
23.5 % (1.59 % lower than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
1.1 % (31.85 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
20.1 % (3.44 % higher than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
6.6 % (5.98 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
1.3 % (10.53 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
45.7 % (1.16 % higher than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
9.5 % (6.13 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection 22.4:1 % 
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
31 % (5.98 % higher than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
93.2 % (8.56 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
97.4 % (13.46 % 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 2.6 / 3 % 
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
22.5 % (2.89 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
1.8 % (21.9 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
21.1 % (7 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
2.9 % (6.32 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
3.6 % (4.9 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
47.6 % (4.22 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
9.2 % (1.45 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
24.9 % (15.32 % higher than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
75.2 % (55.34 % higher 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
1.7 % (9.03 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
39.8 % (15.04 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
90.5 % (9.06 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
96.1 % (21.35 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
20 % (2.66 % higher than average)
vs
17.34 %



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