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KEYSTONE REHABILITATION AND HEALTH CENTER

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KEYSTONE REHABILITATION AND HEALTH CENTER VS
All other Nursing Homes USA
General
City KISSIMMEE   vs 0% Nursing Homes USA have KISSIMMEE
State attribute explanation FL   vs 4.4% Nursing Homes USA have FL
Street 1120 W DONEGAN AVE  
Zip Code 34741  
Phone 4078472854  
Overall Star Rating
(0.11 lower than average)
vs
3.11

Health Inspections Star Rating
(0.83 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
107  (15.75 higher 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 11/15/2011  
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 - Partnership  vs 7.9% Nursing Homes USA have For profit - Partnership
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? 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
(57.16 lower than average)
vs
58.16

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

# of deficiencies 8  
Staff Information
Number of Residents
107  (15.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.69  (0.08 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.8  (0.04 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.50  (0.09 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.14  (5.35 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.14  (0.04 higher than average)
vs
0.10

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: 12/29/2011
date Of Correction: 01/19/2012 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Follow Policies And Procedures To Convey The Resident's Personal Funds To The Appropriate Party Responsible After The Resident's Death.
survey Date: 05/17/2010
date Of Correction: 06/08/2010 

Deficiency #3 Scope: Few
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: 04/02/2009
date Of Correction: 05/05/2009 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 12/29/2011
date Of Correction: 01/19/2012 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 10/25/2010
date Of Correction: 12/06/2010 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
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: 10/25/2010
date Of Correction: 12/06/2010 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.
survey Date: 10/25/2010
date Of Correction: 12/06/2010 

Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Make Sure Menus Meet The Resident's Nutritional Needs And That There Is A Prepared Menu By Which Nutritious Meals Have Been Planned For The Resident And Followed.
survey Date: 04/02/2009
date Of Correction: 05/05/2009 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
17.7 % (7.39 % lower than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
2.5 % (30.45 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
6.5 % (10.16 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
4.3 % (8.28 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
7.4 % (4.43 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
30 % (14.54 % lower than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
75.2 % (59.57 % higher than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
17.2 % (3.74 % higher than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
33 % (4.62 % higher than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
1 % (42.68 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
32 % (6.98 % higher than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
85.8 % (1.16 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
87.4 % (3.46 % 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
3.1 % (12.42 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
15.7 % (9.69 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
2.3 % (21.4 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
12.2 % (1.9 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
7.3 % (1.92 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
6.5 % (2 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
40.6 % (2.78 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.7 % (8.95 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection 15.9:1 % 
Percent of long-stay residents who have depressive symptoms
34.7 % (14.84 % higher than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
2.4 % (36.13 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
2.8 % (7.93 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
30.8 % (6.04 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
88.2 % (6.76 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
91 % (16.25 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
22.7 (72.9) % (5.36 % higher than average)
vs
17.34 %



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