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KIRKWOOD BY THE RIVER

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KIRKWOOD BY THE RIVER VS
All other Nursing Homes USA
General
City Birmingham  vs 0.1% Nursing Homes USA have Birmingham
State attribute explanation AL   vs 1.5% Nursing Homes USA have AL
Street 3605 RATLIFF ROAD  
Zip Code 35210  
Phone 2059562184  
Overall Star Rating
(1.11 lower than average)
vs
3.11

Health Inspections Star Rating
(1.83 lower than average)
vs
2.83

Nurse Staffing Star Rating
(0.83 higher than average)
vs
3.17

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

RN Only Star Rating
(0.83 higher than average)
vs
3.17

Number of Certified Beds
61  (47.94 lower than average)
vs
108.94

Total Number of Residents
53  (38.25 lower than average)
vs
91.25

Percent of Occupied Beds
87 % (3.35 % higher than average)
vs
83.65 %

Health Survey Date 10/20/2011  
Fire Survey Date 10/25/2011  
Sprinkler Status Fully Sprinklered  vs 90.2% Nursing Homes USA have Fully Sprinklered
Program Participation Medicare  vs 5% Nursing Homes USA have Medicare
Type of Ownership Non Profit - Corporation  vs 18.7% Nursing Homes USA have Non profit - Corporation
Located Within a Hospital? No  vs 93.6% Nursing Homes USA 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 Both  vs 29.8% Nursing Homes USA have Both
Continuing Care Retirement Community? Yes  vs 9.1% Nursing Homes USA 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
(54.16 lower than average)
vs
58.16

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

# of deficiencies 9  
Staff Information
Number of Residents
53  (38.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.62  (0.15 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
1.08  (0.24 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.7  (0.11 higher than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.11  (5.38 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.11  (0.01 higher than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 1
deficiency: Make Sure There Is A Pest Control Program To Prevent/deal With Mice, Insects, Or Other Pests.
survey Date: 07/11/2009
date Of Correction: 08/10/2009 

Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 4
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 12/02/2011
date Of Correction: 01/06/2012 

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: 12/02/2011
date Of Correction: 01/06/2012 

Resident Rights Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.
survey Date: 07/11/2009
date Of Correction: 08/10/2009 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Listen To The Resident Or Family Groups Or Act On Their Complaints Or Suggestions.
survey Date: 07/11/2009
date Of Correction: 08/10/2009 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.
survey Date: 07/11/2009
date Of Correction: 08/10/2009 

Deficiency #4 Scope: Some
level Of Harm: 2
deficiency: Try To Resolve Each Resident's Complaints Quickly.
survey Date: 07/11/2009
date Of Correction: 08/10/2009 

Quality Care Deficiencies
Deficiency #1 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: 07/11/2009
date Of Correction: 08/10/2009 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 07/11/2009
date Of Correction: 08/10/2009 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
31.9 % (6.81 % higher than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
7.1 % (25.85 % lower than average)
vs
32.95 %

Percent of long-stay high-risk residents with pressure ulcers
2.8 % (9.78 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
75.2 % (63.37 % higher than average)
vs
11.83 %

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
14.9-28 % (1.44 % higher than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
11.1 % (17.28 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
2.1 % (41.58 % lower than average)
vs
43.68 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
41.7 % (42.94 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
51.9 % (32.04 % lower than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
(44.9 lower than average)
vs
45.90

Percent of long-stay residents experiencing one or more falls with major injury
75.2 % (59.68 % higher than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
27.6 % (2.21 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
4 % (19.7 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
7.8 % (6.3 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
6 % (3.22 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
2.1 % (6.4 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
55 % (11.62 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
0.7 % (9.95 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection 11.8:1 % 
Percent of long-stay residents who have depressive symptoms
3.5 % (16.36 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
1.4 % (37.13 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
75.2 % (64.47 % higher than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
10.6 % (14.16 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
66.2 % (15.24 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
68 % (6.75 % 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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