Compare with other Nursing Homes USA
Compare
Compare
| KITTITAS VALLEY HEALTH & REHAB CENTER | VS | All other Nursing Homes USA |
| Staff Information | |||||
|---|---|---|---|---|---|
| Number of Residents |
61 (30.38 lower than average)
|
vs |
91.38
|
||
| Number of RN Hours Per Resident Per Day |
1.12 (0.35 higher than average)
|
vs |
0.77
|
||
| Number of LPN/LVN Hours Per Resident Per Day |
0.36 (0.48 lower than average)
|
vs |
0.84
|
||
| Total Number of Licensed Staff Hours Per Resident Per Day |
1.48 (0.11 lower than average)
|
vs |
1.59
|
||
| Number of CNA Hours Per Resident Per Day |
0.09 (5.4 lower than average)
|
vs |
5.49
|
||
| Number Therapy Hours Per Resident Per Day |
0.09 (0.01 lower than average)
|
vs |
0.10
|
||
| Environmental Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Some level Of Harm: 2 deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading. survey Date: 03/28/2012 date Of Correction: 06/04/2012 |
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| Deficiency #2 |
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: 09/27/2011 date Of Correction: 11/07/2011 |
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| Deficiency #3 |
Scope: Many level Of Harm: 2 deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading. survey Date: 08/16/2011 date Of Correction: 09/07/2011 |
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| Deficiency #4 |
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: 12/07/2010 date Of Correction: 01/06/2011 |
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| Deficiency #5 |
Scope: Some level Of Harm: 2 deficiency: Provide Housekeeping And Maintenance Services. survey Date: 12/07/2010 date Of Correction: 01/06/2011 |
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| Deficiency #6 |
Scope: Some level Of Harm: 2 deficiency: Provide Bedrooms That Have Direct Access To An Exit Hallway. survey Date: 07/28/2010 date Of Correction: 09/23/2010 |
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| Deficiency #7 |
Scope: Some level Of Harm: 2 deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading. survey Date: 07/28/2010 date Of Correction: 09/23/2010 |
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| Deficiency #8 |
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: 07/28/2010 date Of Correction: 09/23/2010 |
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| Deficiency #9 |
Scope: Some level Of Harm: 2 deficiency: Provide Housekeeping And Maintenance Services. survey Date: 07/28/2010 date Of Correction: 09/23/2010 |
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| Deficiency #10 |
Scope: Some level Of Harm: 2 deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading. survey Date: 05/26/2010 date Of Correction: 06/18/2010 |
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| Deficiency #11 |
Scope: Some level Of Harm: 2 deficiency: Provide Housekeeping And Maintenance Services. survey Date: 05/26/2010 date Of Correction: 06/18/2010 |
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| Deficiency #12 |
Scope: Some 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: 05/11/2010 date Of Correction: 05/27/2010 |
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| Deficiency #13 |
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: 04/19/2010 date Of Correction: 05/14/2010 |
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| Mistreatment Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
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: 03/28/2012 date Of Correction: 06/04/2012 |
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| Deficiency #2 |
Scope: Many level Of Harm: 4 deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property. survey Date: 03/28/2012 date Of Correction: 06/04/2012 |
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| Deficiency #3 |
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: 01/03/2012 date Of Correction: 01/25/2012 |
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| Deficiency #4 |
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: 12/20/2011 date Of Correction: 01/25/2012 |
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| Deficiency #5 |
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: 09/27/2011 date Of Correction: 11/07/2011 |
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| Deficiency #6 |
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: 04/05/2011 date Of Correction: 04/29/2011 |
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| Deficiency #7 |
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: 09/09/2010 date Of Correction: 09/23/2010 |
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| Deficiency #8 |
Scope: Few level Of Harm: 2 deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment. survey Date: 05/26/2010 date Of Correction: 06/18/2010 |
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| Deficiency #9 |
Scope: Some level Of Harm: 2 deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property. survey Date: 12/21/2009 date Of Correction: 01/11/2010 |
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| Deficiency #10 |
Scope: Few level Of Harm: 2 deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property. survey Date: 06/26/2009 date Of Correction: 07/24/2009 |
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| Deficiency #11 |
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: 06/26/2009 date Of Correction: 07/24/2009 |
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| Resident Rights Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
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: 10/20/2011 date Of Correction: 11/07/2011 |
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| Deficiency #2 |
Scope: Many level Of Harm: 2 deficiency: Keep Each Resident's Personal And Medical Records Private And Confidential. survey Date: 09/27/2011 date Of Correction: 11/07/2011 |
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| Deficiency #3 |
Scope: Some level Of Harm: 2 deficiency: Try To Resolve Each Resident's Complaints Quickly. survey Date: 04/05/2011 date Of Correction: 04/29/2011 |
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| Deficiency #4 |
Scope: Few level Of Harm: 2 deficiency: Notify The Resident Or Provide Reasons For A Transfer Or Discharge. survey Date: 03/01/2011 date Of Correction: 03/15/2011 |
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| Deficiency #5 |
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: 01/10/2011 date Of Correction: 01/26/2011 |
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| Deficiency #6 |
Scope: Some 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: 12/07/2010 date Of Correction: 01/06/2011 |
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| Deficiency #7 |
Scope: Some 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: 07/28/2010 date Of Correction: 09/23/2010 |
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| Deficiency #8 |
Scope: Some 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: 05/26/2010 date Of Correction: 06/18/2010 |
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| Quality Care Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Many level Of Harm: 4 deficiency: Have Enough Nurses To Care For Every Resident In A Way That Maximizes The Resident's Well Being. survey Date: 03/28/2012 date Of Correction: 06/04/2012 |
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| Deficiency #2 |
Scope: Some level Of Harm: 3 deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores. survey Date: 03/28/2012 date Of Correction: 06/04/2012 |
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| Deficiency #3 |
Scope: Some level Of Harm: 4 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 03/28/2012 date Of Correction: 06/04/2012 |
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| Deficiency #4 |
Scope: Few level Of Harm: 2 deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality. survey Date: 03/28/2012 date Of Correction: 06/04/2012 |
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| Deficiency #5 |
Scope: Few level Of Harm: 3 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 02/14/2012 date Of Correction: 06/04/2012 |
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| Deficiency #6 |
Scope: Few level Of Harm: 3 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 01/03/2012 date Of Correction: 01/25/2012 |
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| Deficiency #7 |
Scope: Few level Of Harm: 2 deficiency: Give Or Get Specialized Rehabilitative Services Per The Patient's Assessment Or Plan Of Care. survey Date: 09/27/2011 date Of Correction: 11/07/2011 |
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| Deficiency #8 |
Scope: Some level Of Harm: 2 deficiency: Make Sure That Residents Receive Treatment/services To Not Only Continue, But Improve The Ability To Care For Themselves. survey Date: 09/27/2011 date Of Correction: 11/07/2011 |
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| Deficiency #9 |
Scope: Few level Of Harm: 3 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 09/27/2011 date Of Correction: 11/07/2011 |
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| Deficiency #10 |
Scope: Few level Of Harm: 2 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 04/05/2011 date Of Correction: 04/29/2011 |
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| Deficiency #11 |
Scope: Few level Of Harm: 2 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 12/07/2010 date Of Correction: 01/06/2011 |
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| Deficiency #12 |
Scope: Few level Of Harm: 3 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 09/09/2010 date Of Correction: 09/23/2010 |
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| Deficiency #13 |
Scope: Few level Of Harm: 2 deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality. survey Date: 08/11/2010 date Of Correction: 08/13/2010 |
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| Deficiency #14 |
Scope: Few level Of Harm: 3 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 07/28/2010 date Of Correction: 09/23/2010 |
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| Deficiency #15 |
Scope: Some level Of Harm: 2 deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality. survey Date: 04/19/2010 date Of Correction: 05/14/2010 |
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| Deficiency #16 |
Scope: Few level Of Harm: 2 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 06/26/2009 date Of Correction: 07/24/2009 |
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| Resident Assessment Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Some level Of Harm: 2 deficiency: Make Sure That Doctors Visit Residents Regularly, As Required. survey Date: 03/28/2012 date Of Correction: 06/04/2012 |
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| Deficiency #2 |
Scope: Some level Of Harm: 2 deficiency: Coordinate Assessments With The Pre-admission Screening And Resident Review Program For Mentally-ill And Mentally-retarded Patients. survey Date: 12/28/2010 date Of Correction: 01/21/2011 |
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| Deficiency #3 |
Scope: Some level Of Harm: 1 deficiency: Coordinate Assessments With The Pre-admission Screening And Resident Review Program For Mentally-ill And Mentally-retarded Patients. survey Date: 10/16/2009 date Of Correction: 11/09/2009 |
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| Administration Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Many level Of Harm: 2 deficiency: Set Up An Ongoing Quality Assessment And Assurance Group To Review Quality Deficiencies Quarterly, And Develop Corrective Plans Of Action. survey Date: 03/28/2012 date Of Correction: 06/04/2012 |
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| Deficiency #2 |
Scope: Many level Of Harm: 2 deficiency: Choose A Doctor To Serve As The Medical Director To Create Resident Care Policies And Coordinate Medical Care In The Facility. survey Date: 03/28/2012 date Of Correction: 06/04/2012 |
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| Deficiency #3 |
Scope: Few level Of Harm: 2 deficiency: Employ Qualified Full-time, Part-time Or Consultant Professionals That Must Be Licensed, Certified, Or Registered Staff To Give Needed Services. survey Date: 03/28/2012 date Of Correction: 06/04/2012 |
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| Deficiency #4 |
Scope: Some level Of Harm: 2 deficiency: 1) Review The Work Of Each Nurse Aide Every Year; And 2) Give Regular In-service Training Based Upon These Reviews. survey Date: 03/28/2012 date Of Correction: 06/04/2012 |
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| Deficiency #5 |
Scope: Few level Of Harm: 2 deficiency: Ensure That All Full-time Nurse Aids Employed For More Than 4 Months Are Fully Trained And Competent To Provide Nursing And Nursing-related Services, As Defined By Federal Requirements. survey Date: 03/28/2012 date Of Correction: 06/04/2012 |
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| Deficiency #6 |
Scope: Many level Of Harm: 4 deficiency: 1) Set Up A Group That Is Legally Responsible For Writing And Setting Up Policies For Leading And Running The Nursing Home; Or 2) Hire A Properly Licensed Administrator. survey Date: 03/28/2012 date Of Correction: 06/04/2012 |
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| Deficiency #7 |
Scope: Many level Of Harm: 4 deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident . survey Date: 03/28/2012 date Of Correction: 06/04/2012 |
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| Pharmacy Service Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Some level Of Harm: 4 deficiency: Make Sure That Residents Are Safe From Serious Medication Errors. survey Date: 03/28/2012 date Of Correction: 06/04/2012 |
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| Nutrition and Dietary Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Many level Of Harm: 2 deficiency: Store, Cook, And Serve Food In A Safe And Clean Way. survey Date: 07/28/2010 date Of Correction: 09/23/2010 |
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| Quality Measures Q1 | |||||
|---|---|---|---|---|---|
| Percent of long-stay residents who received an antipsychotic medication |
4.5 % (20.59 % lower than average)
|
vs |
25.09 %
|
||
| Percent of long-stay residents whose need for help with daily activities has increased |
7.7 % (25.25 % lower than average)
|
vs |
32.95 %
|
||
| 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 |
2.4 % (9.43 % lower than average)
|
vs |
11.83 %
|
||
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
11.9 % (3.73 % lower than average)
|
vs |
15.63 %
|
||
| Percent of long-stay residents with a urinary tract infection |
19 % (5.54 % higher than average)
|
vs |
13.46 %
|
||
| Percent of long-stay residents who have depressive symptoms |
10 % (18.38 % lower than average)
|
vs |
28.38 %
|
||
| Percent of long-stay residents who were physically restrained |
2.4 % (41.28 % lower than average)
|
vs |
43.68 %
|
||
| Percent of short-stay residents who self-report moderate to severe pain |
30.8 % (5.78 % higher than average)
|
vs |
25.02 %
|
||
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
83.2 % (1.44 % lower than average)
|
vs |
84.64 %
|
||
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
79.2 % (4.74 % lower than average)
|
vs |
83.94 %
|
||
| Percent of short-stay residents who newly received an antipsychotic medication |
4.4 % (41.5 % lower than average)
|
vs |
45.90 %
|
||
| Percent of long-stay residents experiencing one or more falls with major injury |
4.8 % (10.72 % lower than average)
|
vs |
15.52 %
|
||
| Quality Measures Q3 | |||||
|---|---|---|---|---|---|
| Percent of long-stay residents who received an antipsychotic medication |
5.4 % (19.99 % lower than average)
|
vs |
25.39 %
|
||
| Percent of long-stay residents whose need for help with daily activities has increased |
4.3 % (19.4 % lower than average)
|
vs |
23.70 %
|
||
| Percent of long-stay residents who self-report moderate to severe pain |
32.6 % (18.5 % higher than average)
|
vs |
14.10 %
|
||
| Percent of long-stay high-risk residents with pressure ulcers |
13.4 % (4.18 % higher than average)
|
vs |
9.22 %
|
||
| Percent of long-stay residents who lose too much weight |
7.8 % (0.7 % lower than average)
|
vs |
8.50 %
|
||
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
66 % (22.62 % higher than average)
|
vs |
43.38 %
|
||
| Percent of long-stay residents who have had a catheter inserted and left in their bladder | 10.3:1 % | ||||
| Percent of long-stay residents with a urinary tract infection |
12.5 % (2.92 % higher than average)
|
vs |
9.58 %
|
||
| Percent of long-stay residents who have depressive symptoms |
14.8 % (5.06 % lower than average)
|
vs |
19.86 %
|
||
| Percent of long-stay residents who were physically restrained |
2.3 % (36.23 % lower than average)
|
vs |
38.53 %
|
||
| Percent of long-stay residents experiencing one or more falls with major injury |
4.7 % (6.03 % lower than average)
|
vs |
10.73 %
|
||
| Percent of short-stay residents who self-report moderate to severe pain |
27.6 % (2.84 % higher than average)
|
vs |
24.76 %
|
||
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
81.6 % (0.16 % higher than average)
|
vs |
81.44 %
|
||
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
81.3 % (6.55 % higher than average)
|
vs |
74.75 %
|
||
| Percent of short-stay residents who newly received an antipsychotic medication |
8.8 % (8.54 % lower than average)
|
vs |
17.34 %
|
||