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LAKELAND REHAB & HEALTHCARE CENTER

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LAKELAND REHAB & HEALTHCARE CENTER VS
All other Nursing Homes USA
General
City EFFINGHAM   vs 0% Nursing Homes USA have EFFINGHAM
State attribute explanation IL   vs 5% Nursing Homes USA have IL
Street 800 WEST TEMPLE STREET  
Zip Code 62401  
Phone 2173422171  
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
(0.83 higher than average)
vs
3.17

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

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

Number of Certified Beds
140  (31.06 higher than average)
vs
108.94

Total Number of Residents
113  (21.75 higher than average)
vs
91.25

Percent of Occupied Beds
81 % (2.65 % lower than average)
vs
83.65 %

Health Survey Date 4/26/2012  
Fire Survey Date 4/30/2012  
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 None  vs 3.9% Nursing Homes USA have None
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 7  
Staff Information
Number of Residents
113  (21.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.77  (equals average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.74  (0.1 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.52  (0.07 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.03  (5.46 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.03  (0.07 lower than average)
vs
0.10

Mistreatment Deficiencies
Deficiency #1 Scope: Many
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: 05/24/2012 

Deficiency #2 Scope: Many
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: 04/26/2012
date Of Correction: 05/24/2012 

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: 12/08/2010
date Of Correction: 12/22/2010 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Give Each Resident Enough Fluids To Keep Them Healthy And Prevent Dehydration.
survey Date: 12/08/2010
date Of Correction: 12/22/2010 

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: 12/08/2010
date Of Correction: 12/22/2010 

Resident Assessment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.
survey Date: 02/24/2011
date Of Correction: 03/25/2011 

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: 12/08/2010
date Of Correction: 12/22/2010 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
25.6 (78.1) % (0.51 % higher than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased 2.6 / 3 % 
Percent of long-stay residents who self-report moderate to severe pain
7.2 % (9.46 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
13.8 % (1.22 % higher than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
8.8 % (3.03 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
53.3 % (8.76 % higher than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.1 % (11.53 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection 9.9:1 % 
Percent of long-stay residents who have depressive symptoms
11.3 % (17.08 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
6.2 % (37.48 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
23.1 % (1.92 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
78.9 % (5.74 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
83.6 % (0.34 % lower than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
6.9 % (39 % lower than average)
vs
45.90 %

Percent of long-stay residents experiencing one or more falls with major injury
5.2 % (10.32 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
27 % (1.61 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
1.3 % (22.4 % lower than average)
vs
23.70 %

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

Percent of long-stay high-risk residents with pressure ulcers
10.5 % (1.28 % higher than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight 8.1 / 8.8 % 
Percent of long-stay low-risk residents who lose control of their bowels or bladder
42.1 % (1.28 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
5.1 % (5.55 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection 11.6:1 % 
Percent of long-stay residents who have depressive symptoms
11.3 % (8.56 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained 5.6:1 % 
Percent of long-stay residents experiencing one or more falls with major injury
5.3 % (5.43 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
19.9 % (4.86 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
77.9 % (3.54 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
80.6 % (5.85 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
25.4 % (8.06 % higher than average)
vs
17.34 %



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