LAKESHORE VILLAS HEALTH CARE CENTER

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General
City	TAMPA	vs	0.1% Nursing Homes USA have TAMPA
State attribute explanation	FL	vs	4.4% Nursing Homes USA have FL	compare FL Nursing Homes USA
Street	16002 LAKESHORE VILLA DR
Zip Code	33613
Phone	8139685093
Overall Star Rating	2 (1.11 lower than average)	vs	3.11	Compare similar Overall Star Rating (2)
Health Inspections Star Rating	1 (1.83 lower than average)	vs	2.83	Compare similar Health Inspections Star Rating (1)
Nurse Staffing Star Rating	4 (0.83 higher than average)	vs	3.17	Compare similar Nurse Staffing Star Rating (4)
Quality Measures Star Rating	4 (0.69 higher than average)	vs	3.31	Compare similar Quality Measures Star Rating (4)
RN Only Star Rating	3 (0.17 lower than average)	vs	3.17	Compare similar RN Only Star Rating (3)
Number of Certified Beds	179 (70.06 higher than average)	vs	108.94	Compare similar Number of Certified Beds (179)
Total Number of Residents	155 (63.75 higher than average)	vs	91.25	Compare similar Total Number of Residents (155)
Percent of Occupied Beds	87 % (3.35 % higher than average)	vs	83.65 %	Compare similar Percent of Occupied Beds (87) %
Health Survey Date	5/4/2012
Fire Survey Date	5/2/2012
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	compare Medicare and Medicaid Nursing Homes USA
Type of Ownership	Non Profit - Corporation	vs	18.7% Nursing Homes USA have Non profit - Corporation	compare Non profit - Corporation Nursing Homes USA
Located Within a Hospital?	No	vs	93.6% Nursing Homes USA don't have Located Within a Hospital?	Compare similar 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	Both	vs	29.8% Nursing Homes USA have Both
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?	Yes	vs	1% Nursing Homes USA have Special Focus Facility?
Civil Money Penalty Count	3 (55.16 lower than average)	vs	58.16
Total Enforcement Actions Count	3 (53.31 lower than average)	vs	56.31
# of deficiencies	25

Staff Information
Number of Residents	155 (63.62 higher than average)	vs	91.38
Number of RN Hours Per Resident Per Day	0.64 (0.13 lower than average)	vs	0.77
Number of LPN/LVN Hours Per Resident Per Day	1.14 (0.3 higher than average)	vs	0.84
Total Number of Licensed Staff Hours Per Resident Per Day	1.78 (0.19 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: 2 deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading. survey Date: 04/25/2011 date Of Correction: 05/15/2011
Deficiency #2		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: 04/25/2011 date Of Correction: 05/15/2011
Deficiency #3		Scope: Few level Of Harm: 2 deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading. survey Date: 05/09/2009 date Of Correction: 05/24/2009
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: 05/09/2009 date Of Correction: 05/24/2009

Mistreatment Deficiencies
Deficiency #1		Scope: Some level Of Harm: 4 deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property. survey Date: 10/13/2011 date Of Correction: 11/08/2011
Deficiency #2		Scope: Some level Of Harm: 4 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: 10/13/2011 date Of Correction: 11/08/2011
Deficiency #3		Scope: Some level Of Harm: 4 deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property. survey Date: 10/13/2011 date Of Correction: 11/08/2011

Resident Rights Deficiencies
Deficiency #1		Scope: Some level Of Harm: 1 deficiency: Listen To The Resident Or Family Groups Or Act On Their Complaints Or Suggestions. survey Date: 01/30/2012 date Of Correction: 03/01/2012
Deficiency #2		Scope: Few level Of Harm: 2 deficiency: Tell The Resident Or The Resident's Representative In Writing How Long The Nursing Home Will Hold The Resident's Bed. survey Date: 10/13/2011 date Of Correction: 11/08/2011
Deficiency #3		Scope: Few level Of Harm: 2 deficiency: Provide Enough Notice Before Discharging Or Transferring A Resident. survey Date: 10/13/2011 date Of Correction: 11/08/2011
Deficiency #4		Scope: Few level Of Harm: 2 deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident. survey Date: 12/22/2009 date Of Correction: 01/22/2010
Deficiency #5		Scope: Few level Of Harm: 2 deficiency: Try To Resolve Each Resident's Complaints Quickly. survey Date: 12/22/2009 date Of Correction: 01/22/2010

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: 04/25/2011 date Of Correction: 05/15/2011
Deficiency #2		Scope: Few level Of Harm: 2 deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care. survey Date: 04/25/2011 date Of Correction: 05/15/2011
Deficiency #3		Scope: Few level Of Harm: 2 deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality. survey Date: 04/01/2011 date Of Correction: 04/07/2011

Resident Assessment Deficiencies
Deficiency #1		Scope: Few level Of Harm: 4 deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan. survey Date: 10/13/2011 date Of Correction: 11/08/2011

Administration Deficiencies
Deficiency #1		Scope: Some level Of Harm: 4 deficiency: Set Up An Ongoing Quality Assessment And Assurance Group To Review Quality Deficiencies Quarterly, And Develop Corrective Plans Of Action. survey Date: 10/13/2011 date Of Correction: 11/08/2011
Deficiency #2		Scope: Some level Of Harm: 4 deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident . survey Date: 10/13/2011 date Of Correction: 11/08/2011
Deficiency #3		Scope: Few level Of Harm: 2 deficiency: Give Or Get Quality Lab Services/tests In A Timely Manner To Meet The Needs Of Residents. survey Date: 04/25/2011 date Of Correction: 05/15/2011
Deficiency #4		Scope: Few level Of Harm: 2 deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards. survey Date: 04/01/2011 date Of Correction: 04/07/2011
Deficiency #5		Scope: Some level Of Harm: 2 deficiency: Operate And Provide Services According To Federal, State, And Local Laws And Professional Standards. survey Date: 03/07/2011 date Of Correction: 04/07/2011

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: 04/01/2011 date Of Correction: 04/07/2011
Deficiency #2		Scope: Few level Of Harm: 2 deficiency: Make Sure That Residents Are Safe From Serious Medication Errors. survey Date: 04/01/2011 date Of Correction: 04/07/2011
Deficiency #3		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: 10/21/2010 date Of Correction: 11/18/2010

Nutrition and Dietary Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: Store, Cook, And Serve Food In A Safe And Clean Way. survey Date: 01/30/2012 date Of Correction: 03/01/2012

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication	18.3 % (6.79 % lower than average)	vs	25.09 %
Percent of long-stay residents whose need for help with daily activities has increased	1.2 % (31.75 % lower than average)	vs	32.95 %
Percent of long-stay residents who self-report moderate to severe pain	4.9 % (11.76 % lower than average)	vs	16.66 %
Percent of long-stay high-risk residents with pressure ulcers	5.9 % (6.68 % lower than average)	vs	12.58 %
Percent of long-stay residents who lose too much weight	3.4 % (8.43 % lower than average)	vs	11.83 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder	3 % (12.63 % lower than average)	vs	15.63 %
Percent of long-stay residents with a urinary tract infection	16 % (2.54 % higher than average)	vs	13.46 %
Percent of long-stay residents who have depressive symptoms	1.7 % (26.68 % lower than average)	vs	28.38 %
Percent of long-stay residents who were physically restrained	5.7 % (37.98 % lower than average)	vs	43.68 %
Percent of short-stay residents who self-report moderate to severe pain	6.2 % (18.82 % lower than average)	vs	25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine	94.4 % (9.76 % higher than average)	vs	84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened	97 % (13.06 % 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	2.5 % (13.02 % lower than average)	vs	15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication	20.1 % (5.29 % lower than average)	vs	25.39 %
Percent of long-stay residents whose need for help with daily activities has increased	0.7 % (23 % lower than average)	vs	23.70 %
Percent of long-stay residents who self-report moderate to severe pain	4.1 % (10 % lower than average)	vs	14.10 %
Percent of long-stay high-risk residents with pressure ulcers	5.6:1 %
Percent of long-stay residents who lose too much weight	2.7 % (5.8 % lower than average)	vs	8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder	41.8 % (1.58 % lower than average)	vs	43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder	3.2 % (7.45 % lower than average)	vs	10.65 %
Percent of long-stay residents with a urinary tract infection	18.3 % (8.72 % higher than average)	vs	9.58 %
Percent of long-stay residents who have depressive symptoms	1.9 % (17.96 % lower than average)	vs	19.86 %
Percent of long-stay residents who were physically restrained	5.5 % (33.03 % lower than average)	vs	38.53 %
Percent of long-stay residents experiencing one or more falls with major injury	1.6 % (9.13 % lower than average)	vs	10.73 %
Percent of short-stay residents who self-report moderate to severe pain	11.4 % (13.36 % lower than average)	vs	24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine	92 % (10.56 % higher than average)	vs	81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened	95.2 % (20.45 % higher than average)	vs	74.75 %
Percent of short-stay residents who newly received an antipsychotic medication	4.9 % (12.44 % lower than average)	vs	17.34 %