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LAKEVIEW HEALTH CENTER

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LAKEVIEW HEALTH CENTER VS
All other Nursing Homes USA
General
Percent of short-stay residents with Pressure ulcers that are new or worsened 75.2 % 
City WEST SALEM   vs 0% Nursing Homes USA have WEST SALEM
State attribute explanation WI   vs 2.5% Nursing Homes USA have WI
Street 902 E GARLAND ST  
Zip Code 54669  
Phone 6087861400  
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
(0.31 lower than average)
vs
3.31

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

Number of Certified Beds
143  (34.06 higher than average)
vs
108.94

Total Number of Residents
118  (26.75 higher than average)
vs
91.25

Percent of Occupied Beds
83 % (0.65 % lower than average)
vs
83.65 %

Health Survey Date 2/16/2012  
Fire Survey Date 2/28/2012  
Sprinkler Status Fully Sprinklered  vs 90.2% Nursing Homes USA have Fully Sprinklered
Program Participation Medicaid  vs 3.5% Nursing Homes USA have Medicaid
Type of Ownership Government - County  vs 2.9% Nursing Homes USA have Government - County
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? 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
18  (10.52 higher than average)
vs
7.48

Staff Information
Number of Residents
118  (26.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.65  (0.12 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.61  (0.23 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.26  (0.33 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

Environmental Deficiencies
Deficiency #1 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: 01/19/2011
date Of Correction: 03/03/2011 

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: 01/19/2011
date Of Correction: 03/03/2011 

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: 01/19/2011
date Of Correction: 03/03/2011 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.
survey Date: 01/19/2011
date Of Correction: 03/03/2011 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 04/29/2009
date Of Correction: 06/19/2009 

Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Determine If It Is Safe For The Resident To Self-administer Drugs.
survey Date: 01/19/2011
date Of Correction: 03/03/2011 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Try To Resolve Each Resident's Complaints Quickly.
survey Date: 01/19/2011
date Of Correction: 03/03/2011 

Deficiency #3 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: 01/19/2011
date Of Correction: 03/03/2011 

Deficiency #4 Scope: Some
level Of Harm: 2
deficiency: Tell The Resident Completely About His Or Her Health Status, Care And Treatments.
survey Date: 01/19/2011
date Of Correction: 03/03/2011 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Each Resident Who Enters The Nursing Home Without A Catheter Is Not Given A Catheter, And Receive Proper Services To Prevent Urinary Tract Infections And Restore Normal Bladder Function.
survey Date: 02/16/2012
date Of Correction: 03/05/2012 

Deficiency #2 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: 01/19/2011
date Of Correction: 03/03/2011 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Make Sure That Residents With Reduced Range Of Motion Get Proper Treatment And Services To Increase Range Of Motion.
survey Date: 01/19/2011
date Of Correction: 03/03/2011 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Each Resident Who Enters The Nursing Home Without A Catheter Is Not Given A Catheter, And Receive Proper Services To Prevent Urinary Tract Infections And Restore Normal Bladder Function.
survey Date: 01/19/2011
date Of Correction: 03/03/2011 

Resident Assessment Deficiencies
Deficiency #1 Scope: Some
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: 01/19/2011
date Of Correction: 03/03/2011 

Deficiency #2 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: 04/29/2009
date Of Correction: 06/19/2009 

Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 04/29/2009
date Of Correction: 06/19/2009 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: At Least Once A Month, Have A Licensed Pharmacist Review Each Resident's Medication(s) And Report Any Irregularities To The Attending Doctor.
survey Date: 01/19/2011
date Of Correction: 03/03/2011 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: 1) Make Sure That Each Resident's Drug Regimen Is Free From Unnecessary Drugs; 2) Each Resident's Entire Drug/medication Is Managed And Monitored To Achieve Highest Well Being.
survey Date: 01/19/2011
date Of Correction: 03/03/2011 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
70 % (44.91 % higher than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
75.2 % (42.25 % higher than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
21.9 % (5.24 % higher than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
6.3 % (6.28 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
6.8 % (5.03 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
36.4 % (8.14 % lower than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
6.8 % (8.83 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
6.9 % (6.56 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms 8.6:1 % 
Percent of long-stay residents who were physically restrained
75.2 % (31.52 % higher than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
30.4 % (5.38 % higher than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
75.9 % (8.74 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
82.8 % (1.14 % lower than average)
vs
83.94 %

Percent of long-stay residents experiencing one or more falls with major injury
8.5 % (7.02 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
65.7 % (40.31 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
75.2 % (51.5 % higher than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
22.6 % (8.5 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
4.9 % (4.32 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight 8.6:1 % 
Percent of long-stay low-risk residents who lose control of their bowels or bladder
35 % (8.38 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.8 % (5.85 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
4 % (5.58 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
6.1 % (13.76 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
75.2 % (36.67 % higher than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
5.8 % (4.93 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
27.3 % (2.54 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
73.2 % (8.24 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
22.1 (71.8) % (52.65 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
15.4 % (1.94 % lower than average)
vs
17.34 %



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