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LAUREL MANOR CARE CENTER

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LAUREL MANOR CARE CENTER VS
All other Nursing Homes USA
General
City COLORADO SPRINGS   vs 0.1% Nursing Homes USA have COLORADO SPRINGS
State attribute explanation CO   vs 1.3% Nursing Homes USA have CO
Street 920 SOUTH CHELTON ROAD  
Zip Code 80910  
Phone 7194737780  
Overall Star Rating
(0.11 lower than average)
vs
3.11

Health Inspections Star Rating
(0.83 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
(0.17 lower than average)
vs
3.17

Number of Certified Beds
81  (27.94 lower than average)
vs
108.94

Total Number of Residents
72  (19.25 lower than average)
vs
91.25

Percent of Occupied Beds
89 % (5.35 % higher than average)
vs
83.65 %

Health Survey Date 10/25/2011  
Fire Survey Date 11/9/2011  
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 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? 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? 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 2  
Staff Information
Number of Residents
72  (19.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.61  (0.16 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.82  (0.02 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.43  (0.16 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

Administration Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 02/11/2011
date Of Correction: 03/01/2011 

Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Make Sure Menus Meet The Resident's Nutritional Needs And That There Is A Prepared Menu By Which Nutritious Meals Have Been Planned For The Resident And Followed.
survey Date: 05/03/2012
date Of Correction: 05/23/2012 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
28.8 % (3.71 % 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 2.6 / 3 % 
Percent of long-stay high-risk residents with pressure ulcers
8.3 % (4.28 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
18.8 % (6.97 % higher than average)
vs
11.83 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.5 % (11.13 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
2.9 % (10.56 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms 11.6:1 % 
Percent of long-stay residents who were physically restrained
75.2 % (31.52 % higher than average)
vs
43.68 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
83.8 % (0.84 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
73 % (10.94 % lower than average)
vs
83.94 %

Percent of long-stay residents experiencing one or more falls with major injury
7.2 % (8.32 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
28.3 % (2.91 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
0.8 % (22.9 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
4.2 % (9.9 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
5 % (4.22 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight 17.1:1 % 
Percent of long-stay low-risk residents who lose control of their bowels or bladder
66.7 % (23.32 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
5.8 % (4.85 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
4.1 % (5.48 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
11.4 % (8.46 % 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
6.2 % (4.53 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
17.5 % (7.26 % 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
68.2 % (6.55 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
1.8 % (15.54 % lower than average)
vs
17.34 %



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