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LEESBURG HEALTH AND REHAB, LLC

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LEESBURG HEALTH AND REHAB, LLC VS
All other Nursing Homes USA
General
City LEESBURG   vs 0% Nursing Homes USA have LEESBURG
State attribute explanation FL   vs 4.4% Nursing Homes USA have FL
Street 715 E DIXIE AVE  
Zip Code 34748  
Phone 3527283020  
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
(1.17 lower than average)
vs
3.17

Quality Measures Star Rating
(0.69 higher than average)
vs
3.31

RN Only Star Rating
(2.17 lower than average)
vs
3.17

Number of Certified Beds
120  (11.06 higher than average)
vs
108.94

Total Number of Residents
88  (3.25 lower than average)
vs
91.25

Percent of Occupied Beds
73 % (10.65 % lower than average)
vs
83.65 %

Health Survey Date 4/6/2011  
Fire Survey Date 4/7/2011  
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 For Profit - Partnership  vs 7.9% Nursing Homes USA have For profit - Partnership
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 RESIDENT   vs 66% Nursing Homes USA have RESIDENT
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 14  
Staff Information
Number of Residents
83  (8.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.48  (0.29 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
1.03  (0.19 higher 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
0.1  (5.39 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.1  (equals average)
vs
0.10

Environmental Deficiencies
Deficiency #1 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: 04/23/2012
date Of Correction: 05/23/2012 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide A Safe, Clean, Comfortable And Homelike Environment.
survey Date: 10/12/2010
date Of Correction: 11/12/2010 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Make Sure That The Nursing Home Area Is Safe, Easy To Use, Clean And Comfortable For Residents, Staff And The Public.
survey Date: 09/08/2009
date Of Correction: 10/22/2009 

Deficiency #4 Scope: Some
level Of Harm: 2
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 09/08/2009
date Of Correction: 10/22/2009 

Mistreatment Deficiencies
Deficiency #1 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: 05/03/2011
date Of Correction: 05/11/2011 

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: 09/19/2011
date Of Correction: 10/19/2011 

Deficiency #2 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: 12/02/2010
date Of Correction: 01/02/2011 

Quality Care Deficiencies
Deficiency #1 Scope: Few
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: 05/18/2011
date Of Correction: 06/18/2011 

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: 10/12/2010
date Of Correction: 11/12/2010 

Resident Assessment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan.
survey Date: 05/18/2011
date Of Correction: 06/18/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.
survey Date: 05/18/2011
date Of Correction: 06/18/2011 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.
survey Date: 10/12/2011
date Of Correction: 11/12/2011 

Deficiency #2 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: 10/12/2011
date Of Correction: 11/12/2011 

Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Hire Sufficient Dietary Support Personnel.
survey Date: 09/19/2011
date Of Correction: 10/19/2011 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
10.4 % (14.69 % lower than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
1.4 % (31.55 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
8.8 % (7.86 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
1.9 % (10.68 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
3.2 % (8.63 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
36.7 % (7.84 % lower than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.9 % (13.73 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
4.8 % (8.66 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
75.2 % (46.82 % higher than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
4.5 % (39.18 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
17.6 % (7.42 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
92.3 % (7.66 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
98.6 % (14.66 % higher than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
2.20 % (43.7 % lower than average)
vs
45.90 %

Percent of long-stay residents experiencing one or more falls with major injury
7.6 % (7.92 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication 10.1:1 % 
Percent of long-stay residents whose need for help with daily activities has increased
1.50 % (22.2 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
7.4 % (6.7 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
2 % (7.22 % lower than average)
vs
9.22 %

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
30.9 % (12.48 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.4 % (9.25 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection 8.6:1 % 
Percent of long-stay residents who have depressive symptoms
75.2 % (55.34 % higher than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
3.1 % (35.43 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
6.1 % (4.63 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
17.2 % (7.56 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
93.4 % (11.96 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
98.3 % (23.55 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication 17.1:1 % 


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