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LEVINDALE HEBREW GER CTR & HSP

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LEVINDALE HEBREW GER CTR & HSP VS
All other Nursing Homes USA
General
City BALTIMORE   vs 0.3% Nursing Homes USA have BALTIMORE
State attribute explanation MD   vs 1.5% Nursing Homes USA have MD
Street 2434 W. BELVEDERE AVENUE  
Zip Code 21215  
Phone 4104668700  
Overall Star Rating
(0.89 higher than average)
vs
3.11

Health Inspections Star Rating
(1.17 higher 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
(0.83 higher than average)
vs
3.17

Number of Certified Beds
192  (83.06 higher than average)
vs
108.94

Total Number of Residents
164  (72.75 higher than average)
vs
91.25

Percent of Occupied Beds
85 % (1.35 % higher than average)
vs
83.65 %

Health Survey Date 5/20/2011  
Fire Survey Date 6/20/2011  
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
(1.52 higher than average)
vs
7.48

Staff Information
Number of Residents
164  (72.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.93  (0.16 higher than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
1.16  (0.32 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
2.08  (0.49 higher than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.14  (5.35 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.14  (0.04 higher than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 1
deficiency: Make Sure There Is A Pest Control Program To Prevent/deal With Mice, Insects, Or Other Pests.
survey Date: 05/20/2011
date Of Correction: 05/23/2011 

Deficiency #2 Scope: Many
level Of Harm: 1
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 05/20/2011
date Of Correction: 05/30/2011 

Deficiency #3 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: 03/01/2011
date Of Correction: 04/25/2011 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 04/07/2010
date Of Correction: 05/29/2010 

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: 03/01/2011
date Of Correction: 04/25/2011 

Deficiency #2 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: 06/23/2010
date Of Correction: 08/07/2010 

Deficiency #3 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: 01/26/2010
date Of Correction: 03/26/2010 

Administration Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 1
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 06/23/2010
date Of Correction: 08/07/2010 

Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 1
deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.
survey Date: 05/20/2011
date Of Correction: 07/01/2011 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
21.1 % (3.99 % lower than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
0.8 % (32.15 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
3.9 % (12.76 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
4.9 % (7.68 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
4.9 % (6.93 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
72.7 % (28.16 % higher than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
7.8 % (7.83 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
8.2 % (5.26 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
0.7 % (27.68 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
1.4 % (42.28 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
14.5 % (10.52 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
83.7 % (0.94 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
77.1 % (6.84 % lower 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 % (13.52 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
19.5-24 % (5.89 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
1.1 % (22.6 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
2.1 % (12 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
5.5 % (3.72 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
3.9 % (4.6 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
69.8 % (26.42 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
7.4 % (3.25 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
6.6 % (2.98 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
0.2 % (19.66 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
0.9 % (37.63 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
1.4 % (9.33 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
16.7 % (8.06 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
80 % (1.44 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
76.7 % (1.95 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
19.7 % (2.36 % higher than average)
vs
17.34 %



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