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LGAR HEALTH AND REHABILITATION

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LGAR HEALTH AND REHABILITATION VS
All other Nursing Homes USA
General
City TURTLE CREEK   vs 0% Nursing Homes USA have TURTLE CREEK
State attribute explanation PA   vs 4.5% Nursing Homes USA have PA
Street 800 ELSIE STREET  
Zip Code 15145  
Phone 4128259000  
Overall Star Rating
(1.11 lower than average)
vs
3.11

Health Inspections Star Rating
(0.83 lower than average)
vs
2.83

Nurse Staffing Star Rating
(1.17 lower than average)
vs
3.17

Quality Measures Star Rating
(1.31 lower than average)
vs
3.31

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

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

Total Number of Residents
109  (17.75 higher than average)
vs
91.25

Percent of Occupied Beds
91 % (7.35 % higher than average)
vs
83.65 %

Health Survey Date 8/22/2011  
Fire Survey Date 8/3/2011  
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? 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
(3.48 lower than average)
vs
7.48

Staff Information
Number of Residents
109  (17.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.54  (0.23 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.87  (0.03 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.41  (0.18 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.05  (5.44 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.05  (0.05 lower than average)
vs
0.10

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: 12/12/2011
date Of Correction: 01/13/2012 

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: 09/19/2011
date Of Correction: 11/10/2011 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.
survey Date: 09/19/2011
date Of Correction: 11/10/2011 

Resident Rights Deficiencies
Deficiency #1 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: 09/19/2011
date Of Correction: 11/10/2011 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
16 % (9.09 % lower than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
1.3 % (31.65 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
17.5 % (0.84 % higher than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
8.4 % (4.18 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight 9.9:1 % 
Percent of long-stay low-risk residents who lose control of their bowels or bladder
58.8 % (14.26 % higher than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.6 % (14.03 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection 12.1:1 % 
Percent of long-stay residents who have depressive symptoms
2.1 % (26.28 % lower than average)
vs
28.38 %

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
37.5 % (12.48 % higher than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
93.1 % (8.46 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
100 % (16.06 % higher than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
7.7 % (38.2 % lower than average)
vs
45.90 %

Percent of long-stay residents experiencing one or more falls with major injury
5.3 % (10.22 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
19.8 % (5.59 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
1.6 % (22.1 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
18.7 % (4.6 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
7.7 % (1.52 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
10.2 % (1.7 % higher than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
68.5 % (25.12 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
3 % (7.65 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
10.2 % (0.62 % higher than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
1.4 % (18.46 % 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
5.9 % (4.83 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
30.4 % (5.64 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
91.2 % (9.76 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
99 % (24.25 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
18 % (0.66 % higher than average)
vs
17.34 %



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