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MAJESTIC OAKS

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MAJESTIC OAKS VS
All other Nursing Homes USA
General
City Warminster  vs 0% Nursing Homes USA have Warminster
State attribute explanation PA   vs 4.5% Nursing Homes USA have PA
Street 333 NEWTOWN ROAD  
Zip Code 18974  
Phone 2156729082  
Overall Star Rating
(0.11 lower than average)
vs
3.11

Health Inspections Star Rating
(0.17 higher than average)
vs
2.83

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

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

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

Number of Certified Beds
180  (71.06 higher than average)
vs
108.94

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

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

Health Survey Date 6/9/2011  
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 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? 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? 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
(4.48 lower than average)
vs
7.48

Staff Information
Number of Residents
179  (87.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.51  (0.26 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.6  (0.24 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.11  (0.48 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

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 11/17/2011
date Of Correction: 12/16/2011 

Resident Assessment Deficiencies
Deficiency #1 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: 11/17/2011
date Of Correction: 12/16/2011 

Building Service Equipment Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 1
deficiency: Heating And Ventilation Systems That Have Been Properly Installed According To The Manufacturer's Instructions.
survey Date: 05/10/2012
date Of Correction: 05/17/2012 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
29.6 % (4.51 % 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
13.3 % (3.36 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
7.6 % (4.98 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
4.3 % (7.53 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
37.9 % (6.64 % lower than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
5.4 % (10.23 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
2.4 % (11.06 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
0.9 % (27.48 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
3 % (40.68 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
21.4 % (3.62 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
86 % (1.36 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
86 % (2.06 % higher 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
1.8 % (13.72 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
27.6 % (2.21 % 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 12.6:1 % 
Percent of long-stay high-risk residents with pressure ulcers
7.8 % (1.42 % lower than average)
vs
9.22 %

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

Percent of long-stay low-risk residents who lose control of their bowels or bladder
43.7 % (0.32 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder 5.6:1 % 
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
1.2 % (18.66 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
1.9 % (36.63 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
3 % (7.73 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
19.2 % (5.56 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
75.9 % (5.54 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
70.5 % (4.25 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication 22.4:1 % 


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