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MANOR AT ELFINDALE, THE

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MANOR AT ELFINDALE, THE VS
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General
City SPRINGFIELD   vs 0.3% Nursing Homes USA have SPRINGFIELD
State attribute explanation MO   vs 3.2% Nursing Homes USA have MO
Street 1707 WEST ELFINDALE STREET  
Zip Code 65807  
Phone 4178312273  
Overall Star Rating
(0.11 lower 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
(2.31 lower than average)
vs
3.31

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

Number of Certified Beds
100  (8.94 lower than average)
vs
108.94

Total Number of Residents
95  (3.75 higher than average)
vs
91.25

Percent of Occupied Beds
95 % (11.35 % higher than average)
vs
83.65 %

Health Survey Date 6/22/2012  
Fire Survey Date 6/22/2012  
Sprinkler Status Fully Sprinklered  vs 90.2% Nursing Homes USA have Fully Sprinklered
Program Participation Medicare  vs 5% Nursing Homes USA have Medicare
Type of Ownership For Profit - Corporation  vs 56.7% Nursing Homes USA have For 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? 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
95  (3.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.63  (0.14 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
1.17  (0.33 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.8  (0.21 higher than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.03  (5.46 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.03  (0.07 lower than average)
vs
0.10

Quality Care Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: Have Enough Nurses To Care For Every Resident In A Way That Maximizes The Resident's Well Being.
survey Date: 07/13/2010
date Of Correction: 08/23/2010 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.
survey Date: 12/09/2009
date Of Correction: 02/05/2010 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.
survey Date: 09/08/2009
date Of Correction: 10/23/2009 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
26.1 % (1.01 % 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
9.6 % (7.06 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
2.4 % (10.18 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
75.2 % (63.37 % higher than average)
vs
11.83 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
5.1 % (10.53 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
16.4 % (2.94 % higher than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
5.8 % (22.58 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
5.8 % (37.88 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
23.3 % (1.72 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
74.3 % (10.34 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
44.6 % (39.34 % 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
4.3 % (11.22 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
25.7 % (0.31 % 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 11.6:1 % 
Percent of long-stay high-risk residents with pressure ulcers
6.2 % (3.02 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
1.4 % (7.1 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
56.1 % (12.72 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
5.1 % (5.55 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection 13.9 / 15.3 % 
Percent of long-stay residents who have depressive symptoms
5.1 % (14.76 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
3.7 % (34.83 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
6 % (4.73 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
29.5 % (4.74 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
63.7 % (17.74 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
42.9 % (31.85 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
22.3 % (4.96 % higher than average)
vs
17.34 %



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