Compare with other Nursing Homes USA
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MAPLE MANOR CHRISTIAN HOME INC | VS | All other Nursing Homes USA |
Staff Information | |||||
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Number of Residents |
51 (40.38 lower than average)
|
vs |
91.38
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Number of RN Hours Per Resident Per Day |
0.86 (0.09 higher than average)
|
vs |
0.77
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||
Number of LPN/LVN Hours Per Resident Per Day |
1.25 (0.41 higher than average)
|
vs |
0.84
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Total Number of Licensed Staff Hours Per Resident Per Day |
2.11 (0.52 higher than average)
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vs |
1.59
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Number of CNA Hours Per Resident Per Day |
0.09 (5.4 lower than average)
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vs |
5.49
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Number Therapy Hours Per Resident Per Day |
0.09 (0.01 lower than average)
|
vs |
0.10
|
Environmental Deficiencies | |||||
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Deficiency #1 |
Scope: Some level Of Harm: 2 deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading. survey Date: 12/28/2010 date Of Correction: 02/03/2011 |
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Deficiency #2 |
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: 05/20/2010 date Of Correction: 06/11/2010 |
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Deficiency #3 |
Scope: Few level Of Harm: 3 deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents. survey Date: 02/10/2010 date Of Correction: 03/05/2010 |
Mistreatment Deficiencies | |||||
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Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property. survey Date: 02/10/2010 date Of Correction: 03/05/2010 |
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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: 02/10/2010 date Of Correction: 03/05/2010 |
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Deficiency #3 |
Scope: Few level Of Harm: 2 deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others. survey Date: 12/22/2009 date Of Correction: 01/08/2010 |
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Deficiency #4 |
Scope: Few level Of Harm: 2 deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property. survey Date: 05/13/2009 date Of Correction: 06/12/2009 |
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Deficiency #5 |
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: 05/13/2009 date Of Correction: 06/12/2009 |
Resident Rights Deficiencies | |||||
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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: 05/20/2010 date Of Correction: 06/11/2010 |
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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: 05/13/2009 date Of Correction: 06/12/2009 |
Quality Care Deficiencies | |||||
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Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene. survey Date: 02/10/2012 date Of Correction: 03/06/2012 |
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Deficiency #2 |
Scope: Some 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: 12/28/2010 date Of Correction: 02/03/2011 |
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Deficiency #3 |
Scope: Few level Of Harm: 2 deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores. survey Date: 12/28/2010 date Of Correction: 03/10/2011 |
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Deficiency #4 |
Scope: Some level Of Harm: 2 deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene. survey Date: 12/28/2010 date Of Correction: 02/03/2011 |
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Deficiency #5 |
Scope: Few level Of Harm: 2 deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care. survey Date: 05/20/2010 date Of Correction: 06/11/2010 |
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Deficiency #6 |
Scope: Few level Of Harm: 2 deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores. survey Date: 05/13/2009 date Of Correction: 06/12/2009 |
Resident Assessment Deficiencies | |||||
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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: 02/10/2012 date Of Correction: 03/06/2012 |
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Deficiency #2 |
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: 12/28/2010 date Of Correction: 03/10/2011 |
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Deficiency #3 |
Scope: Few level Of Harm: 2 deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity. survey Date: 12/28/2010 date Of Correction: 02/03/2011 |
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Deficiency #4 |
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: 05/20/2010 date Of Correction: 06/11/2010 |
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Deficiency #5 |
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: 05/13/2009 date Of Correction: 06/12/2009 |
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Deficiency #6 |
Scope: Few level Of Harm: 2 deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity. survey Date: 05/13/2009 date Of Correction: 06/12/2009 |
Administration Deficiencies | |||||
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Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards. survey Date: 02/10/2012 date Of Correction: 03/06/2012 |
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Deficiency #2 |
Scope: Few level Of Harm: 2 deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards. survey Date: 06/16/2010 date Of Correction: 07/12/2010 |
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Deficiency #3 |
Scope: Few level Of Harm: 2 deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards. survey Date: 12/22/2009 date Of Correction: 01/08/2010 |
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Deficiency #4 |
Scope: Few level Of Harm: 2 deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards. survey Date: 05/13/2009 date Of Correction: 06/12/2009 |
Pharmacy Service Deficiencies | |||||
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Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: 1) Make Sure That Each Resident's Drug Regimen Is Free From Unnecessary Drugs; 2) Each Resident's Entire Drug/medication Is Managed And Monitored To Achieve Highest Well Being. survey Date: 05/13/2009 date Of Correction: 06/12/2009 |
Quality Measures Q1 | |||||
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Percent of long-stay residents who received an antipsychotic medication |
15.1 % (9.99 % lower than average)
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vs |
25.09 %
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Percent of long-stay residents who self-report moderate to severe pain | 10.1:1 % | ||||
Percent of long-stay high-risk residents with pressure ulcers |
8.8 % (3.78 % lower than average)
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vs |
12.58 %
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Percent of long-stay residents who lose too much weight |
5.7 % (6.13 % lower than average)
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vs |
11.83 %
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Percent of long-stay residents who have had a catheter inserted and left in their bladder |
2.3 % (13.33 % lower than average)
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vs |
15.63 %
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Percent of long-stay residents with a urinary tract infection |
11.3 % (2.16 % lower than average)
|
vs |
13.46 %
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Percent of long-stay residents who have depressive symptoms |
75.2 % (46.82 % higher than average)
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vs |
28.38 %
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Percent of long-stay residents who were physically restrained |
3.8 % (39.88 % lower than average)
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vs |
43.68 %
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Percent of short-stay residents who newly received an antipsychotic medication |
75.2 (29.3 higher than average)
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vs |
45.90
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Percent of long-stay residents experiencing one or more falls with major injury |
5.7 % (9.82 % lower than average)
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vs |
15.52 %
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Quality Measures Q3 | |||||
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Percent of long-stay residents who received an antipsychotic medication |
19 % (6.39 % lower than average)
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vs |
25.39 %
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Percent of long-stay residents whose need for help with daily activities has increased |
8.2 % (15.5 % lower than average)
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vs |
23.70 %
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Percent of long-stay residents who self-report moderate to severe pain |
7.2 % (6.9 % lower than average)
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vs |
14.10 %
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Percent of long-stay high-risk residents with pressure ulcers |
8.7 % (0.52 % lower than average)
|
vs |
9.22 %
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Percent of long-stay residents who lose too much weight |
6.3 % (2.2 % lower than average)
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vs |
8.50 %
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Percent of long-stay low-risk residents who lose control of their bowels or bladder | 21.2:1 % | ||||
Percent of long-stay residents who have had a catheter inserted and left in their bladder |
3.6 % (7.05 % lower than average)
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vs |
10.65 %
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Percent of long-stay residents with a urinary tract infection | 10.1:1 % | ||||
Percent of long-stay residents who have depressive symptoms |
75.2 % (55.34 % higher than average)
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vs |
19.86 %
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Percent of long-stay residents who were physically restrained |
3.2 % (35.33 % lower than average)
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vs |
38.53 %
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Percent of long-stay residents experiencing one or more falls with major injury |
3.8 % (6.93 % lower than average)
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vs |
10.73 %
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Percent of short-stay residents who self-report moderate to severe pain |
9.5 % (15.26 % lower than average)
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vs |
24.76 %
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Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
81 % (0.44 % lower than average)
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vs |
81.44 %
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Percent of short-stay residents with Pressure ulcers that are new or worsened |
70.4 % (4.35 % lower than average)
|
vs |
74.75 %
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