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MARQUIS CARE PLAZA REGENCY

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MARQUIS CARE PLAZA REGENCY VS
All other Nursing Homes USA
General
City LAS VEGAS   vs 0.2% Nursing Homes USA have LAS VEGAS
State attribute explanation NV   vs 0.3% Nursing Homes USA have NV
Street 6021 W. CHEYENNE AVE.  
Zip Code 89108  
Phone 7026589494  
Overall Star Rating
(1.11 lower than average)
vs
3.11

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

Nurse Staffing Star Rating
(0.17 lower 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
188  (79.06 higher than average)
vs
108.94

Total Number of Residents
170  (78.75 higher than average)
vs
91.25

Percent of Occupied Beds
90 % (6.35 % higher than average)
vs
83.65 %

Health Survey Date 8/31/2011  
Fire Survey Date 8/24/2011  
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 - 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
12  (4.52 higher than average)
vs
7.48

Staff Information
Number of Residents
159  (67.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
1.01  (0.24 higher than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.76  (0.08 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.78  (0.19 higher than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.04  (5.45 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.04  (0.06 lower than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 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: 05/09/2012
date Of Correction: 06/19/2012 

Deficiency #2 Scope: Some
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: 08/31/2011
date Of Correction: 11/09/2011 

Mistreatment Deficiencies
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: 08/31/2011
date Of Correction: 11/09/2011 

Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.
survey Date: 08/31/2011
date Of Correction: 11/09/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Let The Resident Refuse Treatment Or Refuse To Take Part In An Experiment And Formulate Advance Directives.
survey Date: 10/26/2010
date Of Correction: 01/10/2011 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Tell The Resident Completely About His Or Her Health Status, Care And Treatments.
survey Date: 10/26/2010
date Of Correction: 01/10/2011 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 08/31/2011
date Of Correction: 11/09/2011 

Resident Assessment Deficiencies
Deficiency #1 Scope: Some
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: 08/31/2011
date Of Correction: 11/09/2011 

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: 10/26/2010
date Of Correction: 01/10/2011 

Administration Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Set Up An Ongoing Quality Assessment And Assurance Group To Review Quality Deficiencies Quarterly, And Develop Corrective Plans Of Action.
survey Date: 08/31/2011
date Of Correction: 11/09/2011 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Keep The Rate Of Medication Errors (wrong Drug, Wrong Dose, Wrong Time) To Less Than 5%.
survey Date: 08/31/2011
date Of Correction: 11/09/2011 

Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.
survey Date: 08/31/2011
date Of Correction: 11/09/2011 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
20.6 % (4.49 % lower than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
3.5 % (29.45 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
28.5 % (11.84 % higher than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
17.6 % (5.02 % higher than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
16.2 % (4.37 % higher than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
47.7 % (3.16 % higher than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
14.9-28 % (0.73 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
3.5 % (9.96 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
1 % (27.38 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
2.8 % (40.88 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
30.4 % (5.38 % higher than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
73.3 % (11.34 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
72.4 % (11.54 % 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
75.2 % (59.68 % higher than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
21.1 % (4.29 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
3.7 % (20 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
26.4 % (12.3 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
16.7 % (7.48 % higher than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
11.2-20 % (2.7 % higher than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
47.9 % (4.52 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
13.3 % (2.65 % higher than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
5.8 % (3.78 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
1.6 % (18.26 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
2.1 % (36.43 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
1.2 % (9.53 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
31.1 % (6.34 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
59.3 % (22.14 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
61.8 % (12.95 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
31.7 % (14.36 % higher than average)
vs
17.34 %



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