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MCDOWELL NURSING AND REHABILITATION CENTER, LLC

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MCDOWELL NURSING AND REHABILITATION CENTER, LLC VS
All other Nursing Homes USA
General
Number Therapy Hours Per Resident Per Day 75.2 % 
City GARY   vs 0% Nursing Homes USA have GARY
State attribute explanation WV   vs 0.8% Nursing Homes USA have WV
Street PO BOX 220  
Zip Code 24836  
Phone 3044482121  
Overall Star Rating
(2.11 lower than average)
vs
3.11

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

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

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

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

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

Total Number of Residents
100  (8.75 higher than average)
vs
91.25

Percent of Occupied Beds
83 % (0.65 % lower than average)
vs
83.65 %

Health Survey Date 2/25/2010  
Fire Survey Date 2/23/2010  
Sprinkler Status Missing/no Data  vs 0.2% Nursing Homes USA have Missing/No Data
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
(57.16 lower than average)
vs
58.16

Total Enforcement Actions Count
(55.31 lower than average)
vs
56.31

# of deficiencies
17  (9.52 higher than average)
vs
7.48

Staff Information
Number of Residents
100  (8.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.41  (0.36 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
1.02  (0.18 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.43  (0.16 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
75.2  (69.71 higher than average)
vs
5.49

Environmental Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 07/09/2010
date Of Correction: 08/11/2010 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 10/15/2009
date Of Correction: 12/15/2009 

Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.
survey Date: 07/08/2011
date Of Correction: 09/08/2011 

Deficiency #2 Scope: Some
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: 11/18/2010
date Of Correction: 02/11/2011 

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: 07/08/2011
date Of Correction: 09/23/2011 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.
survey Date: 11/18/2010
date Of Correction: 02/11/2011 

Deficiency #3 Scope: Few
level Of Harm: 3
deficiency: Provide Care For Each Resident In A Way That Keeps Or Builds The Resident's Quality Of Life.
survey Date: 11/18/2010
date Of Correction: 02/11/2011 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Tell The Resident Completely About His Or Her Health Status, Care And Treatments.
survey Date: 07/09/2010
date Of Correction: 08/11/2010 

Deficiency #5 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: 06/25/2009
date Of Correction: 08/15/2009 

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: 07/08/2011
date Of Correction: 09/23/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Give Proper Treatment To Residents With Feeding Tubes To Prevent Problems (such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-pharyngeal Ulcers) And Help Restore Eating Skills, If Possible.
survey Date: 07/09/2010
date Of Correction: 08/13/2010 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 07/09/2010
date Of Correction: 08/10/2010 

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: 07/08/2011
date Of Correction: 09/08/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Make Sure Each Resident Receives An Accurate Assessment By A Qualified Health Professional.
survey Date: 07/08/2011
date Of Correction: 09/08/2011 

Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Give Or Get Quality Lab Services/tests In A Timely Manner To Meet The Needs Of Residents.
survey Date: 07/08/2011
date Of Correction: 09/08/2011 

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: 07/09/2010
date Of Correction: 08/13/2010 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.
survey Date: 07/08/2011
date Of Correction: 09/23/2011 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
33.8 % (8.71 % higher than average)
vs
25.09 %

Percent of short-stay residents who newly received an antipsychotic medication
7.3 % (38.6 % lower than average)
vs
45.90 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
36.5 % (11.11 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
2.7 % (21 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
19.6 % (5.5 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
14.3 % (5.08 % higher than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
8.4 % (0.1 % lower than average)
vs
8.50 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.2 % (6.45 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
10.8 % (1.22 % higher than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms 7.9:1 % 
Percent of long-stay residents who were physically restrained
4.5 % (34.03 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
6.7 % (4.03 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
43.5 % (18.74 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
10.4 % (71.04 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
8.7 % (66.05 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
19.5-24 % (2.16 % higher than average)
vs
17.34 %



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