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MERRIMACK COUNTY NURSING HOME

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MERRIMACK COUNTY NURSING HOME VS
All other Nursing Homes USA
General
City BOSCAWEN   vs 0% Nursing Homes USA have BOSCAWEN
State attribute explanation NH   vs 0.5% Nursing Homes USA have NH
Street 325 DANIEL WEBSTER HIGHWAY  
Zip Code 3303  
Phone 6037962165  
Overall Star Rating
(1.11 lower than average)
vs
3.11

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

Nurse Staffing Star Rating
(1.83 higher than average)
vs
3.17

Quality Measures Star Rating
(1.69 higher than average)
vs
3.31

RN Only Star Rating
(1.83 higher than average)
vs
3.17

Number of Certified Beds
290  (181.06 higher than average)
vs
108.94

Total Number of Residents
279  (187.75 higher than average)
vs
91.25

Percent of Occupied Beds
96 % (12.35 % higher than average)
vs
83.65 %

Health Survey Date 1/26/2012  
Fire Survey Date 1/30/2012  
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 Government - County  vs 2.9% Nursing Homes USA have Government - County
Located Within a Hospital? No  vs 93.6% Nursing Homes USA don't have Located Within a Hospital?
Multi Nursing Home Ownership? No  vs 45.1% Nursing Homes USA don't 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
(52.16 lower than average)
vs
58.16

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

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

Staff Information
Number of Residents
279  (187.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
1.03  (0.26 higher than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.49  (0.35 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.52  (0.07 lower 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

Environmental Deficiencies
Deficiency #1 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: 08/06/2009
date Of Correction: 09/04/2009 

Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.
survey Date: 09/15/2010
date Of Correction: 11/08/2010 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 01/26/2010
date Of Correction: 03/15/2010 

Deficiency #3 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: 01/26/2010
date Of Correction: 03/15/2010 

Deficiency #4 Scope: Some
level Of Harm: 3
deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.
survey Date: 01/26/2010
date Of Correction: 03/15/2010 

Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 08/06/2009
date Of Correction: 09/04/2009 

Deficiency #6 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: 08/06/2009
date Of Correction: 09/04/2009 

Deficiency #7 Scope: Few
level Of Harm: 3
deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment.
survey Date: 08/06/2009
date Of Correction: 09/04/2009 

Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Let The Resident Refuse Treatment Or Refuse To Take Part In An Experiment And Formulate Advance Directives.
survey Date: 09/15/2010
date Of Correction: 11/08/2010 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 09/15/2010
date Of Correction: 11/08/2010 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 09/15/2010
date Of Correction: 11/08/2010 

Deficiency #3 Scope: Few
level Of Harm: 3
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 01/26/2010
date Of Correction: 03/15/2010 

Administration Deficiencies
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: 09/15/2010
date Of Correction: 11/08/2010 

Deficiency #2 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: 01/26/2010
date Of Correction: 03/15/2010 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.
survey Date: 01/26/2010
date Of Correction: 03/15/2010 

Deficiency #2 Scope: Few
level Of Harm: 3
deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.
survey Date: 01/26/2010
date Of Correction: 03/15/2010 

Deficiency #3 Scope: Few
level Of Harm: 3
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: 01/26/2010
date Of Correction: 03/15/2010 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
23.9 % (1.19 % lower than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased 5.6:1 % 
Percent of long-stay residents who self-report moderate to severe pain 8.1 / 8.8 % 
Percent of long-stay high-risk residents with pressure ulcers
3.6 % (8.98 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
9.2 % (2.63 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
39 % (5.54 % lower than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.5 % (12.13 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
3.3 % (10.16 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
7.6 % (20.78 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
75.2 % (31.52 % higher than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain 10.7:1 % 
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
100 % (15.36 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
100 % (16.06 % 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
4.7 % (10.82 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
23.1 % (2.29 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
1.8 % (21.9 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
8.5 % (5.6 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
2.4 % (6.82 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight 8.9 / 9.9 % 
Percent of long-stay low-risk residents who lose control of their bowels or bladder
37.4 % (5.98 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.8 % (6.85 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
4.6 % (4.98 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
7.3 % (12.56 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
75.2 % (36.67 % higher than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
5.4 % (5.33 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
8.3 % (16.46 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
97.1 % (15.66 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
99 % (24.25 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
75.2 % (57.86 % higher than average)
vs
17.34 %



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