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MESSENGER HOUSE CARE CENTER

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MESSENGER HOUSE CARE CENTER VS
All other Nursing Homes USA
General
City BAINBRIDGE ISLAND   vs 0% Nursing Homes USA have BAINBRIDGE ISLAND
State attribute explanation WA   vs 1.4% Nursing Homes USA have WA
Street 10861 MANITOU PARK BLVD NORTH  
Zip Code 98110  
Phone 2068422654  
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
(0.83 higher than average)
vs
3.17

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

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

Number of Certified Beds
96  (12.94 lower than average)
vs
108.94

Total Number of Residents
71  (20.25 lower than average)
vs
91.25

Percent of Occupied Beds
74 % (9.65 % lower than average)
vs
83.65 %

Health Survey Date 1/24/2012  
Fire Survey Date 1/9/2012  
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 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 RESIDENT   vs 66% Nursing Homes USA have RESIDENT
Continuing Care Retirement Community? No  vs 90.9% Nursing Homes USA don't have Continuing Care Retirement Community?
Quality Indicator Survey? Yes  vs 31.3% Nursing Homes USA 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
(55.31 lower than average)
vs
56.31

# of deficiencies
15  (7.52 higher than average)
vs
7.48

Staff Information
Number of Residents
71  (20.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.93  (0.16 higher than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.58  (0.26 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.51  (0.08 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.17  (5.32 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.17  (0.07 higher than average)
vs
0.10

Mistreatment Deficiencies
Deficiency #1 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: 01/30/2012
date Of Correction: 03/09/2012 

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: 10/18/2011
date Of Correction: 11/12/2011 

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: 08/15/2011
date Of Correction: 09/09/2011 

Deficiency #4 Scope: Some
level Of Harm: 4
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 10/21/2009
date Of Correction: 11/12/2009 

Deficiency #5 Scope: Few
level Of Harm: 3
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: 10/21/2009
date Of Correction: 11/12/2009 

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: 08/15/2011
date Of Correction: 09/09/2011 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 01/30/2012
date Of Correction: 03/09/2012 

Deficiency #2 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: 10/05/2011
date Of Correction: 10/21/2011 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 05/12/2010
date Of Correction: 05/30/2010 

Deficiency #4 Scope: Few
level Of Harm: 3
deficiency: Give Each Resident Enough Fluids To Keep Them Healthy And Prevent Dehydration.
survey Date: 03/31/2010
date Of Correction: 04/30/2010 

Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 03/31/2010
date Of Correction: 04/30/2010 

Resident Assessment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.
survey Date: 05/16/2011
date Of Correction: 06/03/2011 

Deficiency #2 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: 10/14/2010
date Of Correction: 11/12/2010 

Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: 1) Set Up A Group That Is Legally Responsible For Writing And Setting Up Policies For Leading And Running The Nursing Home; Or 2) Hire A Properly Licensed Administrator.
survey Date: 10/21/2009
date Of Correction: 11/12/2009 

Deficiency #2 Scope: Some
level Of Harm: 4
deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .
survey Date: 10/21/2009
date Of Correction: 11/12/2009 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
50 % (24.91 % higher than average)
vs
25.09 %

Percent of long-stay residents who self-report moderate to severe pain
4.2 % (12.46 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
1.4 % (11.18 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
7.1 % (4.73 % lower than average)
vs
11.83 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
75.2 % (59.57 % higher than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
15.7 % (2.24 % higher than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
68.6 % (40.22 % higher than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
2.9 % (40.78 % lower than average)
vs
43.68 %

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

Percent of long-stay residents experiencing one or more falls with major injury
2.9 % (12.62 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
46.2 % (20.81 % 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
2.9 % (11.2 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
2.9 % (6.32 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
10 % (1.5 % higher than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
17 % (26.38 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
75.2 % (64.55 % higher than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
15.8 % (6.22 % higher than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
61.2 % (41.34 % higher than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
1.4 % (37.13 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
2.9 % (7.83 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
13.6-28 % (11.16 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
42.6 % (38.84 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
47.3 % (27.45 % lower than average)
vs
74.75 %



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