Compare with other Nursing Homes USA
Compare
Compare
| METRO WEST NURSING AND REHAB CENTER | VS | All other Nursing Homes USA |
| Staff Information | |||||
|---|---|---|---|---|---|
| Number of Residents |
103 (11.62 higher than average)
|
vs |
91.38
|
||
| Number of RN Hours Per Resident Per Day |
0.79 (0.02 higher than average)
|
vs |
0.77
|
||
| Number of LPN/LVN Hours Per Resident Per Day |
0.79 (0.05 lower than average)
|
vs |
0.84
|
||
| Total Number of Licensed Staff Hours Per Resident Per Day |
1.58 (0.01 lower than average)
|
vs |
1.59
|
||
| Number of CNA Hours Per Resident Per Day |
0.12 (5.37 lower than average)
|
vs |
5.49
|
||
| Number Therapy Hours Per Resident Per Day |
0.12 (0.02 higher than average)
|
vs |
0.10
|
||
| Environmental Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading. survey Date: 05/27/2011 date Of Correction: 06/26/2011 |
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| 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: 09/23/2011 date Of Correction: 10/19/2011 |
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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: 05/27/2011 date Of Correction: 06/26/2011 |
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| 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: 05/27/2011 date Of Correction: 06/26/2011 |
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| Quality Care Deficiencies | |||||
|---|---|---|---|---|---|
| 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: 04/02/2010 date Of Correction: 05/11/2010 |
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| Resident Assessment Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Make Sure That Doctors See A Resident's Plan Of Care At Every Visit And Make Notes About Progress And Orders In Writing. survey Date: 02/11/2011 date Of Correction: 03/23/2011 |
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| Administration Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Some level Of Harm: 2 deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards. survey Date: 05/27/2011 date Of Correction: 06/26/2011 |
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| Deficiency #2 |
Scope: Few level Of Harm: 2 deficiency: Make Sure Medically Necessary Lab Services/tests Are Ordered By The Attending Physician. survey Date: 05/27/2011 date Of Correction: 06/26/2011 |
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| Deficiency #3 |
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: 05/27/2011 date Of Correction: 06/26/2011 |
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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: 02/11/2011 date Of Correction: 03/23/2011 |
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| 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: 05/27/2011 date Of Correction: 06/26/2011 |
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| Deficiency #2 |
Scope: Some 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: 05/27/2011 date Of Correction: 06/26/2011 |
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| Quality Measures Q1 | |||||
|---|---|---|---|---|---|
| Percent of long-stay residents who received an antipsychotic medication |
8 % (17.09 % lower than average)
|
vs |
25.09 %
|
||
| Percent of long-stay residents whose need for help with daily activities has increased |
0.6 % (32.35 % lower than average)
|
vs |
32.95 %
|
||
| Percent of long-stay residents who self-report moderate to severe pain |
13 % (3.66 % lower than average)
|
vs |
16.66 %
|
||
| Percent of long-stay high-risk residents with pressure ulcers |
7.7 % (4.88 % lower than average)
|
vs |
12.58 %
|
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| Percent of long-stay residents who lose too much weight |
3.4 % (8.43 % lower than average)
|
vs |
11.83 %
|
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| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
5 % (10.63 % lower than average)
|
vs |
15.63 %
|
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| Percent of long-stay residents with a urinary tract infection |
6.7 % (6.76 % 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)
|
vs |
28.38 %
|
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| Percent of long-stay residents who were physically restrained |
2.20 % (41.48 % lower than average)
|
vs |
43.68 %
|
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| Percent of short-stay residents who self-report moderate to severe pain |
21.3 % (3.72 % lower than average)
|
vs |
25.02 %
|
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| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
71.4 % (13.24 % lower than average)
|
vs |
84.64 %
|
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| Percent of short-stay residents with Pressure ulcers that are new or worsened |
57.5 % (26.44 % lower than average)
|
vs |
83.94 %
|
||
| Percent of short-stay residents who newly received an antipsychotic medication |
3.8 % (42.1 % lower than average)
|
vs |
45.90 %
|
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| Percent of long-stay residents experiencing one or more falls with major injury |
1.1 % (14.42 % lower than average)
|
vs |
15.52 %
|
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| Quality Measures Q3 | |||||
|---|---|---|---|---|---|
| Percent of long-stay residents who received an antipsychotic medication |
13 % (12.39 % lower than average)
|
vs |
25.39 %
|
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| Percent of long-stay residents whose need for help with daily activities has increased |
0.7 % (23 % lower than average)
|
vs |
23.70 %
|
||
| Percent of long-stay residents who self-report moderate to severe pain |
15.7 % (1.6 % higher than average)
|
vs |
14.10 %
|
||
| Percent of long-stay high-risk residents with pressure ulcers |
6.5 % (2.72 % lower than average)
|
vs |
9.22 %
|
||
| Percent of long-stay residents who lose too much weight |
4.4 % (4.1 % lower than average)
|
vs |
8.50 %
|
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| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
68.6 % (25.22 % higher than average)
|
vs |
43.38 %
|
||
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
6.7 % (3.95 % lower than average)
|
vs |
10.65 %
|
||
| Percent of long-stay residents with a urinary tract infection |
6.1 % (3.48 % lower than average)
|
vs |
9.58 %
|
||
| Percent of long-stay residents who have depressive symptoms |
0.4 % (19.46 % 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 |
1.1 % (9.63 % lower than average)
|
vs |
10.73 %
|
||
| Percent of short-stay residents who self-report moderate to severe pain |
27.3 % (2.54 % higher than average)
|
vs |
24.76 %
|
||
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
63.9 % (17.54 % lower than average)
|
vs |
81.44 %
|
||
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
42.3 % (32.45 % lower than average)
|
vs |
74.75 %
|
||
| Percent of short-stay residents who newly received an antipsychotic medication |
23.4 % (6.06 % higher than average)
|
vs |
17.34 %
|
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