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MILFORD SENIOR CARE AND REHAB

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MILFORD SENIOR CARE AND REHAB VS
All other Nursing Homes USA
General
City MILFORD   vs 0.1% Nursing Homes USA have MILFORD
State attribute explanation PA   vs 4.5% Nursing Homes USA have PA
Street 264 ROUTE 6 & 209  
Zip Code 18337  
Phone 5704914121  
Overall Star Rating
(2.11 lower than average)
vs
3.11

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

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

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

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

Number of Certified Beds
80  (28.94 lower than average)
vs
108.94

Total Number of Residents
74  (17.25 lower than average)
vs
91.25

Percent of Occupied Beds
93 % (9.35 % higher than average)
vs
83.65 %

Health Survey Date 9/9/2011  
Fire Survey Date 9/28/2011  
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
(55.31 lower than average)
vs
56.31

# of deficiencies
12  (4.52 higher than average)
vs
7.48

Staff Information
Number of Residents
74  (17.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.58  (0.19 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.97  (0.13 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.55  (0.04 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.1  (5.39 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.1  (equals 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: 07/01/2011
date Of Correction: 08/12/2011 

Deficiency #2 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: 06/23/2009
date Of Correction: 09/25/2009 

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: 01/04/2010
date Of Correction: 02/22/2010 

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: 01/04/2010
date Of Correction: 02/22/2010 

Deficiency #3 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: 07/23/2009
date Of Correction: 08/18/2009 

Resident Rights Deficiencies
Deficiency #1 Scope: Some
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: 10/18/2011
date Of Correction: 11/09/2011 

Deficiency #2 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: 03/08/2011
date Of Correction: 04/20/2011 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Give Each Resident Enough Fluids To Keep Them Healthy And Prevent Dehydration.
survey Date: 11/09/2011
date Of Correction: 12/21/2011 

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: 12/21/2011
date Of Correction: 01/30/2012 

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: 06/23/2009
date Of Correction: 09/25/2009 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
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: 10/18/2011
date Of Correction: 11/09/2011 

Deficiency #2 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: 01/04/2010
date Of Correction: 02/22/2010 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
31.1 % (6.01 % higher than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
75.2 % (42.25 % higher than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
2.5 % (14.16 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
2.1 % (10.48 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight 8.1 / 8.8 % 
Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.4 % (11.23 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
1.6 % (11.86 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
3.2 % (25.18 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
6.3 % (37.38 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
1.50 % (23.52 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
92.6 % (7.96 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
97.4 % (13.46 % higher than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
2 % (43.9 % lower than average)
vs
45.90 %

Percent of long-stay residents experiencing one or more falls with major injury
1.6 % (13.92 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
28.6 % (3.21 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
2 % (21.7 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
0.7 % (13.4 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
7.1 % (2.12 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
6.3 % (2.2 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
24.4 % (18.98 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.5 % (7.15 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
0.5 - 2.0 % (9.08 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms 5.6:1 % 
Percent of long-stay residents who were physically restrained
4.1 % (34.43 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury 2.6 / 3 % 
Percent of short-stay residents who self-report moderate to severe pain
1.6 % (23.16 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
89.1 % (7.66 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
87.6 % (12.85 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
28.3 % (10.96 % higher than average)
vs
17.34 %



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