Compare with other Nursing Homes USA
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MONTECITO POST ACUTE CARE AND REHABILITATION | VS | All other Nursing Homes USA |
Staff Information | |||||
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Number of Residents |
140 (48.62 higher than average)
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vs |
91.38
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Number of RN Hours Per Resident Per Day |
0.85 (0.08 higher than average)
|
vs |
0.77
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Number of LPN/LVN Hours Per Resident Per Day |
0.89 (0.05 higher than average)
|
vs |
0.84
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Total Number of Licensed Staff Hours Per Resident Per Day |
1.74 (0.15 higher than average)
|
vs |
1.59
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Number of CNA Hours Per Resident Per Day |
0.11 (5.38 lower than average)
|
vs |
5.49
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Number Therapy Hours Per Resident Per Day |
0.11 (0.01 higher than average)
|
vs |
0.10
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Environmental Deficiencies | |||||
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Deficiency #1 |
Scope: Some level Of Harm: 2 deficiency: Make Sure That A Working Call System Is Available In Each Resident's Room Or Bathroom And Bathing Area. survey Date: 10/24/2011 date Of Correction: 11/25/2011 |
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Deficiency #2 |
Scope: Few level Of Harm: 2 deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading. survey Date: 10/24/2011 date Of Correction: 11/25/2011 |
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Deficiency #3 |
Scope: Few level Of Harm: 2 deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading. survey Date: 08/17/2011 date Of Correction: 09/21/2011 |
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Deficiency #4 |
Scope: Some level Of Harm: 2 deficiency: Make Sure There Is A Pest Control Program To Prevent/deal With Mice, Insects, Or Other Pests. survey Date: 08/13/2010 date Of Correction: 10/05/2010 |
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Deficiency #5 |
Scope: Many level Of Harm: 2 deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading. survey Date: 07/19/2010 date Of Correction: 09/24/2010 |
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Deficiency #6 |
Scope: Some level Of Harm: 2 deficiency: Make Sure There Is A Pest Control Program To Prevent/deal With Mice, Insects, Or Other Pests. survey Date: 09/10/2009 date Of Correction: 10/06/2009 |
Mistreatment Deficiencies | |||||
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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: 08/13/2010 date Of Correction: 10/05/2010 |
Resident Rights Deficiencies | |||||
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Deficiency #1 |
Scope: Some 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: 08/13/2010 date Of Correction: 10/05/2010 |
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Deficiency #2 |
Scope: Few level Of Harm: 2 deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident. survey Date: 07/19/2010 date Of Correction: 09/24/2010 |
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Deficiency #3 |
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: 07/19/2010 date Of Correction: 09/24/2010 |
Quality Care Deficiencies | |||||
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Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Provide Or Obtain Dental Services For Each Resident. survey Date: 10/24/2011 date Of Correction: 11/25/2011 |
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Deficiency #2 |
Scope: Few level Of Harm: 2 deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores. survey Date: 10/24/2011 date Of Correction: 11/25/2011 |
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Deficiency #3 |
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: 10/24/2011 date Of Correction: 11/25/2011 |
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Deficiency #4 |
Scope: Few level Of Harm: 2 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 08/17/2011 date Of Correction: 09/21/2011 |
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Deficiency #5 |
Scope: Few level Of Harm: 2 deficiency: Provide Or Obtain Dental Services For Each Resident. survey Date: 08/13/2010 date Of Correction: 10/05/2010 |
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Deficiency #6 |
Scope: Few level Of Harm: 2 deficiency: Give Or Get Specialized Rehabilitative Services Per The Patient's Assessment Or Plan Of Care. survey Date: 08/13/2010 date Of Correction: 10/05/2010 |
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Deficiency #7 |
Scope: Few level Of Harm: 2 deficiency: Give Each Resident Enough Fluids To Keep Them Healthy And Prevent Dehydration. survey Date: 08/13/2010 date Of Correction: 10/05/2010 |
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Deficiency #8 |
Scope: Few level Of Harm: 2 deficiency: Make Sure That Each Resident Who Enters The Nursing Home Without A Catheter Is Not Given A Catheter, And Receive Proper Services To Prevent Urinary Tract Infections And Restore Normal Bladder Function. survey Date: 08/13/2010 date Of Correction: 10/05/2010 |
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Deficiency #9 |
Scope: Some level Of Harm: 2 deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality. survey Date: 08/13/2010 date Of Correction: 10/05/2010 |
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Deficiency #10 |
Scope: Many level Of Harm: 2 deficiency: Give Each Resident Enough Fluids To Keep Them Healthy And Prevent Dehydration. survey Date: 07/19/2010 date Of Correction: 09/24/2010 |
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Deficiency #11 |
Scope: Few level Of Harm: 2 deficiency: Make Sure That Each Resident Who Enters The Nursing Home Without A Catheter Is Not Given A Catheter, And Receive Proper Services To Prevent Urinary Tract Infections And Restore Normal Bladder Function. survey Date: 07/19/2010 date Of Correction: 09/24/2010 |
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Deficiency #12 |
Scope: Some level Of Harm: 3 deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores. survey Date: 07/19/2010 date Of Correction: 09/24/2010 |
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Deficiency #13 |
Scope: Few level Of Harm: 2 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 07/19/2010 date Of Correction: 09/24/2010 |
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Deficiency #14 |
Scope: Few level Of Harm: 2 deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality. survey Date: 07/19/2010 date Of Correction: 09/24/2010 |
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Deficiency #15 |
Scope: Few level Of Harm: 2 deficiency: Make Sure That Residents Receive Treatment/services To Not Only Continue, But Improve The Ability To Care For Themselves. survey Date: 09/10/2009 date Of Correction: 10/06/2009 |
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Deficiency #16 |
Scope: Few level Of Harm: 2 deficiency: Give Or Get Specialized Rehabilitative Services Per The Patient's Assessment Or Plan Of Care. survey Date: 05/07/2009 date Of Correction: 06/10/2009 |
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Deficiency #17 |
Scope: Few level Of Harm: 2 deficiency: Provide Medically-related Social Services To Help Each Resident Achieve The Highest Possible Quality Of Life. survey Date: 05/07/2009 date Of Correction: 06/10/2009 |
Resident Assessment Deficiencies | |||||
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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: 10/24/2011 date Of Correction: 11/25/2011 |
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Deficiency #2 |
Scope: Few level Of Harm: 2 deficiency: Review Or Revise The Resident's Care Plan After Any Major Change In A Resident's Physical Or Mental Health. survey Date: 07/19/2010 date Of Correction: 09/24/2010 |
Administration Deficiencies | |||||
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Deficiency #1 |
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: 07/19/2010 date Of Correction: 09/24/2010 |
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Deficiency #2 |
Scope: Many level Of Harm: 1 deficiency: Post Nurse Staffing Information/data On A Daily Basis. survey Date: 07/19/2010 date Of Correction: 09/24/2010 |
Pharmacy Service Deficiencies | |||||
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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: 10/24/2011 date Of Correction: 11/25/2011 |
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Deficiency #2 |
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: 08/13/2010 date Of Correction: 10/05/2010 |
Nutrition and Dietary Deficiencies | |||||
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Deficiency #1 |
Scope: Some level Of Harm: 2 deficiency: Store, Cook, And Serve Food In A Safe And Clean Way. survey Date: 08/13/2010 date Of Correction: 10/05/2010 |
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Deficiency #2 |
Scope: Few level Of Harm: 2 deficiency: Provide Special Eating Equipment And Utensils For Each Resident Who Needs Them. survey Date: 08/13/2010 date Of Correction: 10/05/2010 |
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Deficiency #3 |
Scope: Many level Of Harm: 2 deficiency: Hire Sufficient Dietary Support Personnel. survey Date: 07/19/2010 date Of Correction: 09/24/2010 |
Quality Measures Q1 | |||||
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Percent of long-stay residents who received an antipsychotic medication |
18.8 % (6.29 % lower than average)
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vs |
25.09 %
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Percent of long-stay residents whose need for help with daily activities has increased |
0.4 % (32.55 % lower than average)
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vs |
32.95 %
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Percent of long-stay residents who self-report moderate to severe pain |
32.5 % (15.84 % higher than average)
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vs |
16.66 %
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Percent of long-stay high-risk residents with pressure ulcers |
5.2 % (7.38 % lower than average)
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vs |
12.58 %
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Percent of long-stay residents who lose too much weight |
7.5 % (4.33 % lower than average)
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vs |
11.83 %
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Percent of long-stay low-risk residents who lose control of their bowels or bladder |
49.1 % (4.56 % higher than average)
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vs |
44.54 %
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Percent of long-stay residents who have had a catheter inserted and left in their bladder |
6.5 % (9.13 % lower than average)
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vs |
15.63 %
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Percent of long-stay residents with a urinary tract infection |
4.6 % (8.86 % lower than average)
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vs |
13.46 %
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Percent of long-stay residents who have depressive symptoms |
8.3 % (20.08 % lower than average)
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vs |
28.38 %
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Percent of long-stay residents who were physically restrained |
75.2 % (31.52 % higher than average)
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vs |
43.68 %
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Percent of short-stay residents who self-report moderate to severe pain |
34.6 % (9.58 % higher than average)
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vs |
25.02 %
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Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
98.7 % (14.06 % higher than average)
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vs |
84.64 %
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Percent of short-stay residents with Pressure ulcers that are new or worsened |
99 % (15.06 % higher than average)
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vs |
83.94 %
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Percent of short-stay residents who newly received an antipsychotic medication |
2.9 % (43 % lower than average)
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vs |
45.90 %
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Percent of long-stay residents experiencing one or more falls with major injury |
4.5 % (11.02 % lower than average)
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vs |
15.52 %
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Quality Measures Q3 | |||||
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Percent of long-stay residents who received an antipsychotic medication |
21.7 % (3.69 % lower than average)
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vs |
25.39 %
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Percent of long-stay residents whose need for help with daily activities has increased |
0.9 % (22.8 % lower than average)
|
vs |
23.70 %
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Percent of long-stay residents who self-report moderate to severe pain |
27 % (12.9 % higher than average)
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vs |
14.10 %
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Percent of long-stay high-risk residents with pressure ulcers |
6.2 % (3.02 % lower than average)
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vs |
9.22 %
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Percent of long-stay residents who lose too much weight |
5.5 % (3 % lower than average)
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vs |
8.50 %
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Percent of long-stay low-risk residents who lose control of their bowels or bladder |
47.7 % (4.32 % higher than average)
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vs |
43.38 %
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Percent of long-stay residents who have had a catheter inserted and left in their bladder |
6.4 % (4.25 % lower than average)
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vs |
10.65 %
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Percent of long-stay residents with a urinary tract infection |
4.8 % (4.78 % lower than average)
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vs |
9.58 %
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Percent of long-stay residents who have depressive symptoms |
6.7 % (13.16 % lower than average)
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vs |
19.86 %
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Percent of long-stay residents who were physically restrained |
0.6 % (37.93 % lower than average)
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vs |
38.53 %
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Percent of long-stay residents experiencing one or more falls with major injury |
3.2 % (7.53 % lower than average)
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vs |
10.73 %
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Percent of short-stay residents who self-report moderate to severe pain |
35.7 % (10.94 % higher than average)
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vs |
24.76 %
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Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
98.9 % (17.46 % higher than average)
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vs |
81.44 %
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Percent of short-stay residents with Pressure ulcers that are new or worsened |
98.5 % (23.75 % higher than average)
|
vs |
74.75 %
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Percent of short-stay residents who newly received an antipsychotic medication |
3.7 % (13.64 % lower than average)
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vs |
17.34 %
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