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MOUNTAIN MANOR OF PAINTSVILLE

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MOUNTAIN MANOR OF PAINTSVILLE VS
All other Nursing Homes USA
General
City PAINTSVILLE   vs 0% Nursing Homes USA have PAINTSVILLE
State attribute explanation KY   vs 1.8% Nursing Homes USA have KY
Street 1025 EUCLID AVENUE  
Zip Code 41240  
Phone 6067895808  
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
(0.83 higher than average)
vs
3.17

Quality Measures Star Rating
(2.31 lower than average)
vs
3.31

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

Number of Certified Beds
126  (17.06 higher than average)
vs
108.94

Total Number of Residents
117  (25.75 higher than average)
vs
91.25

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

Health Survey Date 1/6/2012  
Fire Survey Date 1/5/2012  
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? No  vs 45.1% Nursing Homes USA don't 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? 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
(55.16 lower than average)
vs
58.16

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

# of deficiencies
14  (6.52 higher than average)
vs
7.48

Staff Information
Number of Residents
117  (25.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.8  (0.03 higher than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.68  (0.16 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.48  (0.11 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: 01/06/2012
date Of Correction: 02/03/2012 

Deficiency #2 Scope: Few
level Of Harm: 4
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 11/03/2010
date Of Correction: 12/07/2010 

Deficiency #3 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: 06/03/2010
date Of Correction: 07/18/2010 

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: 11/03/2010
date Of Correction: 12/07/2010 

Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Tell The Resident Or The Resident's Representative In Writing How Long The Nursing Home Will Hold The Resident's Bed.
survey Date: 11/22/2011
date Of Correction: 01/06/2012 

Deficiency #2 Scope: Few
level Of Harm: 4
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: 11/03/2010
date Of Correction: 12/07/2010 

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: 01/06/2012
date Of Correction: 02/03/2012 

Deficiency #2 Scope: Few
level Of Harm: 3
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 01/06/2012
date Of Correction: 02/03/2012 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Give The Right Treatment And Services To Residents Who Have Mental Or Psychosocial Problems Adjusting.
survey Date: 02/14/2011
date Of Correction: 03/30/2011 

Deficiency #4 Scope: Few
level Of Harm: 4
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 11/03/2010
date Of Correction: 12/07/2010 

Deficiency #5 Scope: Few
level Of Harm: 3
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 06/03/2010
date Of Correction: 07/18/2010 

Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 4
deficiency: Set Up An Ongoing Quality Assessment And Assurance Group To Review Quality Deficiencies Quarterly, And Develop Corrective Plans Of Action.
survey Date: 11/03/2010
date Of Correction: 12/07/2010 

Deficiency #2 Scope: Few
level Of Harm: 4
deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .
survey Date: 11/03/2010
date Of Correction: 12/07/2010 

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: 11/03/2010
date Of Correction: 12/07/2010 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
18.4 % (6.69 % lower than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
4.4 % (28.55 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
29.8 % (13.14 % higher than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
11 % (1.58 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
5.9 % (5.93 % lower than average)
vs
11.83 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
11.1 % (4.53 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
8.8 % (4.66 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
2 % (26.38 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
3.9 % (39.78 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
51.7 % (26.68 % higher than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
86.5 % (1.86 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
87 % (3.06 % 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
2 % (13.52 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
14.6 % (10.79 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
3.2 % (20.5 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
29.1 % (15 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
8 % (1.22 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight 8.1 / 8.8 % 
Percent of long-stay low-risk residents who lose control of their bowels or bladder
31.3 % (12.08 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
10 % (0.65 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection 10.7:1 % 
Percent of long-stay residents who have depressive symptoms
1.6 % (18.26 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
3.2 % (35.33 % 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
48.6 % (23.84 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
86.2 % (4.76 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
80.6 % (5.85 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
4.7 % (12.64 % lower than average)
vs
17.34 %



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