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MOUNTAIN RIDGE CENTER, GENESIS HEALTHCARE

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MOUNTAIN RIDGE CENTER, GENESIS HEALTHCARE VS
All other Nursing Homes USA
General
City FRANKLIN   vs 0.1% Nursing Homes USA have FRANKLIN
State attribute explanation NH   vs 0.5% Nursing Homes USA have NH
Street 7 BALDWIN STREET  
Zip Code 3235  
Phone 6039342541  
Overall Star Rating
(0.11 lower than average)
vs
3.11

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

Nurse Staffing Star Rating
(0.83 higher than average)
vs
3.17

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

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

Number of Certified Beds
86  (22.94 lower than average)
vs
108.94

Total Number of Residents
77  (14.25 lower than average)
vs
91.25

Percent of Occupied Beds
90 % (6.35 % higher than average)
vs
83.65 %

Health Survey Date 12/29/2011  
Fire Survey Date 12/29/2011  
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 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
75.2  (17.04 higher than average)
vs
58.16

Total Enforcement Actions Count
75.2  (18.89 higher than average)
vs
56.31

# of deficiencies
(1.48 lower than average)
vs
7.48

Percent of long-stay residents experiencing one or more falls with major injury 75.2 % 
Staff Information
Number of Residents
77  (14.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
1.08  (0.31 higher than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.53  (0.31 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.61  (0.02 higher than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.14  (5.35 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.14  (0.04 higher 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: 08/16/2011
date Of Correction: 09/20/2011 

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: 12/29/2011
date Of Correction: 02/10/2012 

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: 12/29/2011
date Of Correction: 02/10/2012 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 08/16/2011
date Of Correction: 09/20/2011 

Deficiency #4 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: 08/16/2011
date Of Correction: 09/20/2011 

Deficiency #5 Scope: Few
level Of Harm: 3
deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.
survey Date: 08/16/2011
date Of Correction: 09/20/2011 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
20 % (5.09 % lower 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
15.2 % (1.46 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
6.5 % (6.08 % 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 low-risk residents who lose control of their bowels or bladder
36.7 % (7.84 % lower than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
9 % (6.63 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
6.8 % (6.66 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
1.4 % (26.98 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
2.7 % (40.98 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
25.7 % (0.68 % higher than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
91.3 % (6.66 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
93.6 % (9.66 % 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
1.4 % (14.12 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
18.8 % (6.59 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
0.6 % (23.1 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
18.8 % (4.7 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
7.2 % (2.02 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
9.1 % (0.6 % higher than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
35 % (8.38 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
10.6 % (0.05 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
7.7 % (1.88 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
2.3 % (17.56 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
1.8 % (36.73 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
3.7 % (7.03 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
25 % (0.24 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
93.7 % (12.26 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
93.1 % (18.35 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
27.5 % (10.16 % higher than average)
vs
17.34 %



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