Compare with other Nursing Homes USA
Compare
Compare
| MOUNTAIN VIEW MANOR | VS | All other Nursing Homes USA |
| Staff Information | |||||
|---|---|---|---|---|---|
| Number of Residents |
66 (25.38 lower than average)
|
vs |
91.38
|
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| Number of RN Hours Per Resident Per Day |
0.74 (0.03 lower than average)
|
vs |
0.77
|
||
| Number of LPN/LVN Hours Per Resident Per Day |
0.67 (0.17 lower than average)
|
vs |
0.84
|
||
| Total Number of Licensed Staff Hours Per Resident Per Day |
1.41 (0.18 lower than average)
|
vs |
1.59
|
||
| Number of CNA Hours Per Resident Per Day |
0.09 (5.4 lower than average)
|
vs |
5.49
|
||
| Number Therapy Hours Per Resident Per Day |
0.09 (0.01 lower than average)
|
vs |
0.10
|
||
| Environmental Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Many level Of Harm: 2 deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading. survey Date: 11/20/2009 date Of Correction: Not Available |
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| 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: 09/15/2009 date Of Correction: 01/21/2010 |
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| Mistreatment Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others. survey Date: 04/06/2012 date Of Correction: 04/30/2012 |
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| Deficiency #2 |
Scope: Few level Of Harm: 2 deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property. survey Date: 11/20/2009 date Of Correction: 01/21/2010 |
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| Deficiency #3 |
Scope: Few level Of Harm: 3 deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others. survey Date: 11/20/2009 date Of Correction: 01/21/2010 |
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| Deficiency #4 |
Scope: Few level Of Harm: 2 deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment. survey Date: 11/20/2009 date Of Correction: 01/21/2010 |
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| Deficiency #5 |
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: 06/09/2009 date Of Correction: 06/23/2009 |
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| Resident Rights Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Provide Enough Notice Before Discharging Or Transferring A Resident. survey Date: 03/03/2011 date Of Correction: 05/13/2011 |
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| Deficiency #2 |
Scope: Few level Of Harm: 2 deficiency: Keep Each Resident's Personal And Medical Records Private And Confidential. survey Date: 03/03/2011 date Of Correction: 05/13/2011 |
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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: 03/03/2011 date Of Correction: 05/13/2011 |
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| Deficiency #4 |
Scope: Few level Of Harm: 2 deficiency: Tell The Resident Completely About His Or Her Health Status, Care And Treatments. survey Date: 03/03/2011 date Of Correction: 05/13/2011 |
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| Deficiency #5 |
Scope: Few 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: 11/20/2009 date Of Correction: 01/21/2010 |
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| Deficiency #6 |
Scope: Few level Of Harm: 2 deficiency: Keep Each Resident's Personal And Medical Records Private And Confidential. survey Date: 11/20/2009 date Of Correction: 01/21/2010 |
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| Deficiency #7 |
Scope: Few level Of Harm: 3 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: 09/15/2009 date Of Correction: 01/21/2010 |
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| Deficiency #8 |
Scope: Few 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: 06/09/2009 date Of Correction: 06/23/2009 |
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| Quality Care Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
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: 03/03/2011 date Of Correction: 05/13/2011 |
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| Deficiency #2 |
Scope: Few level Of Harm: 2 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 03/03/2011 date Of Correction: 05/13/2011 |
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| Deficiency #3 |
Scope: Few level Of Harm: 2 deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality. survey Date: 03/03/2011 date Of Correction: 05/13/2011 |
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| Deficiency #4 |
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: 03/03/2011 date Of Correction: 05/13/2011 |
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| Deficiency #5 |
Scope: Some level Of Harm: 2 deficiency: Provide Activities To Meet The Interests And Needs Of Each Resident. survey Date: 03/03/2011 date Of Correction: 05/13/2011 |
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| Deficiency #6 |
Scope: Few level Of Harm: 2 deficiency: Properly Care For Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, And Prostheses. survey Date: 11/20/2009 date Of Correction: 01/21/2010 |
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| Deficiency #7 |
Scope: Few level Of Harm: 2 deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So. survey Date: 11/20/2009 date Of Correction: 01/21/2010 |
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| Deficiency #8 |
Scope: Few level Of Harm: 3 deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores. survey Date: 11/20/2009 date Of Correction: 01/21/2010 |
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| Deficiency #9 |
Scope: Some level Of Harm: 2 deficiency: Provide Activities To Meet The Interests And Needs Of Each Resident. survey Date: 11/20/2009 date Of Correction: 01/21/2010 |
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| Deficiency #10 |
Scope: Few level Of Harm: 2 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 09/15/2009 date Of Correction: 01/21/2010 |
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| Deficiency #11 |
Scope: Few level Of Harm: 2 deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality. survey Date: 09/15/2009 date Of Correction: 01/21/2010 |
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| Deficiency #12 |
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: 09/15/2009 date Of Correction: 01/21/2010 |
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| Resident Assessment Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Make Sure That Doctors Visit Residents Regularly, As Required. survey Date: 03/03/2011 date Of Correction: 05/13/2011 |
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| Deficiency #2 |
Scope: Few level Of Harm: 2 deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan. survey Date: 03/03/2011 date Of Correction: 05/13/2011 |
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| Administration Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards. survey Date: 03/03/2011 date Of Correction: 05/13/2011 |
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| 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: 11/20/2009 date Of Correction: 01/21/2010 |
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| Deficiency #3 |
Scope: Some level Of Harm: 1 deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards. survey Date: 11/20/2009 date Of Correction: 01/21/2010 |
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| Pharmacy Service Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards. survey Date: 03/03/2011 date Of Correction: 05/13/2011 |
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| Deficiency #2 |
Scope: Few level Of Harm: 2 deficiency: At Least Once A Month, Have A Licensed Pharmacist Review Each Resident's Medication(s) And Report Any Irregularities To The Attending Doctor. survey Date: 03/03/2011 date Of Correction: 05/13/2011 |
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| Deficiency #3 |
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: 03/03/2011 date Of Correction: 05/13/2011 |
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| Deficiency #4 |
Scope: Some level Of Harm: 2 deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards. survey Date: 11/20/2009 date Of Correction: 01/21/2010 |
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| Nutrition and Dietary Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Many level Of Harm: 2 deficiency: Store, Cook, And Serve Food In A Safe And Clean Way. survey Date: 11/20/2009 date Of Correction: 01/21/2010 |
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| Quality Measures Q1 | |||||
|---|---|---|---|---|---|
| Percent of long-stay residents who received an antipsychotic medication |
20.8 % (4.29 % lower than average)
|
vs |
25.09 %
|
||
| Percent of long-stay residents whose need for help with daily activities has increased |
0.8 % (32.15 % lower than average)
|
vs |
32.95 %
|
||
| Percent of long-stay residents who self-report moderate to severe pain |
18.7 % (2.04 % higher than average)
|
vs |
16.66 %
|
||
| Percent of long-stay residents who lose too much weight |
3.8 % (8.03 % 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 | 7.9:1 % | ||||
| Percent of long-stay residents with a urinary tract infection |
3.8 % (9.66 % lower than average)
|
vs |
13.46 %
|
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| Percent of long-stay residents who have depressive symptoms |
21.3 % (7.08 % lower than average)
|
vs |
28.38 %
|
||
| Percent of long-stay residents who were physically restrained |
75.2 % (31.52 % higher than average)
|
vs |
43.68 %
|
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| Percent of short-stay residents who self-report moderate to severe pain |
57.5 % (32.48 % higher than average)
|
vs |
25.02 %
|
||
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
98.5 % (13.86 % higher than average)
|
vs |
84.64 %
|
||
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
96.8 % (12.86 % 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 |
1.9 % (13.62 % lower than average)
|
vs |
15.52 %
|
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| Quality Measures Q3 | |||||
|---|---|---|---|---|---|
| Percent of long-stay residents who received an antipsychotic medication |
17 % (8.39 % lower than average)
|
vs |
25.39 %
|
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| Percent of long-stay residents whose need for help with daily activities has increased |
1.3 % (22.4 % lower than average)
|
vs |
23.70 %
|
||
| Percent of long-stay residents who self-report moderate to severe pain |
22.8 % (8.7 % higher than average)
|
vs |
14.10 %
|
||
| Percent of long-stay high-risk residents with pressure ulcers |
5.3 % (3.92 % lower than average)
|
vs |
9.22 %
|
||
| Percent of long-stay residents who lose too much weight |
5.4 % (3.1 % 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 | 13.9 / 15.3 % | ||||
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
9.2 % (1.45 % lower than average)
|
vs |
10.65 %
|
||
| Percent of long-stay residents with a urinary tract infection |
3.4 % (6.18 % lower than average)
|
vs |
9.58 %
|
||
| Percent of long-stay residents who have depressive symptoms |
18.9 % (0.96 % lower than average)
|
vs |
19.86 %
|
||
| Percent of long-stay residents who were physically restrained |
75.2 % (36.67 % higher than average)
|
vs |
38.53 %
|
||
| Percent of long-stay residents experiencing one or more falls with major injury |
1.3 % (9.43 % lower than average)
|
vs |
10.73 %
|
||
| Percent of short-stay residents who self-report moderate to severe pain |
52.2 % (27.44 % higher than average)
|
vs |
24.76 %
|
||
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
98.4 % (16.96 % higher than average)
|
vs |
81.44 %
|
||
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
98.1 % (23.35 % higher than average)
|
vs |
74.75 %
|
||
| Percent of short-stay residents who newly received an antipsychotic medication |
19.8 % (2.46 % higher than average)
|
vs |
17.34 %
|
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