Compare with other Nursing Homes USA
Compare
Compare
| N M HOLDERMAN MEMORIAL HOSPITAL - SNF | VS | All other Nursing Homes USA |
| Staff Information | |||||
|---|---|---|---|---|---|
| Number of Residents |
329 (237.62 higher than average)
|
vs |
91.38
|
||
| Number of RN Hours Per Resident Per Day |
1.28 (0.51 higher than average)
|
vs |
0.77
|
||
| Number of LPN/LVN Hours Per Resident Per Day |
0.5 - 2.0 (0.34 lower than average)
|
vs |
0.84
|
||
| Total Number of Licensed Staff Hours Per Resident Per Day |
1.78 (0.19 higher than average)
|
vs |
1.59
|
||
| Number of CNA Hours Per Resident Per Day |
0.01 (5.48 lower than average)
|
vs |
5.49
|
||
| Number Therapy Hours Per Resident Per Day |
0.01 (0.09 lower than 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: 09/02/2009 date Of Correction: 10/23/2009 |
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| Deficiency #2 |
Scope: Some level Of Harm: 2 deficiency: Provide Housekeeping And Maintenance Services. survey Date: 07/28/2009 date Of Correction: 08/12/2009 |
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| 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: 03/23/2012 date Of Correction: Not Available |
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| Resident Rights Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident. survey Date: 09/01/2009 date Of Correction: Not Available |
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| Deficiency #2 |
Scope: Few level Of Harm: 2 deficiency: Provide Enough Notice Before Discharging Or Transferring A Resident. survey Date: 09/01/2009 date Of Correction: Not Available |
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| Quality Care Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Some level Of Harm: 1 deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality. survey Date: 06/13/2012 date Of Correction: Not Available |
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| Deficiency #2 |
Scope: Few level Of Harm: 2 deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality. survey Date: 03/23/2012 date Of Correction: Not Available |
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| Resident Assessment Deficiencies | |||||
|---|---|---|---|---|---|
| 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: 09/02/2009 date Of Correction: 10/23/2009 |
||||
| Deficiency #2 |
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: 09/01/2009 date Of Correction: Not Available |
||||
| Quality Measures Q1 | |||||
|---|---|---|---|---|---|
| Percent of long-stay residents who received an antipsychotic medication |
20.2 (68.4) % (4.89 % 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 |
16.2 % (0.46 % lower than average)
|
vs |
16.66 %
|
||
| Percent of long-stay high-risk residents with pressure ulcers |
5.3 % (7.28 % lower than average)
|
vs |
12.58 %
|
||
| Percent of long-stay residents who lose too much weight |
6.1 % (5.73 % lower than average)
|
vs |
11.83 %
|
||
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
28.4 % (16.14 % lower than average)
|
vs |
44.54 %
|
||
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
2 % (13.63 % lower than average)
|
vs |
15.63 %
|
||
| Percent of long-stay residents with a urinary tract infection |
5.4 % (8.06 % lower than average)
|
vs |
13.46 %
|
||
| Percent of long-stay residents who have depressive symptoms |
4 % (24.38 % lower than average)
|
vs |
28.38 %
|
||
| Percent of long-stay residents who were physically restrained |
1.3 % (42.38 % lower than average)
|
vs |
43.68 %
|
||
| Percent of short-stay residents who self-report moderate to severe pain |
31.1 % (6.08 % higher than average)
|
vs |
25.02 %
|
||
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
90.5 % (5.86 % higher than average)
|
vs |
84.64 %
|
||
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
98.8 % (14.86 % 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 |
3.3 % (12.22 % lower than average)
|
vs |
15.52 %
|
||
| Quality Measures Q3 | |||||
|---|---|---|---|---|---|
| Percent of long-stay residents who received an antipsychotic medication |
18.6 (65.5) % (6.79 % lower than average)
|
vs |
25.39 %
|
||
| Percent of long-stay residents whose need for help with daily activities has increased |
0.8 % (22.9 % lower than average)
|
vs |
23.70 %
|
||
| Percent of long-stay residents who self-report moderate to severe pain |
13.7 % (0.4 % lower than average)
|
vs |
14.10 %
|
||
| Percent of long-stay high-risk residents with pressure ulcers |
5.7 % (3.52 % lower than average)
|
vs |
9.22 %
|
||
| Percent of long-stay residents who lose too much weight |
6 % (2.5 % lower than average)
|
vs |
8.50 %
|
||
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
26.7 % (16.68 % lower than average)
|
vs |
43.38 %
|
||
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
3.2 % (7.45 % lower than average)
|
vs |
10.65 %
|
||
| Percent of long-stay residents with a urinary tract infection |
7.1 % (2.48 % lower than average)
|
vs |
9.58 %
|
||
| Percent of long-stay residents who have depressive symptoms |
5 % (14.86 % lower than average)
|
vs |
19.86 %
|
||
| Percent of long-stay residents who were physically restrained |
0.7 % (37.83 % lower than average)
|
vs |
38.53 %
|
||
| Percent of long-stay residents experiencing one or more falls with major injury |
4.6 % (6.13 % lower than average)
|
vs |
10.73 %
|
||
| Percent of short-stay residents who self-report moderate to severe pain |
34.5 % (9.74 % higher than average)
|
vs |
24.76 %
|
||
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
90.1 % (8.66 % higher than average)
|
vs |
81.44 %
|
||
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
95.3 % (20.55 % higher than average)
|
vs |
74.75 %
|
||
| Percent of short-stay residents who newly received an antipsychotic medication |
23.9 % (6.56 % higher than average)
|
vs |
17.34 %
|
||