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NATHAN HEALTH CARE CENTER

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NATHAN HEALTH CARE CENTER VS
All other Nursing Homes USA
General
City EAST SAINT LOUIS   vs 0% Nursing Homes USA have EAST SAINT LOUIS
State attribute explanation IL   vs 5% Nursing Homes USA have IL
Street 5050 SUMMIT AVENUE  
Zip Code 62205  
Phone 6188743597  
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
(1.17 lower than average)
vs
3.17

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

RN Only Star Rating
(0.17 lower than average)
vs
3.17

Number of Certified Beds
146  (37.06 higher than average)
vs
108.94

Total Number of Residents
85  (6.25 lower than average)
vs
91.25

Percent of Occupied Beds
58 % (25.65 % lower than average)
vs
83.65 %

Health Survey Date 2/24/2012  
Fire Survey Date 2/24/2012  
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? Yes  vs 1% Nursing Homes USA have Special Focus Facility?
Civil Money Penalty Count
(53.16 lower than average)
vs
58.16

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

# of deficiencies
41  (33.52 higher than average)
vs
7.48

Staff Information
Number of Residents
85  (6.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.5 - 2.0  (0.27 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.8  (0.04 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.3  (0.29 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.07  (5.42 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.07  (0.03 lower than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 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: 01/18/2011
date Of Correction: 02/23/2011 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 01/18/2011
date Of Correction: 02/23/2011 

Deficiency #3 Scope: Some
level Of Harm: 1
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 08/17/2010
date Of Correction: 09/30/2010 

Deficiency #4 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: 05/24/2010
date Of Correction: 06/02/2010 

Deficiency #5 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: 04/29/2010
date Of Correction: 06/02/2010 

Deficiency #6 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: 03/18/2010
date Of Correction: 04/14/2010 

Deficiency #7 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: 08/14/2009
date Of Correction: 09/15/2009 

Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 4
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 12/16/2010
date Of Correction: 01/07/2011 

Deficiency #2 Scope: Few
level Of Harm: 4
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: 12/16/2010
date Of Correction: 01/07/2011 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 03/18/2010
date Of Correction: 04/29/2010 

Deficiency #4 Scope: Some
level Of Harm: 4
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: 03/18/2010
date Of Correction: 04/29/2010 

Deficiency #5 Scope: Some
level Of Harm: 4
deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.
survey Date: 03/18/2010
date Of Correction: 04/29/2010 

Resident Rights Deficiencies
Deficiency #1 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: 04/29/2010
date Of Correction: 06/02/2010 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide Written Records When A Resident Is Transferred Or Discharged.
survey Date: 03/18/2010
date Of Correction: 04/29/2010 

Deficiency #3 Scope: Some
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: 03/18/2010
date Of Correction: 04/14/2010 

Quality Care Deficiencies
Deficiency #1 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: 01/18/2011
date Of Correction: 02/23/2011 

Deficiency #2 Scope: Few
level Of Harm: 3
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 04/29/2010
date Of Correction: 06/02/2010 

Deficiency #3 Scope: Many
level Of Harm: 2
deficiency: Use A Registered Nurse At Least 8 Hours A Day, 7 Days A Week.
survey Date: 03/18/2010
date Of Correction: 04/29/2010 

Deficiency #4 Scope: Many
level Of Harm: 2
deficiency: Have Enough Nurses To Care For Every Resident In A Way That Maximizes The Resident's Well Being.
survey Date: 03/18/2010
date Of Correction: 04/29/2010 

Deficiency #5 Scope: Few
level Of Harm: 3
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 03/18/2010
date Of Correction: 04/29/2010 

Deficiency #6 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 03/18/2010
date Of Correction: 04/14/2010 

Resident Assessment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.
survey Date: 12/16/2010
date Of Correction: 01/07/2011 

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: 04/29/2010
date Of Correction: 06/02/2010 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.
survey Date: 04/29/2010
date Of Correction: 06/02/2010 

Deficiency #4 Scope: Some
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: 03/18/2010
date Of Correction: 04/14/2010 

Deficiency #5 Scope: Some
level Of Harm: 2
deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.
survey Date: 03/18/2010
date Of Correction: 04/14/2010 

Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 4
deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .
survey Date: 12/16/2010
date Of Correction: 01/07/2011 

Deficiency #2 Scope: Many
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: 03/18/2010
date Of Correction: 04/29/2010 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 03/18/2010
date Of Correction: 04/29/2010 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Help The Resident In Making Transportation Arrangements To And From Radiology Services.
survey Date: 03/18/2010
date Of Correction: 04/29/2010 

Deficiency #5 Scope: Many
level Of Harm: 2
deficiency: 1) Review The Work Of Each Nurse Aide Every Year; And 2) Give Regular In-service Training Based Upon These Reviews.
survey Date: 03/18/2010
date Of Correction: 04/29/2010 

Deficiency #6 Scope: Many
level Of Harm: 2
deficiency: 1) Receive Registry Verification That A Nurse Aide Has Met The Required Training And Skills That The State Requires; And 2) Ensure Nurse Aides Receive The Required Retraining After 24 Months If Nursing Related Services Were Not Provided For Monetary Compensation
survey Date: 03/18/2010
date Of Correction: 04/29/2010 

Deficiency #7 Scope: Some
level Of Harm: 4
deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .
survey Date: 03/18/2010
date Of Correction: 04/29/2010 

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: 04/29/2010
date Of Correction: 06/02/2010 

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: 04/29/2010
date Of Correction: 06/02/2010 

Deficiency #3 Scope: Many
level Of Harm: 2
deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.
survey Date: 03/18/2010
date Of Correction: 04/29/2010 

Deficiency #4 Scope: Some
level Of Harm: 4
deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.
survey Date: 03/18/2010
date Of Correction: 06/02/2010 

Deficiency #5 Scope: Some
level Of Harm: 4
deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.
survey Date: 03/18/2010
date Of Correction: 04/29/2010 

Deficiency #6 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.
survey Date: 10/30/2009
date Of Correction: 12/01/2009 

Automatic Sprinkler Systems Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: Have An Adequate Water Supply For The Sprinkler System.
survey Date: 08/18/2009
date Of Correction: 10/01/2009 

Deficiency #2 Scope: Many
level Of Harm: 2
deficiency: Automatic Sprinkler Systems That Have Been Maintained In Working Order.
survey Date: 08/18/2009
date Of Correction: 10/01/2009 

Quality Measures Q1
Percent of long-stay residents whose need for help with daily activities has increased
6 % (26.95 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
8.3 % (8.36 % lower than average)
vs
16.66 %

Percent of long-stay residents who lose too much weight
9.1 % (2.73 % lower than average)
vs
11.83 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
6.2 % (9.43 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection 11.6:1 % 
Percent of long-stay residents who have depressive symptoms
75.2 % (46.82 % higher than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
6.5 % (37.18 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
32 % (6.98 % higher than average)
vs
25.02 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
55.6 % (28.34 % lower than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
(42.9 lower than average)
vs
45.90

Percent of long-stay residents experiencing one or more falls with major injury
75.2 % (59.68 % higher than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
25 % (0.39 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
1.9 % (21.8 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
5.3 % (8.8 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers 10.7:1 % 
Percent of long-stay residents who lose too much weight 12.1:1 % 
Percent of long-stay low-risk residents who lose control of their bowels or bladder
15.5 % (27.88 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.4 % (7.25 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
8.8 % (0.78 % lower than average)
vs
9.58 %

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
5.3 % (33.23 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
75.2 % (64.47 % higher than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
31 % (6.24 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
50 % (31.44 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
6.7 % (68.05 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
15.6 % (1.74 % lower than average)
vs
17.34 %



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