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NORTHERN LIGHTS HCC

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NORTHERN LIGHTS HCC VS
All other Nursing Homes USA
General
City WASHBURN   vs 0% Nursing Homes USA have WASHBURN
State attribute explanation WI   vs 2.5% Nursing Homes USA have WI
Street 706 BRATLEY DR  
Zip Code 54891  
Phone 7153735621  
Overall Star Rating
(0.89 higher than average)
vs
3.11

Health Inspections Star Rating
(1.17 higher than average)
vs
2.83

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

Quality Measures Star Rating
(0.69 higher than average)
vs
3.31

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

Number of Certified Beds
65  (43.94 lower than average)
vs
108.94

Total Number of Residents
64  (27.25 lower than average)
vs
91.25

Percent of Occupied Beds
98 % (14.35 % higher than average)
vs
83.65 %

Health Survey Date 6/2/2011  
Fire Survey Date 6/15/2011  
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 Non Profit - Corporation  vs 18.7% Nursing Homes USA have Non 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
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
(2.48 lower than average)
vs
7.48

Staff Information
Number of Residents
58  (33.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.99  (0.22 higher than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.28  (0.56 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.26  (0.33 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.23  (5.26 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.23  (0.13 higher than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 4
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 04/27/2009
date Of Correction: 06/02/2009 

Resident Rights Deficiencies
Deficiency #1 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: 04/27/2009
date Of Correction: 06/02/2009 

Resident Assessment Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Make Sure Each Resident Receives An Accurate Assessment By A Qualified Health Professional.
survey Date: 04/27/2009
date Of Correction: 06/11/2009 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Review Or Revise The Resident's Care Plan After Any Major Change In A Resident's Physical Or Mental Health.
survey Date: 04/27/2009
date Of Correction: 06/11/2009 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Assess The Resident When The Resident Enters The Nursing Home, In A Timely Manner.
survey Date: 04/27/2009
date Of Correction: 06/11/2009 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
12.2 % (12.89 % lower than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
1.9 % (31.05 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
23.6 % (6.94 % higher than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers 11.8:1 % 
Percent of long-stay residents who lose too much weight
18.8 % (6.97 % higher than average)
vs
11.83 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
2.20 % (13.43 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
8.3 % (5.16 % 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
75.2 % (31.52 % higher than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
24.2 % (0.82 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
94 % (9.36 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
88 % (4.06 % 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
8.2 % (7.32 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
14 % (11.39 % 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
14.8 % (0.7 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers 9.4 / 10.4 % 
Percent of long-stay residents who lose too much weight
11.7 % (3.2 % higher than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
36.6 % (6.78 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
0.7 % (9.95 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
5.2 % (4.38 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
5.1 % (14.76 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
0.6 % (37.93 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
4.5 % (6.23 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
20 % (4.76 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
82.9 % (1.46 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
82.7 % (7.95 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication 17.1:1 % 


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