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OAK RIDGE CENTER

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OAK RIDGE CENTER VS
All other Nursing Homes USA
General
City CHARLESTON   vs 0.1% Nursing Homes USA have CHARLESTON
State attribute explanation WV   vs 0.8% Nursing Homes USA have WV
Street 1000 ASSOCIATION DRIVE  
Zip Code 25311  
Phone 3043474372  
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
(2.17 lower than average)
vs
3.17

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

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

Number of Certified Beds
74  (34.94 lower than average)
vs
108.94

Total Number of Residents
72  (19.25 lower than average)
vs
91.25

Percent of Occupied Beds
97 % (13.35 % higher than average)
vs
83.65 %

Health Survey Date 6/14/2012  
Fire Survey Date 6/12/2012  
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? 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? Yes  vs 31.3% Nursing Homes USA have Quality Indicator Survey?
Special Focus Facility? No  vs 99% Nursing Homes USA don't have Special Focus Facility?
Civil Money Penalty Count
(56.16 lower than average)
vs
58.16

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

# of deficiencies
39  (31.52 higher than average)
vs
7.48

Staff Information
Number of Residents
72  (19.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.62  (0.15 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
1.29  (0.3 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: Many
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 03/01/2012
date Of Correction: 04/17/2012 

Deficiency #2 Scope: Some
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: 03/01/2012
date Of Correction: 04/17/2012 

Deficiency #3 Scope: Some
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: 08/26/2011
date Of Correction: 10/03/2011 

Deficiency #4 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: 05/04/2011
date Of Correction: 06/28/2011 

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: 07/30/2010
date Of Correction: 08/24/2010 

Deficiency #6 Scope: Some
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 05/07/2010
date Of Correction: 06/15/2010 

Deficiency #7 Scope: Some
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: 05/07/2010
date Of Correction: 06/15/2010 

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: 03/01/2012
date Of Correction: 04/17/2012 

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: 10/18/2011
date Of Correction: 11/10/2011 

Deficiency #3 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: 07/30/2010
date Of Correction: 08/24/2010 

Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Keep Each Resident's Personal And Medical Records Private And Confidential.
survey Date: 03/01/2012
date Of Correction: 04/17/2012 

Deficiency #2 Scope: Some
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: 08/26/2011
date Of Correction: 10/03/2011 

Deficiency #3 Scope: Some
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: 07/30/2010
date Of Correction: 08/24/2010 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Give The Resident's Representative The Ability To Exercise The Resident's Rights.
survey Date: 05/07/2010
date Of Correction: 06/15/2010 

Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Try To Resolve Each Resident's Complaints Quickly.
survey Date: 01/07/2010
date Of Correction: 04/08/2010 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 03/01/2012
date Of Correction: 04/17/2012 

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: 08/26/2011
date Of Correction: 10/03/2011 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Give Proper Treatment To Residents With Feeding Tubes To Prevent Problems (such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-pharyngeal Ulcers) And Help Restore Eating Skills, If Possible.
survey Date: 05/04/2011
date Of Correction: 06/28/2011 

Deficiency #4 Scope: Few
level Of Harm: 3
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 05/04/2011
date Of Correction: 06/28/2011 

Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 05/04/2011
date Of Correction: 06/28/2011 

Deficiency #6 Scope: Some
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 05/04/2011
date Of Correction: 06/28/2011 

Deficiency #7 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: 07/30/2010
date Of Correction: 08/24/2010 

Deficiency #8 Scope: Few
level Of Harm: 3
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 07/30/2010
date Of Correction: 08/24/2010 

Deficiency #9 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: 05/27/2010
date Of Correction: 06/26/2010 

Deficiency #10 Scope: Few
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 05/27/2010
date Of Correction: 06/26/2010 

Deficiency #11 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: 05/27/2010
date Of Correction: 06/26/2010 

Deficiency #12 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 05/27/2010
date Of Correction: 06/26/2010 

Deficiency #13 Scope: Few
level Of Harm: 3
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 01/07/2010
date Of Correction: 04/08/2010 

Deficiency #14 Scope: Some
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 05/28/2009
date Of Correction: 07/03/2009 

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: 03/01/2012
date Of Correction: 04/17/2012 

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: 05/04/2011
date Of Correction: 06/28/2011 

Deficiency #3 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: 07/30/2010
date Of Correction: 08/24/2010 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.
survey Date: 07/30/2010
date Of Correction: 08/24/2010 

Administration Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 03/01/2012
date Of Correction: 05/02/2012 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Give Or Get Quality Lab Services/tests In A Timely Manner To Meet The Needs Of Residents.
survey Date: 03/01/2012
date Of Correction: 04/17/2012 

Deficiency #3 Scope: Many
level Of Harm: 2
deficiency: Operate And Provide Services According To Federal, State, And Local Laws And Professional Standards.
survey Date: 03/01/2012
date Of Correction: 04/17/2012 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 07/30/2010
date Of Correction: 08/24/2010 

Deficiency #5 Scope: Some
level Of Harm: 1
deficiency: Post Nurse Staffing Information/data On A Daily Basis.
survey Date: 07/30/2010
date Of Correction: 08/24/2010 

Deficiency #6 Scope: Few
level Of Harm: 2
deficiency: Give Or Get Quality Lab Services/tests In A Timely Manner To Meet The Needs Of Residents.
survey Date: 05/27/2010
date Of Correction: 06/26/2010 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
20.9 % (4.19 % lower than average)
vs
25.09 %

Percent of short-stay residents who newly received an antipsychotic medication
1.7 % (44.2 % lower than average)
vs
45.90 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
22.6 % (2.79 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
2 % (21.7 % lower than average)
vs
23.70 %

Percent of long-stay high-risk residents with pressure ulcers
2.7 % (6.52 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
4.4 % (4.1 % lower than average)
vs
8.50 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
75.2 % (64.55 % higher than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
12.5 % (2.92 % higher than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
75.2 % (55.34 % higher 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
4.2 % (6.53 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain 18.2:1 % 
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
84.2 % (2.76 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
94.6 % (19.85 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
37.5 % (20.16 % higher than average)
vs
17.34 %



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