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OAKRIDGE GARDENS NUR CTR, INC

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OAKRIDGE GARDENS NUR CTR, INC VS
All other Nursing Homes USA
General
City MENASHA   vs 0% Nursing Homes USA have MENASHA
State attribute explanation WI   vs 2.5% Nursing Homes USA have WI
Street 1700 MIDWAY RD  
Zip Code 54952  
Phone 9207390111  
Overall Star Rating
(0.11 lower than average)
vs
3.11

Health Inspections Star Rating
(0.83 lower than average)
vs
2.83

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

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

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

Number of Certified Beds
111  (2.06 higher than average)
vs
108.94

Total Number of Residents
95  (3.75 higher than average)
vs
91.25

Percent of Occupied Beds
86 % (2.35 % higher than average)
vs
83.65 %

Health Survey Date 7/11/2012  
Fire Survey Date 7/10/2012  
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? 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
95  (3.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.84  (0.07 higher than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.49  (0.35 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.33  (0.26 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.15  (5.34 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.15  (0.05 higher 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: 02/27/2012
date Of Correction: 03/27/2012 

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: 02/27/2012
date Of Correction: 03/27/2012 

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: 10/25/2011
date Of Correction: 11/25/2011 

Administration Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 1
deficiency: 1) Review The Work Of Each Nurse Aide Every Year; And 2) Give Regular In-service Training Based Upon These Reviews.
survey Date: 06/22/2010
date Of Correction: 07/22/2010 

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: 02/27/2012
date Of Correction: 03/27/2012 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
8.7 % (16.39 % lower than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
1.8 % (31.15 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
9.3 % (7.36 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
4.5 % (8.08 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
10 % (1.83 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
53.1 % (8.56 % higher than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.4 % (11.23 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
11.3 % (2.16 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
2.5 % (25.88 % 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
18.7 % (6.32 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
66.7 % (17.94 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
77.1 % (6.84 % lower 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
4.9 % (10.62 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
9.1 % (16.29 % 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
13.8 % (0.3 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
4.3 % (4.92 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
7.1 % (1.4 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
51.5 % (8.12 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.4 % (6.25 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
11.7 % (2.12 % higher than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
1.7 % (18.16 % 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
4.5 % (6.23 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
24.5 % (0.26 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
60.2 % (21.24 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
78.8 % (4.05 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
3.8 % (13.54 % lower than average)
vs
17.34 %



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