Compare with other Nursing Homes USA
Compare
Compare
| OASIS PAVILION NURSING & REHABILITATION CENTER | VS | All other Nursing Homes USA |
| Staff Information | |||||
|---|---|---|---|---|---|
| Number of Residents |
90 (1.38 lower than average)
|
vs |
91.38
|
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| Number of RN Hours Per Resident Per Day |
0.93 (0.16 higher than average)
|
vs |
0.77
|
||
| Number of LPN/LVN Hours Per Resident Per Day |
1.21 (0.37 higher than average)
|
vs |
0.84
|
||
| Total Number of Licensed Staff Hours Per Resident Per Day |
2.14 (0.55 higher than average)
|
vs |
1.59
|
||
| Number of CNA Hours Per Resident Per Day |
0.09 (5.4 lower than average)
|
vs |
5.49
|
||
| Number Therapy Hours Per Resident Per Day |
0.09 (0.01 lower than average)
|
vs |
0.10
|
||
| Environmental Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading. survey Date: 02/29/2012 date Of Correction: 05/23/2012 |
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| Deficiency #2 |
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: 02/29/2012 date Of Correction: 05/23/2012 |
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| Deficiency #3 |
Scope: Some level Of Harm: 4 deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents. survey Date: 07/20/2011 date Of Correction: 09/07/2011 |
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| 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: 02/17/2011 date Of Correction: 05/05/2011 |
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| Mistreatment Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment. survey Date: 02/29/2012 date Of Correction: 05/23/2012 |
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| Deficiency #2 |
Scope: Few level Of Harm: 2 deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property. survey Date: 11/22/2011 date Of Correction: 01/04/2012 |
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| 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: 07/20/2011 date Of Correction: 09/07/2011 |
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| Deficiency #4 |
Scope: Few level Of Harm: 2 deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property. survey Date: 07/20/2011 date Of Correction: 09/07/2011 |
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| Deficiency #5 |
Scope: Few level Of Harm: 2 deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property. survey Date: 12/09/2010 date Of Correction: 02/04/2011 |
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| Deficiency #6 |
Scope: Some 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: 12/09/2010 date Of Correction: 02/04/2011 |
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| Resident Rights Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Few 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: 11/22/2011 date Of Correction: 01/04/2012 |
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| Deficiency #2 |
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: 07/20/2011 date Of Correction: 09/07/2011 |
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| Deficiency #3 |
Scope: Few level Of Harm: 2 deficiency: Give Notice To The Resident Before A Room Or Roommate Change. survey Date: 02/17/2011 date Of Correction: 05/05/2011 |
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| Deficiency #4 |
Scope: Few 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: 02/17/2011 date Of Correction: 05/05/2011 |
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| Deficiency #5 |
Scope: Few level Of Harm: 2 deficiency: Provide Enough Notice Before Discharging Or Transferring A Resident. survey Date: 02/17/2011 date Of Correction: 05/05/2011 |
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| Deficiency #6 |
Scope: Few level Of Harm: 2 deficiency: Give Each Resident A Notice Of Rights, Rules, Services And Charges. Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items And Services Medicaid Covers And Which The Resident Must Pay For. survey Date: 02/17/2011 date Of Correction: 05/05/2011 |
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| Quality Care Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Some level Of Harm: 2 deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene. survey Date: 02/29/2012 date Of Correction: 05/23/2012 |
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| 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: 02/29/2012 date Of Correction: 05/23/2012 |
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| Deficiency #3 |
Scope: Few level Of Harm: 2 deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality. survey Date: 02/29/2012 date Of Correction: 05/23/2012 |
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| Deficiency #4 |
Scope: Few level Of Harm: 2 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 07/20/2011 date Of Correction: 09/07/2011 |
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| Deficiency #5 |
Scope: Few level Of Harm: 2 deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality. survey Date: 07/20/2011 date Of Correction: 09/07/2011 |
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| Deficiency #6 |
Scope: Few level Of Harm: 3 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: 02/17/2011 date Of Correction: 05/05/2011 |
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| Deficiency #7 |
Scope: Few level Of Harm: 2 deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores. survey Date: 02/17/2011 date Of Correction: 05/05/2011 |
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| Deficiency #8 |
Scope: Few level Of Harm: 2 deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care. survey Date: 02/17/2011 date Of Correction: 05/05/2011 |
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| Deficiency #9 |
Scope: Few level Of Harm: 2 deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality. survey Date: 02/17/2011 date Of Correction: 05/05/2011 |
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| Deficiency #10 |
Scope: Some 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: 12/09/2010 date Of Correction: 02/04/2011 |
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| Deficiency #11 |
Scope: Some level Of Harm: 2 deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene. survey Date: 12/09/2010 date Of Correction: 02/04/2011 |
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| 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: 12/09/2010 date Of Correction: 02/04/2011 |
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| Deficiency #13 |
Scope: Some level Of Harm: 2 deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality. survey Date: 12/09/2010 date Of Correction: 02/04/2011 |
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| Resident Assessment Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Assess The Resident When The Resident Enters The Nursing Home, In A Timely Manner. survey Date: 07/20/2011 date Of Correction: 09/07/2011 |
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| Deficiency #2 |
Scope: Few level Of Harm: 2 deficiency: Provide Doctors Orders For The Resident's Immediate Care, At The Time The Resident Was Admitted. survey Date: 02/17/2011 date Of Correction: 05/05/2011 |
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| Deficiency #3 |
Scope: Some level Of Harm: 1 deficiency: Assess The Resident When The Resident Enters The Nursing Home, In A Timely Manner. survey Date: 12/09/2010 date Of Correction: 02/04/2011 |
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| Deficiency #4 |
Scope: Few level Of Harm: 2 deficiency: Provide Doctors Orders For The Resident's Immediate Care, At The Time The Resident Was Admitted. survey Date: 12/09/2010 date Of Correction: 02/04/2011 |
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| Administration Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
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: 02/29/2012 date Of Correction: 05/23/2012 |
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| Deficiency #2 |
Scope: Many level Of Harm: 2 deficiency: 1) Set Up A Group That Is Legally Responsible For Writing And Setting Up Policies For Leading And Running The Nursing Home; Or 2) Hire A Properly Licensed Administrator. survey Date: 02/29/2012 date Of Correction: 05/23/2012 |
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| Deficiency #3 |
Scope: Many level Of Harm: 1 deficiency: Post Nurse Staffing Information/data On A Daily Basis. survey Date: 02/29/2012 date Of Correction: 05/23/2012 |
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| Deficiency #4 |
Scope: Some 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: 07/20/2011 date Of Correction: 09/07/2011 |
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| Deficiency #5 |
Scope: Some level Of Harm: 2 deficiency: Train All Employees On What To Do In An Emergency, And Carry Out Announced Staff Drills. survey Date: 07/20/2011 date Of Correction: 09/07/2011 |
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| Deficiency #6 |
Scope: Some level Of Harm: 2 deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards. survey Date: 07/20/2011 date Of Correction: 09/07/2011 |
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| Deficiency #7 |
Scope: Many level Of Harm: 1 deficiency: Post Nurse Staffing Information/data On A Daily Basis. survey Date: 12/09/2010 date Of Correction: 02/04/2011 |
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| 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: 07/20/2011 date Of Correction: 09/07/2011 |
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| Deficiency #2 |
Scope: Some level Of Harm: 2 deficiency: Make Sure That Residents Are Safe From Serious Medication Errors. survey Date: 07/20/2011 date Of Correction: 09/07/2011 |
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| Deficiency #3 |
Scope: Some 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: 07/20/2011 date Of Correction: 09/07/2011 |
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| Deficiency #4 |
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: 12/09/2010 date Of Correction: 02/04/2011 |
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| Deficiency #5 |
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: 12/09/2010 date Of Correction: 02/04/2011 |
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| Quality Measures Q1 | |||||
|---|---|---|---|---|---|
| Percent of long-stay residents who received an antipsychotic medication |
18.5 % (6.59 % lower than average)
|
vs |
25.09 %
|
||
| Percent of long-stay residents whose need for help with daily activities has increased |
0.4 % (32.55 % lower than average)
|
vs |
32.95 %
|
||
| Percent of long-stay residents who self-report moderate to severe pain |
3.7 % (12.96 % lower than average)
|
vs |
16.66 %
|
||
| Percent of long-stay high-risk residents with pressure ulcers | 19.4:1 % | ||||
| Percent of long-stay residents who lose too much weight |
75.2 % (63.37 % higher than average)
|
vs |
11.83 %
|
||
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
6.4 % (9.23 % lower than average)
|
vs |
15.63 %
|
||
| Percent of long-stay residents with a urinary tract infection |
7.7 % (5.76 % lower than average)
|
vs |
13.46 %
|
||
| 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 |
75.2 % (31.52 % higher than average)
|
vs |
43.68 %
|
||
| Percent of short-stay residents who self-report moderate to severe pain |
9.5 % (15.52 % lower than average)
|
vs |
25.02 %
|
||
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
93.2 % (8.56 % higher than average)
|
vs |
84.64 %
|
||
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
85.8 % (1.86 % 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 |
1.8 % (13.72 % lower than average)
|
vs |
15.52 %
|
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| Quality Measures Q3 | |||||
|---|---|---|---|---|---|
| Percent of long-stay residents who received an antipsychotic medication | 19.1:1 % | ||||
| Percent of long-stay residents whose need for help with daily activities has increased |
1.50 % (22.2 % lower than average)
|
vs |
23.70 %
|
||
| Percent of long-stay residents who self-report moderate to severe pain |
7.4 % (6.7 % lower than average)
|
vs |
14.10 %
|
||
| Percent of long-stay high-risk residents with pressure ulcers |
10.6 % (1.38 % higher than average)
|
vs |
9.22 %
|
||
| Percent of long-stay residents who lose too much weight |
1.50 % (7 % lower than average)
|
vs |
8.50 %
|
||
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
17.9 (64.2) % (25.48 % lower than average)
|
vs |
43.38 %
|
||
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
2.5 % (8.15 % lower than average)
|
vs |
10.65 %
|
||
| Percent of long-stay residents with a urinary tract infection |
4.5 % (5.08 % lower than average)
|
vs |
9.58 %
|
||
| Percent of long-stay residents who have depressive symptoms |
2.4 % (17.46 % 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 |
2.1 % (8.63 % lower than average)
|
vs |
10.73 %
|
||
| Percent of short-stay residents who self-report moderate to severe pain | 14.7:1 % | ||||
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
88.1 % (6.66 % higher than average)
|
vs |
81.44 %
|
||
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
82.6 % (7.85 % higher than average)
|
vs |
74.75 %
|
||
| Percent of short-stay residents who newly received an antipsychotic medication |
23.2 % (5.86 % higher than average)
|
vs |
17.34 %
|
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