OCEANSIDE SKILLED NURSING AND REHABILITATION

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General
City	Hampton	vs	0% Nursing Homes USA have Hampton
State attribute explanation	NH	vs	0.5% Nursing Homes USA have NH	compare NH Nursing Homes USA
Street	22 TUCK ROAD
Zip Code	3842
Phone	6039264551
Overall Star Rating	2 (1.11 lower than average)	vs	3.11	Compare similar Overall Star Rating (2)
Health Inspections Star Rating	1 (1.83 lower than average)	vs	2.83	Compare similar Health Inspections Star Rating (1)
Nurse Staffing Star Rating	4 (0.83 higher than average)	vs	3.17	Compare similar Nurse Staffing Star Rating (4)
Quality Measures Star Rating	2 (1.31 lower than average)	vs	3.31	Compare similar Quality Measures Star Rating (2)
RN Only Star Rating	4 (0.83 higher than average)	vs	3.17	Compare similar RN Only Star Rating (4)
Number of Certified Beds	117 (8.06 higher than average)	vs	108.94	Compare similar Number of Certified Beds (117)
Total Number of Residents	98 (6.75 higher than average)	vs	91.25	Compare similar Total Number of Residents (98)
Percent of Occupied Beds	84 % (0.35 % higher than average)	vs	83.65 %	Compare similar Percent of Occupied Beds (84) %
Health Survey Date	12/15/2011
Fire Survey Date	12/15/2011
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	compare Medicare and Medicaid Nursing Homes USA
Type of Ownership	For Profit - Corporation	vs	56.7% Nursing Homes USA have For profit - Corporation	compare For profit - Corporation Nursing Homes USA
Located Within a Hospital?	No	vs	93.6% Nursing Homes USA don't have Located Within a Hospital?	Compare similar 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	Both	vs	29.8% Nursing Homes USA have Both
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	2 (56.16 lower than average)	vs	58.16
Total Enforcement Actions Count	2 (54.31 lower than average)	vs	56.31
# of deficiencies	46 (38.52 higher than average)	vs	7.48

Staff Information
Number of Residents	98 (6.62 higher than average)	vs	91.38
Number of RN Hours Per Resident Per Day	0.91 (0.14 higher than average)	vs	0.77
Number of LPN/LVN Hours Per Resident Per Day	0.7 (0.14 lower than average)	vs	0.84
Total Number of Licensed Staff Hours Per Resident Per Day	1.62 (0.03 higher than average)	vs	1.59
Number of CNA Hours Per Resident Per Day	0.13 (5.36 lower than average)	vs	5.49
Number Therapy Hours Per Resident Per Day	0.13 (0.03 higher than average)	vs	0.10

Environmental Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: Provide Rooms That Are At Least 80 Square Feet Per Resident In Multiple Rooms And 100 Square Feet For Single Resident Rooms. survey Date: 01/24/2011 date Of Correction: 03/18/2011
Deficiency #2		Scope: Few 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: 01/24/2011 date Of Correction: 03/18/2011
Deficiency #3		Scope: Few level Of Harm: 2 deficiency: Provide Housekeeping And Maintenance Services. survey Date: 01/24/2011 date Of Correction: 03/18/2011
Deficiency #4		Scope: Many level Of Harm: 2 deficiency: Make Sure There Is A Pest Control Program To Prevent/deal With Mice, Insects, Or Other Pests. survey Date: 11/04/2009 date Of Correction: 12/14/2009
Deficiency #5		Scope: Many level Of Harm: 2 deficiency: Have Enough Outside Ventilation Via A Window Or Mechanical Ventilation, Or Both. survey Date: 11/04/2009 date Of Correction: 02/02/2010
Deficiency #6		Scope: Few level Of Harm: 2 deficiency: Make Sure Each Resident Has 1) At Least One Window To The Outside In A Room; 2) A Room At Or Above Ground Level; 3) Adequate Bedding; 4) Furniture That Meets The Resident's Needs; Or 5) Adequate Closet Space. survey Date: 11/04/2009 date Of Correction: 02/02/2010
Deficiency #7		Scope: Many level Of Harm: 2 deficiency: Be Designed, Built, Equipped, Or Well Kept To Protect The Health And Safety Of Residents, Workers, And The Public. survey Date: 11/04/2009 date Of Correction: 02/02/2010
Deficiency #8		Scope: Many level Of Harm: 2 deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading. survey Date: 11/04/2009 date Of Correction: 12/14/2009
Deficiency #9		Scope: Many 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: 11/04/2009 date Of Correction: 02/02/2010
Deficiency #10		Scope: Many level Of Harm: 2 deficiency: Provide Housekeeping And Maintenance Services. survey Date: 11/04/2009 date Of Correction: 02/02/2010
Deficiency #11		Scope: Many level Of Harm: 2 deficiency: Provide A Safe, Clean, Comfortable And Homelike Environment. survey Date: 11/04/2009 date Of Correction: 02/02/2010

Mistreatment Deficiencies
Deficiency #1		Scope: Few level Of Harm: 3 deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property. survey Date: 01/24/2011 date Of Correction: 04/09/2011
Deficiency #2		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: 01/24/2011 date Of Correction: 04/09/2011
Deficiency #3		Scope: Few level Of Harm: 4 deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property. survey Date: 01/24/2011 date Of Correction: 03/18/2011
Deficiency #4		Scope: Some level Of Harm: 2 deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others. survey Date: 01/24/2011 date Of Correction: 03/18/2011
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: 07/23/2009 date Of Correction: 09/04/2009
Deficiency #6		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: 07/23/2009 date Of Correction: 09/04/2009

Resident Rights Deficiencies
Deficiency #1		Scope: Few level Of Harm: 3 deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality. survey Date: 01/24/2011 date Of Correction: 03/18/2011
Deficiency #2		Scope: Few level Of Harm: 2 deficiency: Provide Access To A Telephone For Resident To Use In Private. survey Date: 01/24/2011 date Of Correction: 03/18/2011
Deficiency #3		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: 01/24/2011 date Of Correction: 03/18/2011
Deficiency #4		Scope: Few level Of Harm: 2 deficiency: Honor All Of The Resident's Rights As A Resident Of The Nursing Home, Free Of Coercion And Reprisal, And As A Citizen Or Resident Of The United States. survey Date: 01/24/2011 date Of Correction: 03/18/2011
Deficiency #5		Scope: Many level Of Harm: 1 deficiency: Let The Resident Refuse Treatment Or Refuse To Take Part In An Experiment And Formulate Advance Directives. survey Date: 12/08/2009 date Of Correction: Not Available
Deficiency #6		Scope: Many level Of Harm: 2 deficiency: Listen To The Resident Or Family Groups Or Act On Their Complaints Or Suggestions. survey Date: 11/04/2009 date Of Correction: 12/14/2009

Quality Care Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality. survey Date: 07/28/2011 date Of Correction: 09/09/2011
Deficiency #2		Scope: Few level Of Harm: 3 deficiency: Have Enough Nurses To Care For Every Resident In A Way That Maximizes The Resident's Well Being. survey Date: 01/24/2011 date Of Correction: 03/18/2011
Deficiency #3		Scope: Few level Of Harm: 2 deficiency: Develop Policies And Procedures For Influenza And Pneumococcal Immunizations. survey Date: 01/24/2011 date Of Correction: 03/18/2011
Deficiency #4		Scope: Few level Of Harm: 2 deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care. survey Date: 01/24/2011 date Of Correction: 03/18/2011
Deficiency #5		Scope: Some level Of Harm: 2 deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care. survey Date: 11/04/2009 date Of Correction: 12/14/2009
Deficiency #6		Scope: Few level Of Harm: 2 deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality. survey Date: 11/04/2009 date Of Correction: 02/02/2010

Resident Assessment Deficiencies
Deficiency #1		Scope: Some level Of Harm: 2 deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity. survey Date: 01/24/2011 date Of Correction: 03/18/2011
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: 11/04/2009 date Of Correction: 02/02/2010

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: 01/24/2011 date Of Correction: 04/09/2011
Deficiency #2		Scope: Few level Of Harm: 2 deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards. survey Date: 01/24/2011 date Of Correction: 04/09/2011
Deficiency #3		Scope: Many level Of Harm: 2 deficiency: Choose A Doctor To Serve As The Medical Director To Create Resident Care Policies And Coordinate Medical Care In The Facility. survey Date: 01/24/2011 date Of Correction: 03/18/2011
Deficiency #4		Scope: Many level Of Harm: 2 deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident . survey Date: 01/24/2011 date Of Correction: 03/18/2011
Deficiency #5		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: 11/04/2009 date Of Correction: 02/02/2010
Deficiency #6		Scope: Many level Of Harm: 2 deficiency: Have A Detailed, Written Plan For Disasters And Emergencies, Such As Fire, Severe Weather, And Missing Residents. survey Date: 11/04/2009 date Of Correction: 12/14/2009
Deficiency #7		Scope: Some level Of Harm: 2 deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards. survey Date: 11/04/2009 date Of Correction: 02/02/2010
Deficiency #8		Scope: Many level Of Harm: 1 deficiency: Post Nurse Staffing Information/data On A Daily Basis. survey Date: 11/04/2009 date Of Correction: 12/14/2009
Deficiency #9		Scope: Few level Of Harm: 2 deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards. survey Date: 07/23/2009 date Of Correction: 09/04/2009

Pharmacy Service Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: Make Sure That Residents Are Safe From Serious Medication Errors. survey Date: 07/28/2011 date Of Correction: 09/09/2011
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: 07/28/2011 date Of Correction: 09/09/2011
Deficiency #3		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: 11/04/2009 date Of Correction: 02/02/2010

Nutrition and Dietary Deficiencies
Deficiency #1		Scope: Many level Of Harm: 2 deficiency: Store, Cook, And Serve Food In A Safe And Clean Way. survey Date: 11/04/2009 date Of Correction: 12/14/2009
Deficiency #2		Scope: Many level Of Harm: 2 deficiency: Prepare Food That Is Nutritional, Appetizing, Tasty, Attractive, Well-cooked, And At The Right Temperature. survey Date: 11/04/2009 date Of Correction: 12/14/2009

Fire Alarm Systems Deficiencies
Deficiency #1		Scope: Some level Of Harm: 1 deficiency: An Approved Installation, Maintenance And Testing Program For Fire Alarm Systems. survey Date: 05/03/2010 date Of Correction: Not Available

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication	30 % (4.91 % higher than average)	vs	25.09 %
Percent of long-stay residents whose need for help with daily activities has increased	75.2 % (42.25 % higher than average)	vs	32.95 %
Percent of long-stay residents who self-report moderate to severe pain	10.3:1 %
Percent of long-stay high-risk residents with pressure ulcers	75.2 % (62.62 % higher than average)	vs	12.58 %
Percent of long-stay residents who lose too much weight	11.9 % (0.07 % higher than average)	vs	11.83 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder	5.9 % (9.73 % lower than average)	vs	15.63 %
Percent of long-stay residents with a urinary tract infection	3.6 % (9.86 % lower than average)	vs	13.46 %
Percent of long-stay residents who have depressive symptoms	17.5 % (10.88 % lower than average)	vs	28.38 %
Percent of long-stay residents who were physically restrained	1.2 % (42.48 % lower than average)	vs	43.68 %
Percent of short-stay residents who self-report moderate to severe pain	25.7 % (0.68 % higher than average)	vs	25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine	95.2 % (10.56 % higher than average)	vs	84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened	92.5 % (8.56 % higher than average)	vs	83.94 %
Percent of short-stay residents who newly received an antipsychotic medication	4.5 % (41.4 % lower than average)	vs	45.90 %
Percent of long-stay residents experiencing one or more falls with major injury	9.4 / 10.4 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication	30.3 % (4.91 % higher than average)	vs	25.39 %
Percent of long-stay residents whose need for help with daily activities has increased	0.4 % (23.3 % lower than average)	vs	23.70 %
Percent of long-stay residents who self-report moderate to severe pain	13.7 % (0.4 % lower than average)	vs	14.10 %
Percent of long-stay high-risk residents with pressure ulcers	4.2 % (5.02 % lower than average)	vs	9.22 %
Percent of long-stay residents who lose too much weight	9.8 % (1.3 % higher than average)	vs	8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder	24.7 % (18.68 % lower than average)	vs	43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder	6.1 % (4.55 % lower than average)	vs	10.65 %
Percent of long-stay residents with a urinary tract infection	4.7 % (4.88 % lower than average)	vs	9.58 %
Percent of long-stay residents who have depressive symptoms	14.5 % (5.36 % lower than average)	vs	19.86 %
Percent of long-stay residents who were physically restrained	1.50 % (37.03 % lower than average)	vs	38.53 %
Percent of long-stay residents experiencing one or more falls with major injury	6.9 % (3.83 % lower than average)	vs	10.73 %
Percent of short-stay residents who self-report moderate to severe pain	25.4 % (0.64 % higher than average)	vs	24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine	92.5 % (11.06 % higher than average)	vs	81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened	95.1 % (20.35 % higher than average)	vs	74.75 %
Percent of short-stay residents who newly received an antipsychotic medication	28.3 % (10.96 % higher than average)	vs	17.34 %