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OUR LADY OF PEACE INC

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OUR LADY OF PEACE INC VS
All other Nursing Homes USA
General
Percent of short-stay residents with Pressure ulcers that are new or worsened 75.2 % 
City CHARLOTTESVILLE   vs 0% Nursing Homes USA have CHARLOTTESVILLE
State attribute explanation VA   vs 1.8% Nursing Homes USA have VA
Street 751 HILLSDALE DRIVE  
Zip Code 22901  
Phone 4349731155  
Overall Star Rating
(0.89 higher than average)
vs
3.11

Health Inspections Star Rating
(0.17 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
(0.17 lower than average)
vs
3.17

Number of Certified Beds
30  (78.94 lower than average)
vs
108.94

Total Number of Residents
28  (63.25 lower than average)
vs
91.25

Percent of Occupied Beds
93 % (9.35 % higher than average)
vs
83.65 %

Health Survey Date 7/14/2011  
Fire Survey Date 7/20/2011  
Sprinkler Status Fully Sprinklered  vs 90.2% Nursing Homes USA have Fully Sprinklered
Program Participation Medicaid  vs 3.5% Nursing Homes USA have Medicaid
Type of Ownership Non Profit - Church Related  vs 4.4% Nursing Homes USA have Non profit - Church related
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
(5.48 lower than average)
vs
7.48

Staff Information
Number of Residents
28  (63.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.49  (0.28 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
1.14  (0.3 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.63  (0.04 higher than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.1  (5.39 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.1  (equals average)
vs
0.10

Mistreatment Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 07/14/2011
date Of Correction: Not Available 

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: 07/14/2011
date Of Correction: Not Available 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
33.3 % (8.21 % higher than average)
vs
25.09 %

Percent of long-stay residents who have depressive symptoms
3.3 % (25.08 % 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 long-stay residents experiencing one or more falls with major injury
3.3 % (12.22 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
30.2 % (4.81 % higher than average)
vs
25.39 %

Percent of long-stay residents who self-report moderate to severe pain
16.9-24 % (2.8 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
2.4 % (6.82 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
2.4 % (6.1 % 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
1.2 % (8.38 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
3.5 % (16.36 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
2.3 % (36.23 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury 18.2:1 % 


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