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OUR LADYS RESIDENCE

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OUR LADYS RESIDENCE VS
All other Nursing Homes USA
General
City PLEASANTVILLE   vs 0% Nursing Homes USA have PLEASANTVILLE
State attribute explanation NJ   vs 2.4% Nursing Homes USA have NJ
Street 1100 CLEMATIS AVE  
Zip Code 8232  
Phone 6096462450  
Overall Star Rating
(1.11 lower than average)
vs
3.11

Health Inspections Star Rating
(1.83 lower 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
(0.83 higher than average)
vs
3.17

Number of Certified Beds
214  (105.06 higher than average)
vs
108.94

Total Number of Residents
185  (93.75 higher than average)
vs
91.25

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

Health Survey Date 9/21/2011  
Fire Survey Date 9/21/2011  
Sprinkler Status Partially Sprinklered  vs 8.5% Nursing Homes USA have Partially Sprinklered
Program Participation Medicare And Medicaid  vs 91.5% Nursing Homes USA have Medicare and 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? 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? 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
(57.16 lower than average)
vs
58.16

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

# of deficiencies
(5.48 lower than average)
vs
7.48

Staff Information
Number of Residents
185  (93.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.73  (0.04 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.94  (0.1 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.68  (0.09 higher 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: 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: 05/22/2012
date Of Correction: 06/29/2012 

Resident Rights Deficiencies
Deficiency #1 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: 09/24/2009
date Of Correction: 10/31/2009 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
10.2 % (14.89 % lower than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
1.1 % (31.85 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
5.5 % (11.16 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
9.7 % (2.88 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
3.2 % (8.63 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
39.1 % (5.44 % lower than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.2 % (12.43 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
5.1 % (8.36 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
21.5 % (6.88 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
1.9 % (41.78 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
24.3 % (0.72 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
89 % (4.36 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
83.3 % (0.64 % 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
1.9 % (13.62 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
11.7 % (13.69 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
0.9 % (22.8 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
6.5 % (7.6 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
7.6 % (1.62 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
3.6 % (4.9 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
48.8 % (5.42 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.7 % (6.95 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
3.4 % (6.18 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
20.5 % (0.64 % higher 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
2.7 % (8.03 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
21.6 % (3.16 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
80.9 % (0.54 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
70.8 % (3.95 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
24.4 % (7.06 % higher than average)
vs
17.34 %



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