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PAUL OLIVER MEMORIAL HOSPITAL LTCU

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PAUL OLIVER MEMORIAL HOSPITAL LTCU VS
All other Nursing Homes USA
General
City FRANKFORT   vs 0.1% Nursing Homes USA have FRANKFORT
State attribute explanation MI   vs 2.8% Nursing Homes USA have MI
Street 224 PARK AVE  
Zip Code 49635  
Phone 2313522200  
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
(1.31 lower than average)
vs
3.31

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

Number of Certified Beds
39  (69.94 lower than average)
vs
108.94

Total Number of Residents
39  (52.25 lower than average)
vs
91.25

Percent of Occupied Beds
100 % (16.35 % higher than average)
vs
83.65 %

Health Survey Date 8/11/2011  
Fire Survey Date 8/15/2011  
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
Type of Ownership Non Profit - Corporation  vs 18.7% Nursing Homes USA have Non profit - Corporation
Located Within a Hospital? Yes  vs 6.4% Nursing Homes USA 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 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
(57.16 lower than average)
vs
58.16

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

# of deficiencies
(1.48 lower than average)
vs
7.48

Staff Information
Number of Residents
39  (52.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
1.09  (0.32 higher than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.25  (0.59 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.34  (0.25 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.04  (5.45 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.04  (0.06 lower than average)
vs
0.10

Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 04/07/2010
date Of Correction: 04/30/2010 

Deficiency #2 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: 04/07/2010
date Of Correction: 04/30/2010 

Deficiency #3 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: 04/07/2010
date Of Correction: 04/30/2010 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 01/05/2010
date Of Correction: 01/22/2010 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 11/10/2009
date Of Correction: 11/25/2009 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 07/29/2009
date Of Correction: 09/11/2009 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
12.9 (55.2) % (12.19 % lower 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 lose too much weight
12.9 (55.2) % (1.07 % higher than average)
vs
11.83 %

Percent of long-stay residents with a urinary tract infection
75.2 % (61.74 % higher than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
22.6 % (5.78 % 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
28.6 % (3.58 % higher than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
96 % (11.36 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
93.5 % (9.56 % 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
6.5 % (9.02 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication 15.9:1 % 
Percent of long-stay residents whose need for help with daily activities has increased 5.6:1 % 
Percent of long-stay residents who self-report moderate to severe pain
16 % (1.9 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
8.2 % (1.02 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
11.4 % (2.9 % higher than average)
vs
8.50 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
8.3 % (2.35 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
5.7 % (3.88 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
23.9 % (4.04 % higher 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
8 % (2.73 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
31.6 % (6.84 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
98.4 % (16.96 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
90.8 % (16.05 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
1.50 % (15.84 % lower than average)
vs
17.34 %



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