Compare with other Nursing Homes USA
Compare
Compare
| PEABODY CARE CENTER LLC | VS | All other Nursing Homes USA |
| Staff Information | |||||
|---|---|---|---|---|---|
| Number of Residents |
38 (53.38 lower than average)
|
vs |
91.38
|
||
| Number of RN Hours Per Resident Per Day |
0.72 (0.05 lower than average)
|
vs |
0.77
|
||
| Number of LPN/LVN Hours Per Resident Per Day |
0.58 (0.26 lower than average)
|
vs |
0.84
|
||
| Total Number of Licensed Staff Hours Per Resident Per Day |
1.29 (0.3 lower than average)
|
vs |
1.59
|
||
| Number of CNA Hours Per Resident Per Day |
0.02 (5.47 lower than average)
|
vs |
5.49
|
||
| Number Therapy Hours Per Resident Per Day |
0.02 (0.08 lower than average)
|
vs |
0.10
|
||
| Environmental Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
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: 03/05/2012 date Of Correction: 03/28/2012 |
||||
| Deficiency #2 |
Scope: Some level Of Harm: 2 deficiency: Make Sure That A Working Call System Is Available In Each Resident's Room Or Bathroom And Bathing Area. survey Date: 09/21/2010 date Of Correction: 10/20/2010 |
||||
| Deficiency #3 |
Scope: Few level Of Harm: 2 deficiency: Provide Adequate And Comfortable Lighting Levels In All Areas. survey Date: 09/21/2010 date Of Correction: 10/20/2010 |
||||
| Deficiency #4 |
Scope: Few level Of Harm: 2 deficiency: Provide Housekeeping And Maintenance Services. survey Date: 09/21/2010 date Of Correction: 10/20/2010 |
||||
| Deficiency #5 |
Scope: Some level Of Harm: 2 deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading. survey Date: 06/02/2009 date Of Correction: 07/01/2009 |
||||
| Deficiency #6 |
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: 06/02/2009 date Of Correction: 07/01/2009 |
||||
| 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: 09/21/2010 date Of Correction: 10/20/2010 |
||||
| Deficiency #2 |
Scope: Few level Of Harm: 2 deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment. survey Date: 09/21/2010 date Of Correction: 10/20/2010 |
||||
| 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: 06/02/2009 date Of Correction: 06/04/2009 |
||||
| Resident Rights Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident. survey Date: 10/27/2011 date Of Correction: 11/26/2011 |
||||
| Deficiency #2 |
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: 09/21/2010 date Of Correction: 10/20/2010 |
||||
| 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: 09/21/2010 date Of Correction: 10/20/2010 |
||||
| Deficiency #4 |
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: 06/02/2009 date Of Correction: 07/01/2009 |
||||
| Quality Care Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So. survey Date: 03/05/2012 date Of Correction: 03/28/2012 |
||||
| Deficiency #2 |
Scope: Many 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: 10/27/2011 date Of Correction: 11/26/2011 |
||||
| Deficiency #3 |
Scope: Few level Of Harm: 3 deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So. survey Date: 10/27/2011 date Of Correction: 11/26/2011 |
||||
| Deficiency #4 |
Scope: Few level Of Harm: 3 deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores. survey Date: 10/27/2011 date Of Correction: 11/26/2011 |
||||
| Deficiency #5 |
Scope: Few level Of Harm: 2 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 10/27/2011 date Of Correction: 11/26/2011 |
||||
| Deficiency #6 |
Scope: Few level Of Harm: 3 deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So. survey Date: 09/21/2010 date Of Correction: 10/20/2010 |
||||
| Deficiency #7 |
Scope: Few level Of Harm: 2 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 09/21/2010 date Of Correction: 10/20/2010 |
||||
| Deficiency #8 |
Scope: Few level Of Harm: 2 deficiency: Give Each Resident Enough Fluids To Keep Them Healthy And Prevent Dehydration. survey Date: 06/02/2009 date Of Correction: 07/01/2009 |
||||
| Deficiency #9 |
Scope: Few level Of Harm: 2 deficiency: Make Sure That Each Resident Who Enters The Nursing Home Without A Catheter Is Not Given A Catheter, And Receive Proper Services To Prevent Urinary Tract Infections And Restore Normal Bladder Function. survey Date: 06/02/2009 date Of Correction: 07/01/2009 |
||||
| Deficiency #10 |
Scope: Few level Of Harm: 2 deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores. survey Date: 06/02/2009 date Of Correction: 06/22/2009 |
||||
| Deficiency #11 |
Scope: Few level Of Harm: 2 deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene. survey Date: 06/02/2009 date Of Correction: 06/22/2009 |
||||
| 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: 06/02/2009 date Of Correction: 07/01/2009 |
||||
| Deficiency #13 |
Scope: Few level Of Harm: 2 deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality. survey Date: 06/02/2009 date Of Correction: 07/01/2009 |
||||
| Resident Assessment Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
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: 10/27/2011 date Of Correction: 11/26/2011 |
||||
| Deficiency #2 |
Scope: Few level Of Harm: 2 deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured. survey Date: 09/21/2010 date Of Correction: 10/20/2010 |
||||
| Deficiency #3 |
Scope: Few level Of Harm: 2 deficiency: Make Sure Each Resident Receives An Accurate Assessment By A Qualified Health Professional. survey Date: 09/21/2010 date Of Correction: 10/20/2010 |
||||
| Deficiency #4 |
Scope: Few level Of Harm: 2 deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured. survey Date: 06/02/2009 date Of Correction: 07/01/2009 |
||||
| Deficiency #5 |
Scope: Few level Of Harm: 2 deficiency: Check And Assess Each Resident's Assessment At Least Every 3 Months. survey Date: 06/02/2009 date Of Correction: 07/01/2009 |
||||
| Deficiency #6 |
Scope: Few level Of Harm: 2 deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity. survey Date: 06/02/2009 date Of Correction: 07/01/2009 |
||||
| Administration Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Many level Of Harm: 1 deficiency: Post Nurse Staffing Information/data On A Daily Basis. survey Date: 09/21/2010 date Of Correction: 10/20/2010 |
||||
| 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: 06/02/2009 date Of Correction: 07/01/2009 |
||||
| Pharmacy Service Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
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: 03/05/2012 date Of Correction: 03/28/2012 |
||||
| Deficiency #2 |
Scope: Some level Of Harm: 2 deficiency: At Least Once A Month, Have A Licensed Pharmacist Review Each Resident's Medication(s) And Report Any Irregularities To The Attending Doctor. survey Date: 09/21/2010 date Of Correction: 10/20/2010 |
||||
| 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: 09/21/2010 date Of Correction: 10/20/2010 |
||||
| Deficiency #4 |
Scope: Many level Of Harm: 2 deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards. survey Date: 06/02/2009 date Of Correction: 06/09/2009 |
||||
| Nutrition and Dietary Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Some level Of Harm: 2 deficiency: Store, Cook, And Serve Food In A Safe And Clean Way. survey Date: 10/27/2011 date Of Correction: 11/26/2011 |
||||
| Quality Measures Q1 | |||||
|---|---|---|---|---|---|
| Percent of long-stay residents who lose too much weight |
14.3 % (2.47 % higher than average)
|
vs |
11.83 %
|
||
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
75.2 % (59.57 % higher than average)
|
vs |
15.63 %
|
||
| Percent of long-stay residents with a urinary tract infection |
11.4 % (2.06 % lower than average)
|
vs |
13.46 %
|
||
| Percent of long-stay residents who have depressive symptoms |
60 % (31.62 % higher than average)
|
vs |
28.38 %
|
||
| Percent of long-stay residents who were physically restrained |
2.9 % (40.78 % lower than average)
|
vs |
43.68 %
|
||
| Percent of long-stay residents experiencing one or more falls with major injury |
5.7 % (9.82 % lower than average)
|
vs |
15.52 %
|
||
| Quality Measures Q3 | |||||
|---|---|---|---|---|---|
| Percent of long-stay residents who received an antipsychotic medication |
40 % (14.61 % higher than average)
|
vs |
25.39 %
|
||
| Percent of long-stay residents whose need for help with daily activities has increased |
7 % (16.7 % lower than average)
|
vs |
23.70 %
|
||
| Percent of long-stay residents who self-report moderate to severe pain |
20.3 % (6.2 % higher than average)
|
vs |
14.10 %
|
||
| Percent of long-stay high-risk residents with pressure ulcers | 10.3:1 % | ||||
| Percent of long-stay residents who lose too much weight |
20.8 % (12.3 % higher than average)
|
vs |
8.50 %
|
||
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
37.5 % (5.88 % lower than average)
|
vs |
43.38 %
|
||
| 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 |
9.2 % (0.38 % lower than average)
|
vs |
9.58 %
|
||
| Percent of long-stay residents who have depressive symptoms |
37.1 % (17.24 % higher than average)
|
vs |
19.86 %
|
||
| Percent of long-stay residents who were physically restrained |
1 % (37.53 % lower than average)
|
vs |
38.53 %
|
||
| Percent of long-stay residents experiencing one or more falls with major injury | 13.9 / 15.3 % | ||||
| Percent of short-stay residents who self-report moderate to severe pain |
24.3 % (0.46 % lower than average)
|
vs |
24.76 %
|
||
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
60.9 % (20.54 % lower than average)
|
vs |
81.44 %
|
||
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
45.7 % (29.05 % lower than average)
|
vs |
74.75 %
|
||