Compare with other Nursing Homes USA
Compare
Compare
| PEARL STREET HEALTH AND REHABILITATION CENTER | VS | All other Nursing Homes USA |
| Staff Information | |||||
|---|---|---|---|---|---|
| Number of Residents |
56 (35.38 lower than average)
|
vs |
91.38
|
||
| Number of RN Hours Per Resident Per Day |
0.82 (0.05 higher than average)
|
vs |
0.77
|
||
| Number of LPN/LVN Hours Per Resident Per Day |
0.74 (0.1 lower than average)
|
vs |
0.84
|
||
| Total Number of Licensed Staff Hours Per Resident Per Day |
1.56 (0.03 lower 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
|
||
| Environmental Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Many level Of Harm: 2 deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading. survey Date: 02/14/2012 date Of Correction: 03/26/2012 |
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| Deficiency #2 |
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: 02/14/2012 date Of Correction: 03/26/2012 |
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| Deficiency #3 |
Scope: Some level Of Harm: 2 deficiency: Maintain Comfortable And Safe Temperature Levels. survey Date: 02/14/2012 date Of Correction: 03/20/2012 |
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| Deficiency #4 |
Scope: Some level Of Harm: 2 deficiency: Provide A Safe, Clean, Comfortable And Homelike Environment. survey Date: 02/14/2012 date Of Correction: 03/20/2012 |
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| Deficiency #5 |
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: 08/30/2011 date Of Correction: Not Available |
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| Mistreatment Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment. survey Date: 02/14/2012 date Of Correction: 03/20/2012 |
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| Resident Rights Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Some 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: 02/14/2012 date Of Correction: 03/26/2012 |
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| 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: 06/06/2012 date Of Correction: 07/13/2012 |
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| Deficiency #2 |
Scope: Few level Of Harm: 2 deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality. survey Date: 06/06/2012 date Of Correction: 07/13/2012 |
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| Deficiency #3 |
Scope: Some 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: 02/14/2012 date Of Correction: 03/26/2012 |
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| Deficiency #4 |
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: 02/14/2012 date Of Correction: 03/26/2012 |
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| Deficiency #5 |
Scope: Few level Of Harm: 2 deficiency: Make Sure That Residents Receive Treatment/services To Not Only Continue, But Improve The Ability To Care For Themselves. survey Date: 02/14/2012 date Of Correction: 03/20/2012 |
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| Deficiency #6 |
Scope: Few level Of Harm: 2 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 02/14/2012 date Of Correction: 03/26/2012 |
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| 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: 08/30/2011 date Of Correction: Not Available |
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| Deficiency #8 |
Scope: Few level Of Harm: 2 deficiency: Provide Medically-related Social Services To Help Each Resident Achieve The Highest Possible Quality Of Life. survey Date: 08/30/2011 date Of Correction: Not Available |
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| 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: 02/14/2012 date Of Correction: 03/26/2012 |
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| 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: 02/14/2012 date Of Correction: 03/26/2012 |
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| Pharmacy Service Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Make Sure That Residents Are Safe From Serious Medication Errors. survey Date: 06/06/2012 date Of Correction: 07/13/2012 |
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| Deficiency #2 |
Scope: Some level Of Harm: 2 deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards. survey Date: 02/14/2012 date Of Correction: 03/20/2012 |
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| Deficiency #3 |
Scope: Some level Of Harm: 2 deficiency: Keep The Rate Of Medication Errors (wrong Drug, Wrong Dose, Wrong Time) To Less Than 5%. survey Date: 02/14/2012 date Of Correction: 03/26/2012 |
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| Deficiency #4 |
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: 02/14/2012 date Of Correction: 03/26/2012 |
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| Deficiency #5 |
Scope: Few level Of Harm: 2 deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist. survey Date: 08/30/2011 date Of Correction: Not Available |
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| Nutrition and Dietary Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Some level Of Harm: 2 deficiency: Prepare Food That Is Nutritional, Appetizing, Tasty, Attractive, Well-cooked, And At The Right Temperature. survey Date: 02/14/2012 date Of Correction: 03/20/2012 |
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| Quality Measures Q1 | |||||
|---|---|---|---|---|---|
| Percent of long-stay residents who received an antipsychotic medication |
10.9 % (14.19 % lower than average)
|
vs |
25.09 %
|
||
| Percent of long-stay residents whose need for help with daily activities has increased |
1.3 % (31.65 % lower than average)
|
vs |
32.95 %
|
||
| 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 |
8.7 % (3.13 % lower than average)
|
vs |
11.83 %
|
||
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
64.5 % (19.96 % higher than average)
|
vs |
44.54 %
|
||
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
7.3 % (8.33 % lower than average)
|
vs |
15.63 %
|
||
| Percent of long-stay residents with a urinary tract infection |
4.3 % (9.16 % lower than average)
|
vs |
13.46 %
|
||
| Percent of long-stay residents who have depressive symptoms |
6.4 % (21.98 % lower than average)
|
vs |
28.38 %
|
||
| Percent of long-stay residents who were physically restrained |
2.1 % (41.58 % lower than average)
|
vs |
43.68 %
|
||
| Percent of short-stay residents who self-report moderate to severe pain |
25 % (0.02 % lower than average)
|
vs |
25.02 %
|
||
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
81 % (3.64 % lower than average)
|
vs |
84.64 %
|
||
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
79.3 % (4.64 % 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 |
2.1 % (13.42 % lower than average)
|
vs |
15.52 %
|
||
| Quality Measures Q3 | |||||
|---|---|---|---|---|---|
| Percent of long-stay residents who received an antipsychotic medication | 9.4 / 10.4 % | ||||
| Percent of long-stay residents whose need for help with daily activities has increased |
4.6 % (19.1 % lower than average)
|
vs |
23.70 %
|
||
| Percent of long-stay residents who self-report moderate to severe pain |
24.4 % (10.3 % higher than average)
|
vs |
14.10 %
|
||
| Percent of long-stay high-risk residents with pressure ulcers |
75.2 % (65.98 % higher than average)
|
vs |
9.22 %
|
||
| Percent of long-stay residents who lose too much weight |
7 % (1.5 % lower than average)
|
vs |
8.50 %
|
||
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
66.7 % (23.32 % higher than average)
|
vs |
43.38 %
|
||
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
3.9 % (6.75 % lower than average)
|
vs |
10.65 %
|
||
| Percent of long-stay residents with a urinary tract infection |
4.9 % (4.68 % 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 |
0.7 % (37.83 % lower than average)
|
vs |
38.53 %
|
||
| Percent of long-stay residents experiencing one or more falls with major injury |
4.2 % (6.53 % lower than average)
|
vs |
10.73 %
|
||
| Percent of short-stay residents who self-report moderate to severe pain |
28.6 % (3.84 % higher than average)
|
vs |
24.76 %
|
||
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
83.5 % (2.06 % higher than average)
|
vs |
81.44 %
|
||
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
77.3 % (2.55 % higher than average)
|
vs |
74.75 %
|
||
| Percent of short-stay residents who newly received an antipsychotic medication |
13 % (4.34 % lower than average)
|
vs |
17.34 %
|
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