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PILGRIM MANOR GUEST CARE CENTER, LLC

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PILGRIM MANOR GUEST CARE CENTER, LLC VS
All other Nursing Homes USA
General
City BOSSIER CITY   vs 0% Nursing Homes USA have BOSSIER CITY
State attribute explanation LA   vs 1.8% Nursing Homes USA have LA
Street 1524 DOCTORS DRIVE  
Zip Code 71111  
Phone 3187421623  
Overall Star Rating
(0.89 higher than average)
vs
3.11

Health Inspections Star Rating
(2.17 higher than average)
vs
2.83

Nurse Staffing Star Rating
(2.17 lower than average)
vs
3.17

Quality Measures Star Rating
(0.31 lower than average)
vs
3.31

RN Only Star Rating
(2.17 lower than average)
vs
3.17

Number of Certified Beds
153  (44.06 higher than average)
vs
108.94

Total Number of Residents
141  (49.75 higher than average)
vs
91.25

Percent of Occupied Beds
92 % (8.35 % higher than average)
vs
83.65 %

Health Survey Date 2/9/2012  
Fire Survey Date 2/8/2012  
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 For Profit - Corporation  vs 56.7% Nursing Homes USA have For profit - Corporation
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? Yes  vs 31.3% Nursing Homes USA 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
(0.52 higher than average)
vs
7.48

Staff Information
Number of Residents
141  (49.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.27  (0.5 lower 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
1.02  (0.57 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.08  (5.41 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.08  (0.02 lower than 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: 04/08/2009
date Of Correction: 05/22/2009 

Resident Rights Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Listen To The Resident Or Family Groups Or Act On Their Complaints Or Suggestions.
survey Date: 09/23/2009
date Of Correction: 11/07/2009 

Deficiency #2 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: 09/23/2009
date Of Correction: 11/07/2009 

Deficiency #3 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: 06/04/2009
date Of Correction: 07/19/2009 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 09/23/2009
date Of Correction: 11/07/2009 

Resident Assessment Deficiencies
Deficiency #1 Scope: Some
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: 04/08/2009
date Of Correction: 05/22/2009 

Administration Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Make Sure That Nurse Aides Show They Have The Skills And Techniques To Be Able To Care For Residents' Needs.
survey Date: 06/04/2009
date Of Correction: 07/19/2009 

Deficiency #2 Scope: Many
level Of Harm: 2
deficiency: 1) Review The Work Of Each Nurse Aide Every Year; And 2) Give Regular In-service Training Based Upon These Reviews.
survey Date: 04/08/2009
date Of Correction: 05/22/2009 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
16.9-24 % (8.19 % lower than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
4.7 % (28.25 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
11.4 % (5.26 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
4.3 % (8.28 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
9.2 % (2.63 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
37.7 % (6.84 % lower than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
2.1 % (13.53 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
7.6 % (5.86 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
16.8 % (11.58 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
3.8 % (39.88 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
10.5 % (14.52 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
55.8 % (28.84 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
63.5 % (20.44 % 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
2.3 % (13.22 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
18.3 % (7.09 % lower than average)
vs
25.39 %

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
11.3 % (2.8 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
7.8 % (1.42 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight 10.1:1 % 
Percent of long-stay low-risk residents who lose control of their bowels or bladder
36.1 % (7.28 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
2 % (8.65 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
10.9 % (1.32 % higher than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
15.7 % (4.16 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
6.5 % (32.03 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
1.50 % (9.23 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
15.1 % (9.66 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
65.9 % (15.54 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
67.7 % (7.05 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
5.7 % (11.64 % lower than average)
vs
17.34 %



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