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PLEASANT VALLEY NURSING CENTER

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PLEASANT VALLEY NURSING CENTER VS
All other Nursing Homes USA
General
City DERRY   vs 0% Nursing Homes USA have DERRY
State attribute explanation NH   vs 0.5% Nursing Homes USA have NH
Street 8 PEABODY ROAD  
Zip Code 3038  
Phone 6034341566  
Overall Star Rating
(1.11 lower than average)
vs
3.11

Health Inspections Star Rating
(0.83 lower than average)
vs
2.83

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

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

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

Number of Certified Beds
112  (3.06 higher than average)
vs
108.94

Total Number of Residents
111  (19.75 higher than average)
vs
91.25

Percent of Occupied Beds
99 % (15.35 % higher than average)
vs
83.65 %

Health Survey Date 5/22/2012  
Fire Survey Date 5/22/2012  
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 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 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
(56.16 lower than average)
vs
58.16

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

# of deficiencies
29  (21.52 higher than average)
vs
7.48

Staff Information
Number of Residents
111  (19.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.86  (0.09 higher than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.53  (0.31 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.39  (0.2 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: Few
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 06/04/2010
date Of Correction: 07/30/2010 

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: 06/04/2010
date Of Correction: 07/30/2010 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.
survey Date: 06/04/2010
date Of Correction: 07/30/2010 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 06/04/2009
date Of Correction: 07/10/2009 

Deficiency #5 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: 06/04/2009
date Of Correction: 07/10/2009 

Resident Rights Deficiencies
Deficiency #1 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: 06/04/2010
date Of Correction: 07/30/2010 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide Enough Notice Before Discharging Or Transferring A Resident.
survey Date: 06/04/2010
date Of Correction: 07/30/2010 

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: 06/04/2010
date Of Correction: 07/30/2010 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Let The Resident Refuse Treatment Or Refuse To Take Part In An Experiment And Formulate Advance Directives.
survey Date: 06/04/2010
date Of Correction: 07/30/2010 

Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Give The Resident's Representative The Ability To Exercise The Resident's Rights.
survey Date: 06/04/2010
date Of Correction: 07/30/2010 

Deficiency #6 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: 10/14/2009
date Of Correction: 11/25/2009 

Deficiency #7 Scope: Few
level Of Harm: 2
deficiency: Give The Resident's Representative The Ability To Exercise The Resident's Rights.
survey Date: 10/14/2009
date Of Correction: 01/07/2010 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 06/17/2011
date Of Correction: 07/16/2011 

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: 01/13/2011
date Of Correction: 02/08/2011 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 01/13/2011
date Of Correction: 02/08/2011 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 06/04/2010
date Of Correction: 07/30/2010 

Resident Assessment Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.
survey Date: 06/17/2011
date Of Correction: 07/16/2011 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Make Sure Each Resident Receives An Accurate Assessment By A Qualified Health Professional.
survey Date: 06/04/2010
date Of Correction: 07/30/2010 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Encode And Automate The Resident's Assessment Data.
survey Date: 10/14/2009
date Of Correction: 11/25/2009 

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: 10/14/2009
date Of Correction: 11/25/2009 

Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Make Sure Each Resident Receives An Accurate Assessment By A Qualified Health Professional.
survey Date: 10/14/2009
date Of Correction: 11/25/2009 

Deficiency #6 Scope: Few
level Of Harm: 2
deficiency: Review Or Revise The Resident's Care Plan After Any Major Change In A Resident's Physical Or Mental Health.
survey Date: 10/14/2009
date Of Correction: 11/25/2009 

Deficiency #7 Scope: Some
level Of Harm: 2
deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.
survey Date: 10/14/2009
date Of Correction: 01/07/2010 

Administration Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 06/17/2011
date Of Correction: 07/16/2011 

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: 01/13/2011
date Of Correction: 02/08/2011 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 06/04/2010
date Of Correction: 07/30/2010 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 10/14/2009
date Of Correction: 01/07/2010 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.
survey Date: 01/13/2011
date Of Correction: 02/08/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.
survey Date: 06/04/2010
date Of Correction: 07/30/2010 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
24.2 % (0.89 % 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 self-report moderate to severe pain
25.4 % (8.74 % higher than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
5.1 % (7.48 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
10.9 % (0.93 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
38.3 % (6.24 % lower than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
7.2 % (8.43 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
15.2 % (1.74 % higher than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
19.8 % (8.58 % 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
18.8 % (6.22 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
97.3 % (12.66 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
96.6 % (12.66 % 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
6.3 % (9.22 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
22.3 % (3.09 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
1 % (22.7 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
27.7 % (13.6 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
3.7 % (5.52 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
9.2 % (0.7 % higher than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
30.5 % (12.88 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
6.6 % (4.05 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
15.4 % (5.82 % higher than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms 19.4:1 % 
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
5.4 % (5.33 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
21.7 % (3.06 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
91.8 % (10.36 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
90.6 % (15.85 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
31.6 % (14.26 % higher than average)
vs
17.34 %



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