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PROVIDENCE RETIREMENT HOME

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PROVIDENCE RETIREMENT HOME VS
All other Nursing Homes USA
General
City NEW ALBANY   vs 0.1% Nursing Homes USA have NEW ALBANY
State attribute explanation IN   vs 3.1% Nursing Homes USA have IN
Street 4915 CHARLESTOWN RD  
Zip Code 47150  
Phone 8129455221  
Overall Star Rating
(1.11 lower than average)
vs
3.11

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

Nurse Staffing Star Rating
(0.83 higher than average)
vs
3.17

Quality Measures Star Rating
(0.69 higher than average)
vs
3.31

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

Number of Certified Beds
158  (49.06 higher than average)
vs
108.94

Total Number of Residents
119  (27.75 higher than average)
vs
91.25

Percent of Occupied Beds
75 % (8.65 % lower than average)
vs
83.65 %

Health Survey Date 12/7/2011  
Fire Survey Date 12/20/2011  
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 - Church Related  vs 4.4% Nursing Homes USA have Non profit - Church related
Located Within a Hospital? No  vs 93.6% Nursing Homes USA don't 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? Yes  vs 9.1% Nursing Homes USA 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
(53.16 lower than average)
vs
58.16

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

# of deficiencies
24  (16.52 higher than average)
vs
7.48

Staff Information
Number of Residents
119  (27.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.58  (0.19 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
1.38  (0.54 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.96  (0.37 higher than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.11  (5.38 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.11  (0.01 higher than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 04/08/2010
date Of Correction: 05/03/2010 

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: 09/23/2009
date Of Correction: 11/02/2009 

Deficiency #3 Scope: Few
level Of Harm: 4
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 08/05/2009
date Of Correction: 11/02/2009 

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: 12/09/2010
date Of Correction: 01/08/2011 

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: 12/09/2010
date Of Correction: 01/08/2011 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 08/05/2009
date Of Correction: 09/23/2009 

Deficiency #4 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: 08/05/2009
date Of Correction: 09/23/2009 

Resident Rights Deficiencies
Deficiency #1 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: 12/10/2009
date Of Correction: 03/09/2010 

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: 04/08/2010
date Of Correction: 05/03/2010 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Give Or Get Specialized Rehabilitative Services Per The Patient's Assessment Or Plan Of Care.
survey Date: 12/10/2009
date Of Correction: 03/09/2010 

Deficiency #3 Scope: Few
level Of Harm: 3
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 12/10/2009
date Of Correction: 03/09/2010 

Deficiency #4 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: 12/10/2009
date Of Correction: 03/09/2010 

Deficiency #5 Scope: Few
level Of Harm: 3
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 12/10/2009
date Of Correction: 03/09/2010 

Deficiency #6 Scope: Few
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 12/10/2009
date Of Correction: 03/09/2010 

Deficiency #7 Scope: Few
level Of Harm: 3
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 09/23/2009
date Of Correction: 11/02/2009 

Deficiency #8 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 09/23/2009
date Of Correction: 11/02/2009 

Deficiency #9 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: 08/05/2009
date Of Correction: 09/23/2009 

Resident Assessment Deficiencies
Deficiency #1 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: 04/08/2010
date Of Correction: 05/03/2010 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.
survey Date: 09/23/2009
date Of Correction: 11/02/2009 

Deficiency #3 Scope: Few
level Of Harm: 3
deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan.
survey Date: 08/05/2009
date Of Correction: 09/23/2009 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.
survey Date: 08/05/2009
date Of Correction: 11/02/2009 

Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 09/23/2009
date Of Correction: 11/02/2009 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Give Or Get X-rays And Other Tests In A Timely Manner To Meet The Needs Of Residents.
survey Date: 08/05/2009
date Of Correction: 09/23/2009 

Deficiency #3 Scope: Few
level Of Harm: 4
deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .
survey Date: 08/05/2009
date Of Correction: 09/23/2009 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
26.4 % (1.31 % higher than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
1.9 % (31.05 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
7.8 % (8.86 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
6.6 % (5.98 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
6.5 % (5.33 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
61 % (16.46 % higher than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
2.4 % (13.23 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
5.3 % (8.16 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
2.1 % (26.28 % 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 9.9:1 % 
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
100 % (15.36 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
99.3 % (15.36 % higher than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
2.1 % (43.8 % lower than average)
vs
45.90 %

Percent of long-stay residents experiencing one or more falls with major injury
4.2 % (11.32 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
27.9 % (2.51 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
1.8 % (21.9 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
7.5 % (6.6 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
6.7 % (2.52 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
6.1 % (2.4 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
62.2 % (18.82 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.5 % (7.15 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection 10.7:1 % 
Percent of long-stay residents who have depressive symptoms
3.8 % (16.06 % lower 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
2.8 % (7.93 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
11.5 % (13.26 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
100 % (18.56 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
99.7 % (24.95 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
26.1 % (8.76 % higher than average)
vs
17.34 %



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