Compare with other Nursing Homes USA
Compare
Compare
| PROVO REHABILITATION AND NURSING | VS | All other Nursing Homes USA |
| Staff Information | |||||
|---|---|---|---|---|---|
| Number of Residents |
117 (25.62 higher than average)
|
vs |
91.38
|
||
| Number of RN Hours Per Resident Per Day |
1.37 (0.6 higher than average)
|
vs |
0.77
|
||
| Number of LPN/LVN Hours Per Resident Per Day |
0.3 (0.54 lower than average)
|
vs |
0.84
|
||
| Total Number of Licensed Staff Hours Per Resident Per Day |
1.67 (0.08 higher than average)
|
vs |
1.59
|
||
| Number of CNA Hours Per Resident Per Day |
0.09 (5.4 lower than average)
|
vs |
5.49
|
||
| Number Therapy Hours Per Resident Per Day |
0.09 (0.01 lower than average)
|
vs |
0.10
|
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| Environmental Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Some level Of Harm: 2 deficiency: Have Enough Outside Ventilation Via A Window Or Mechanical Ventilation, Or Both. survey Date: 02/02/2012 date Of Correction: 03/15/2012 |
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| Deficiency #2 |
Scope: Some level Of Harm: 2 deficiency: Make Sure That The Nursing Home Area Is Safe, Easy To Use, Clean And Comfortable For Residents, Staff And The Public. survey Date: 02/02/2012 date Of Correction: 03/15/2012 |
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| Deficiency #3 |
Scope: Many level Of Harm: 2 deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading. survey Date: 02/02/2012 date Of Correction: 03/15/2012 |
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| Deficiency #4 |
Scope: Some level Of Harm: 2 deficiency: Dispose Of Garbage And Refuse Properly. survey Date: 02/02/2012 date Of Correction: 03/15/2012 |
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| Deficiency #5 |
Scope: Some 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: 02/02/2012 date Of Correction: 03/15/2012 |
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| Deficiency #6 |
Scope: Some level Of Harm: 2 deficiency: Provide Housekeeping And Maintenance Services. survey Date: 02/02/2012 date Of Correction: 03/15/2012 |
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| Deficiency #7 |
Scope: Some level Of Harm: 2 deficiency: Provide A Safe, Clean, Comfortable And Homelike Environment. survey Date: 02/02/2012 date Of Correction: 03/15/2012 |
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| Deficiency #8 |
Scope: Few level Of Harm: 2 deficiency: Provide A Safe, Clean, Comfortable And Homelike Environment. survey Date: 12/29/2010 date Of Correction: 02/04/2011 |
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| 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: 02/02/2012 date Of Correction: 03/15/2012 |
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| Resident Rights Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Many 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: 02/02/2012 date Of Correction: 03/15/2012 |
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| Deficiency #2 |
Scope: Some level Of Harm: 2 deficiency: Make Sure Each Resident Has The Right To Have A Choice Over Activities, Their Schedules And Health Care According To His Or Her Interests, Assessment, And Plan Of Care. survey Date: 03/25/2010 date Of Correction: 05/23/2010 |
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| 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: 02/02/2012 date Of Correction: 03/15/2012 |
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| Deficiency #2 |
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: 02/02/2012 date Of Correction: 03/15/2012 |
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| Deficiency #3 |
Scope: Few level Of Harm: 3 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 02/02/2012 date Of Correction: 03/15/2012 |
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| Deficiency #4 |
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: 02/02/2012 date Of Correction: 03/15/2012 |
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| Administration Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Many level Of Harm: 2 deficiency: Set Up An Ongoing Quality Assessment And Assurance Group To Review Quality Deficiencies Quarterly, And Develop Corrective Plans Of Action. survey Date: 02/02/2012 date Of Correction: 03/15/2012 |
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| Deficiency #2 |
Scope: Many level Of Harm: 2 deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards. survey Date: 02/02/2012 date Of Correction: 03/15/2012 |
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| Deficiency #3 |
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: 02/02/2012 date Of Correction: 03/15/2012 |
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| Deficiency #4 |
Scope: Many level Of Harm: 2 deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident . survey Date: 02/02/2012 date Of Correction: 03/15/2012 |
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| Pharmacy Service Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
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: 02/02/2012 date Of Correction: 03/15/2012 |
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| Deficiency #2 |
Scope: Many 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: 02/02/2012 date Of Correction: 03/15/2012 |
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| Deficiency #3 |
Scope: Some 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: 02/02/2012 date Of Correction: 03/15/2012 |
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| Deficiency #4 |
Scope: Some level Of Harm: 4 deficiency: Make Sure That Residents Are Safe From Serious Medication Errors. survey Date: 02/02/2012 date Of Correction: 03/15/2012 |
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| Deficiency #5 |
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: 02/02/2012 date Of Correction: 03/15/2012 |
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| Deficiency #6 |
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: 12/29/2010 date Of Correction: 02/04/2011 |
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| Deficiency #7 |
Scope: Few level Of Harm: 2 deficiency: Make Sure That Residents Are Safe From Serious Medication Errors. survey Date: 12/29/2010 date Of Correction: 02/04/2011 |
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| Nutrition and Dietary Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Many level Of Harm: 2 deficiency: Store, Cook, And Serve Food In A Safe And Clean Way. survey Date: 02/02/2012 date Of Correction: 03/15/2012 |
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| Deficiency #2 |
Scope: Some level Of Harm: 2 deficiency: Make Sure That Special Or Therapeutic Diets Are Ordered By The Attending Doctor. survey Date: 02/02/2012 date Of Correction: 03/15/2012 |
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| Deficiency #3 |
Scope: Some level Of Harm: 2 deficiency: Prepare Food That Is Nutritional, Appetizing, Tasty, Attractive, Well-cooked, And At The Right Temperature. survey Date: 02/02/2012 date Of Correction: 03/15/2012 |
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| Quality Measures Q1 | |||||
|---|---|---|---|---|---|
| Percent of long-stay residents who received an antipsychotic medication |
36.8 % (11.71 % higher than average)
|
vs |
25.09 %
|
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| 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 |
20.5 % (3.84 % higher than average)
|
vs |
16.66 %
|
||
| Percent of long-stay high-risk residents with pressure ulcers |
10.4 % (2.18 % lower than average)
|
vs |
12.58 %
|
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| Percent of long-stay residents who lose too much weight |
5.1 % (6.73 % lower than average)
|
vs |
11.83 %
|
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| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
40.6 % (3.94 % lower than average)
|
vs |
44.54 %
|
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| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
8.2 % (7.43 % lower than average)
|
vs |
15.63 %
|
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| Percent of long-stay residents with a urinary tract infection |
5.1 % (8.36 % lower than average)
|
vs |
13.46 %
|
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| Percent of long-stay residents who have depressive symptoms |
2.20 % (26.18 % lower than average)
|
vs |
28.38 %
|
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| Percent of long-stay residents who were physically restrained |
2.5 % (41.18 % lower than average)
|
vs |
43.68 %
|
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| Percent of short-stay residents who self-report moderate to severe pain |
52.7 % (27.68 % higher than average)
|
vs |
25.02 %
|
||
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
95.5 % (10.86 % higher than average)
|
vs |
84.64 %
|
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| Percent of short-stay residents with Pressure ulcers that are new or worsened |
94.1 % (10.16 % higher than average)
|
vs |
83.94 %
|
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| Percent of short-stay residents who newly received an antipsychotic medication |
75.2 (29.3 higher than average)
|
vs |
45.90
|
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| Percent of long-stay residents experiencing one or more falls with major injury |
1.3 % (14.22 % lower than average)
|
vs |
15.52 %
|
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| Quality Measures Q3 | |||||
|---|---|---|---|---|---|
| Percent of long-stay residents who received an antipsychotic medication |
33.5 % (8.11 % higher than average)
|
vs |
25.39 %
|
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| Percent of long-stay residents whose need for help with daily activities has increased |
0.9 % (22.8 % lower than average)
|
vs |
23.70 %
|
||
| Percent of long-stay residents who self-report moderate to severe pain |
22.5 % (8.4 % higher than average)
|
vs |
14.10 %
|
||
| Percent of long-stay high-risk residents with pressure ulcers |
5 % (4.22 % lower than average)
|
vs |
9.22 %
|
||
| Percent of long-stay residents who lose too much weight |
9.3 % (0.8 % higher than average)
|
vs |
8.50 %
|
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| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
35.7 % (7.68 % lower than average)
|
vs |
43.38 %
|
||
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
8.8 % (1.85 % lower than average)
|
vs |
10.65 %
|
||
| Percent of long-stay residents with a urinary tract infection |
4.4 % (5.18 % lower than average)
|
vs |
9.58 %
|
||
| Percent of long-stay residents who have depressive symptoms |
6.3 % (13.56 % lower than average)
|
vs |
19.86 %
|
||
| Percent of long-stay residents who were physically restrained |
3.5 % (35.03 % lower than average)
|
vs |
38.53 %
|
||
| Percent of long-stay residents experiencing one or more falls with major injury |
1.6 % (9.13 % lower than average)
|
vs |
10.73 %
|
||
| Percent of short-stay residents who self-report moderate to severe pain |
42.3 % (17.54 % higher than average)
|
vs |
24.76 %
|
||
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
88.8 % (7.36 % higher than average)
|
vs |
81.44 %
|
||
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
94.5 % (19.75 % higher than average)
|
vs |
74.75 %
|
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| Percent of short-stay residents who newly received an antipsychotic medication |
10.5 % (6.84 % lower than average)
|
vs |
17.34 %
|
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