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PUGET SOUND HEALTHCARE CENTER

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PUGET SOUND HEALTHCARE CENTER VS
All other Nursing Homes USA
General
City OLYMPIA   vs 0% Nursing Homes USA have OLYMPIA
State attribute explanation WA   vs 1.4% Nursing Homes USA have WA
Street 4001 CAPITOL MALL DR SOUTHWEST  
Zip Code 98502  
Phone 3607549792  
Overall Star Rating
(2.11 lower than average)
vs
3.11

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

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

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

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

Number of Certified Beds
108  (0.94 lower than average)
vs
108.94

Total Number of Residents
103  (11.75 higher than average)
vs
91.25

Percent of Occupied Beds
95 % (11.35 % higher than average)
vs
83.65 %

Health Survey Date 12/23/2011  
Fire Survey Date 12/29/2011  
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 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? No  vs 45.1% Nursing Homes USA don't 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
(55.31 lower than average)
vs
56.31

# of deficiencies
17  (9.52 higher than average)
vs
7.48

Staff Information
Number of Residents
103  (11.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.69  (0.08 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.76  (0.08 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.45  (0.14 lower 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: Some
level Of Harm: 1
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 06/22/2011
date Of Correction: 08/01/2011 

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: 08/23/2010
date Of Correction: 10/08/2010 

Deficiency #3 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: 04/24/2009
date Of Correction: 06/15/2009 

Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
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: 04/26/2012
date Of Correction: 06/02/2012 

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: 08/23/2010
date Of Correction: 10/08/2010 

Deficiency #3 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: 05/07/2010
date Of Correction: 06/04/2010 

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: 04/08/2009
date Of Correction: 06/15/2009 

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: 05/21/2012
date Of Correction: 06/02/2012 

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: 04/26/2012
date Of Correction: 06/02/2012 

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: 11/07/2011
date Of Correction: 11/30/2011 

Deficiency #4 Scope: Some
level Of Harm: 2
deficiency: Try To Resolve Each Resident's Complaints Quickly.
survey Date: 04/24/2009
date Of Correction: 06/15/2009 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Each Resident Who Enters The Nursing Home Without A Catheter Is Not Given A Catheter, And Receive Proper Services To Prevent Urinary Tract Infections And Restore Normal Bladder Function.
survey Date: 05/21/2012
date Of Correction: 06/02/2012 

Deficiency #2 Scope: Few
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: 04/26/2012
date Of Correction: 06/02/2012 

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: 04/26/2012
date Of Correction: 06/02/2012 

Deficiency #4 Scope: Few
level Of Harm: 3
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 04/26/2012
date Of Correction: 06/02/2012 

Deficiency #5 Scope: Some
level Of Harm: 1
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 06/22/2011
date Of Correction: 08/01/2011 

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: 01/27/2010
date Of Correction: 03/15/2010 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
27.4 % (2.31 % higher than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
3.5 % (29.45 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
17.2 % (0.54 % higher than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
8.2 % (4.38 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight 5.6:1 % 
Percent of long-stay low-risk residents who lose control of their bowels or bladder
47.1 % (2.56 % higher than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.1 % (11.53 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
6.9 % (6.56 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
6.8 % (21.58 % 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
46.8 % (21.78 % higher than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
89.3 % (4.66 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
85.6 % (1.66 % 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
4.1 % (11.42 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
27.3 % (1.91 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
2.8 % (20.9 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
15.6 % (1.5 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
7.2 % (2.02 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
6.3 % (2.2 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
43.7 % (0.32 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
5.8 % (4.85 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
8.5 % (1.08 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
2.7 % (17.16 % 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
4.5 % (6.23 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
45.5 % (20.74 % higher 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
85 % (10.25 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
18.4 % (1.06 % higher than average)
vs
17.34 %



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