Compare with other Nursing Homes USA
Compare
Compare
| REGENCY MANOR HEALTHCARE CENTER | VS | All other Nursing Homes USA |
| Staff Information | |||||
|---|---|---|---|---|---|
| Number of Residents |
100 (8.62 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 |
0.86 (0.02 higher than average)
|
vs |
0.84
|
||
| Total Number of Licensed Staff Hours Per Resident Per Day |
1.14 (0.45 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: 2 deficiency: Provide Housekeeping And Maintenance Services. survey Date: 09/08/2011 date Of Correction: 10/14/2011 |
||||
| Deficiency #2 |
Scope: Some 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: 10/22/2010 date Of Correction: 10/22/2010 |
||||
| Deficiency #3 |
Scope: Many level Of Harm: 1 deficiency: Provide Clean Bed And Bath Linens That Are In Good Condition. survey Date: 10/22/2010 date Of Correction: 11/05/2010 |
||||
| Deficiency #4 |
Scope: Many level Of Harm: 2 deficiency: Make Sure There Is A Pest Control Program To Prevent/deal With Mice, Insects, Or Other Pests. survey Date: 10/03/2010 date Of Correction: 11/03/2010 |
||||
| Deficiency #5 |
Scope: Many 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: 10/03/2010 date Of Correction: 11/03/2010 |
||||
| Deficiency #6 |
Scope: Many level Of Harm: 1 deficiency: Provide Housekeeping And Maintenance Services. survey Date: 10/03/2010 date Of Correction: 11/03/2010 |
||||
| Deficiency #7 |
Scope: Some level Of Harm: 1 deficiency: Provide Housekeeping And Maintenance Services. survey Date: 07/28/2010 date Of Correction: 08/28/2010 |
||||
| Deficiency #8 |
Scope: Some level Of Harm: 2 deficiency: Provide Clean Bed And Bath Linens That Are In Good Condition. survey Date: 02/25/2010 date Of Correction: 03/25/2010 |
||||
| Deficiency #9 |
Scope: Few level Of Harm: 2 deficiency: Keep All Essential Equipment Working Safely. survey Date: 05/14/2009 date Of Correction: 06/05/2009 |
||||
| 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: 09/08/2010 date Of Correction: 10/08/2010 |
||||
| 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: 09/08/2010 date Of Correction: 10/08/2010 |
||||
| Resident Rights Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Some 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: 10/22/2010 date Of Correction: 11/05/2010 |
||||
| Deficiency #2 |
Scope: Some level Of Harm: 2 deficiency: Send And Promptly Deliver Unopened Mail To Residents. survey Date: 10/03/2010 date Of Correction: 11/03/2010 |
||||
| Deficiency #3 |
Scope: Few level Of Harm: 2 deficiency: Keep Each Resident's Personal And Medical Records Private And Confidential. survey Date: 10/03/2010 date Of Correction: 11/03/2010 |
||||
| Deficiency #4 |
Scope: Few level Of Harm: 4 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: 10/03/2010 date Of Correction: 11/03/2010 |
||||
| Deficiency #5 |
Scope: Some 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: 02/25/2010 date Of Correction: 03/25/2010 |
||||
| 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: 10/03/2010 date Of Correction: 11/03/2010 |
||||
| Deficiency #2 |
Scope: Few level Of Harm: 4 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 10/03/2010 date Of Correction: 11/03/2010 |
||||
| Deficiency #3 |
Scope: Some level Of Harm: 2 deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care. survey Date: 10/03/2010 date Of Correction: 11/03/2010 |
||||
| Deficiency #4 |
Scope: Some level Of Harm: 2 deficiency: Develop Policies And Procedures For Influenza And Pneumococcal Immunizations. survey Date: 02/25/2010 date Of Correction: 03/25/2010 |
||||
| Deficiency #5 |
Scope: Some 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: 02/25/2010 date Of Correction: 03/25/2010 |
||||
| Deficiency #6 |
Scope: Few level Of Harm: 3 deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores. survey Date: 02/25/2010 date Of Correction: 02/26/2010 |
||||
| Deficiency #7 |
Scope: Some level Of Harm: 2 deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene. survey Date: 02/25/2010 date Of Correction: 03/25/2010 |
||||
| Deficiency #8 |
Scope: Some level Of Harm: 2 deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality. survey Date: 02/25/2010 date Of Correction: 03/25/2010 |
||||
| 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: 10/22/2010 date Of Correction: 11/05/2010 |
||||
| Deficiency #2 |
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: 02/25/2010 date Of Correction: 03/25/2010 |
||||
| Deficiency #3 |
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: 08/21/2009 date Of Correction: 09/21/2009 |
||||
| 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: 05/14/2009 date Of Correction: 06/05/2009 |
||||
| Deficiency #5 |
Scope: Few 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: 04/03/2009 date Of Correction: 05/01/2009 |
||||
| Deficiency #6 |
Scope: Few level Of Harm: 2 deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident . survey Date: 04/03/2009 date Of Correction: 05/01/2009 |
||||
| Pharmacy Service Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
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: 10/03/2010 date Of Correction: 11/03/2010 |
||||
| Deficiency #2 |
Scope: Some level Of Harm: 2 deficiency: Make Sure That Residents Are Safe From Serious Medication Errors. survey Date: 10/03/2010 date Of Correction: 11/03/2010 |
||||
| Deficiency #3 |
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: 02/25/2010 date Of Correction: 03/25/2010 |
||||
| Deficiency #4 |
Scope: Many 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: 02/25/2010 date Of Correction: 03/25/2010 |
||||
| 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: 02/25/2010 date Of Correction: 03/25/2010 |
||||
| Deficiency #6 |
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: 04/03/2009 date Of Correction: 05/01/2009 |
||||
| Nutrition and Dietary Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Some level Of Harm: 2 deficiency: Prepare Food That Is Nutritional, Appetizing, Tasty, Attractive, Well-cooked, And At The Right Temperature. survey Date: 09/08/2011 date Of Correction: 10/14/2011 |
||||
| Deficiency #2 |
Scope: Some level Of Harm: 2 deficiency: Store, Cook, And Serve Food In A Safe And Clean Way. survey Date: 10/03/2010 date Of Correction: 11/03/2010 |
||||
| Deficiency #3 |
Scope: Some level Of Harm: 2 deficiency: Provide Food In A Way That Meets A Resident's Needs. survey Date: 02/25/2010 date Of Correction: 03/25/2010 |
||||
| Deficiency #4 |
Scope: Some level Of Harm: 1 deficiency: Store, Cook, And Serve Food In A Safe And Clean Way. survey Date: 04/03/2009 date Of Correction: 05/01/2009 |
||||
| Quality Measures Q1 | |||||
|---|---|---|---|---|---|
| Percent of long-stay residents who received an antipsychotic medication |
33.3 % (8.21 % higher 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 |
14 % (2.66 % lower than average)
|
vs |
16.66 %
|
||
| Percent of long-stay high-risk residents with pressure ulcers |
6.8 % (5.78 % lower than average)
|
vs |
12.58 %
|
||
| Percent of long-stay residents who lose too much weight |
1.2 % (10.63 % lower than average)
|
vs |
11.83 %
|
||
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
2.8 % (12.83 % lower than average)
|
vs |
15.63 %
|
||
| Percent of long-stay residents with a urinary tract infection | 5.6:1 % | ||||
| Percent of long-stay residents who have depressive symptoms |
21.5 % (6.88 % 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 |
19 % (6.02 % lower than average)
|
vs |
25.02 %
|
||
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
24.3 % (59.64 % 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 | 5.6:1 % | ||||
| Quality Measures Q3 | |||||
|---|---|---|---|---|---|
| Percent of long-stay residents who received an antipsychotic medication |
29.5 % (4.11 % higher than average)
|
vs |
25.39 %
|
||
| Percent of long-stay residents whose need for help with daily activities has increased |
75.2 % (51.5 % higher than average)
|
vs |
23.70 %
|
||
| Percent of long-stay residents who self-report moderate to severe pain | 22.4:1 % | ||||
| Percent of long-stay high-risk residents with pressure ulcers |
7.3 % (1.92 % lower than average)
|
vs |
9.22 %
|
||
| Percent of long-stay residents who lose too much weight |
2.4 % (6.1 % lower than average)
|
vs |
8.50 %
|
||
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
18.9 % (24.48 % lower than average)
|
vs |
43.38 %
|
||
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
2.9 % (7.75 % lower than average)
|
vs |
10.65 %
|
||
| Percent of long-stay residents with a urinary tract infection |
6.6 % (2.98 % lower than average)
|
vs |
9.58 %
|
||
| Percent of long-stay residents who have depressive symptoms |
22.5 % (2.64 % higher 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 |
6.9 % (3.83 % lower than average)
|
vs |
10.73 %
|
||
| Percent of short-stay residents who self-report moderate to severe pain |
22.5 % (2.26 % lower than average)
|
vs |
24.76 %
|
||
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
89.3 % (7.86 % higher than average)
|
vs |
81.44 %
|
||
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
11.4 % (63.35 % lower than average)
|
vs |
74.75 %
|
||
| Percent of short-stay residents who newly received an antipsychotic medication |
9.5 % (7.84 % lower than average)
|
vs |
17.34 %
|
||