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RIDGECREST MANOR NURSING & REHABILITATION

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RIDGECREST MANOR NURSING & REHABILITATION VS
All other Nursing Homes USA
General
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine 75.2 % 
City DUFFIELD   vs 0% Nursing Homes USA have DUFFIELD
State attribute explanation VA   vs 1.8% Nursing Homes USA have VA
Street ROSS CARTER BOULEVARD  
Zip Code 24244  
Phone 2764312841  
Overall Star Rating
(2.11 lower than average)
vs
3.11

Health Inspections Star Rating
(0.83 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
120  (11.06 higher than average)
vs
108.94

Total Number of Residents
114  (22.75 higher than average)
vs
91.25

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

Health Survey Date 5/10/2012  
Fire Survey Date 5/24/2012  
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? 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? 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
75.2  (17.04 higher than average)
vs
58.16

Total Enforcement Actions Count
75.2  (18.89 higher than average)
vs
56.31

# of deficiencies
(0.52 higher than average)
vs
7.48

Staff Information
Number of Residents
114  (22.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.63  (0.14 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.9  (0.06 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.52  (0.07 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.05  (5.44 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.05  (0.05 lower than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 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: 03/24/2011
date Of Correction: 05/06/2011 

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: 03/24/2011
date Of Correction: 05/06/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide Written Records When A Resident Is Transferred Or Discharged.
survey Date: 03/11/2010
date Of Correction: Not Available 

Quality Care Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 03/24/2011
date Of Correction: 05/06/2011 

Resident Assessment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Doctors Visit Residents Regularly, As Required.
survey Date: 03/24/2011
date Of Correction: 05/06/2011 

Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Operate And Provide Services According To Federal, State, And Local Laws And Professional Standards.
survey Date: 03/11/2010
date Of Correction: Not Available 

Pharmacy Service Deficiencies
Deficiency #1 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: 03/24/2011
date Of Correction: 05/06/2011 

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: 03/11/2010
date Of Correction: Not Available 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
35.6 % (10.51 % 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
26.1 % (9.44 % higher than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
13.6-28 % (1.02 % higher than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
7 % (4.83 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
14.3 % (30.24 % lower than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder 8.6:1 % 
Percent of long-stay residents with a urinary tract infection
10 % (3.46 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
75.2 % (46.82 % higher 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
34.2 % (9.18 % higher than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
81.4 % (3.24 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
77.5 % (6.44 % lower than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
9.1 % (36.8 % lower than average)
vs
45.90 %

Percent of long-stay residents experiencing one or more falls with major injury
4 % (11.52 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
34.1 % (8.71 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
1.2 % (22.5 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
27.4 % (13.3 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers 10.7:1 % 
Percent of long-stay residents who lose too much weight
6.8 % (1.7 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder 11.8:1 % 
Percent of long-stay residents who have had a catheter inserted and left in their bladder
8.7 % (1.95 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
9.5 % (0.08 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
75.2 % (55.34 % 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
3.7 % (7.03 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
42.6 % (17.84 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
79.8 % (1.64 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
72.7 % (2.05 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
11.1 % (6.24 % lower than average)
vs
17.34 %



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