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SALEMHAVEN

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SALEMHAVEN VS
All other Nursing Homes USA
General
City SALEM   vs 0.2% Nursing Homes USA have SALEM
State attribute explanation NH   vs 0.5% Nursing Homes USA have NH
Street 23 GEREMONTY DRIVE  
Zip Code 3079  
Phone 6038935586  
Overall Star Rating
(0.11 lower than average)
vs
3.11

Health Inspections Star Rating
(0.83 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
(0.83 higher than average)
vs
3.17

Number of Certified Beds
110  (1.06 higher than average)
vs
108.94

Total Number of Residents
104  (12.75 higher than average)
vs
91.25

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

Health Survey Date 10/27/2011  
Fire Survey Date 10/27/2011  
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 - Corporation  vs 18.7% Nursing Homes USA have Non 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? 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
11  (3.52 higher than average)
vs
7.48

Staff Information
Number of Residents
104  (12.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.72  (0.05 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.66  (0.18 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.38  (0.21 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

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: 10/27/2011
date Of Correction: 12/10/2011 

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: 10/27/2011
date Of Correction: 12/10/2011 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.
survey Date: 05/10/2011
date Of Correction: 06/01/2011 

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: 08/23/2010
date Of Correction: 09/20/2010 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 05/10/2011
date Of Correction: 06/01/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 08/23/2010
date Of Correction: 09/20/2010 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 07/15/2009
date Of Correction: 07/31/2009 

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: 08/23/2010
date Of Correction: 09/20/2010 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.
survey Date: 05/10/2011
date Of Correction: 06/01/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: 1) Make Sure That Each Resident's Drug Regimen Is Free From Unnecessary Drugs; 2) Each Resident's Entire Drug/medication Is Managed And Monitored To Achieve Highest Well Being.
survey Date: 05/10/2011
date Of Correction: 06/01/2011 

Deficiency #3 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: 08/23/2010
date Of Correction: 09/20/2010 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
15.4 % (9.69 % lower 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 7.9:1 % 
Percent of long-stay high-risk residents with pressure ulcers
1.6 % (10.98 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
9 % (2.83 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
20.4 % (24.14 % lower than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
5.4 % (10.23 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
12.4-2413.6-24 % (1.06 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
3.3 % (25.08 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
1.1 % (42.58 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
4.9 % (20.12 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
92.5 % (7.86 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
96.5 % (12.56 % 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
2.20 % (13.32 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication 17.8:1 % 
Percent of long-stay residents whose need for help with daily activities has increased
2 % (21.7 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain 8.1 / 8.8 % 
Percent of long-stay high-risk residents with pressure ulcers
2.1 % (7.12 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
5.7 % (2.8 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
21.7 % (21.68 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
6.1 % (4.55 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection 13.1:1 % 
Percent of long-stay residents who have depressive symptoms
3.2 % (16.66 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
0.7 % (37.83 % lower 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
3.4 % (21.36 % lower 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
97.5 % (22.75 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
3.1 % (14.24 % lower than average)
vs
17.34 %



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