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SAN GERARDO HOSP

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SAN GERARDO HOSP VS
All other Nursing Homes USA
General
City RIO PIEDRAS   vs 0% Nursing Homes USA have RIO PIEDRAS
State attribute explanation PR   vs 0% Nursing Homes USA have PR
Street MSC 250 WINSTON CHURCHIL AVE 138  
Zip Code 926  
Phone 7877618383  
Overall Star Rating
(1.11 lower than average)
vs
3.11

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

Nurse Staffing Star Rating
(1.83 higher than average)
vs
3.17

Quality Measures Star Rating
(1.69 higher than average)
vs
3.31

RN Only Star Rating
(1.83 higher than average)
vs
3.17

Number of Certified Beds
100  (8.94 lower than average)
vs
108.94

Total Number of Residents
28  (63.25 lower than average)
vs
91.25

Percent of Occupied Beds
28 % (55.65 % lower than average)
vs
83.65 %

Health Survey Date 4/20/2012  
Fire Survey Date 4/20/2012  
Sprinkler Status Not Sprinklered  vs 1.1% Nursing Homes USA have Not Sprinklered
Program Participation Medicare  vs 5% Nursing Homes USA have Medicare
Type of Ownership For Profit - Corporation  vs 56.7% Nursing Homes USA have For profit - Corporation
Located Within a Hospital? Yes  vs 6.4% Nursing Homes USA 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 None  vs 3.9% Nursing Homes USA have None
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
12  (4.52 higher than average)
vs
7.48

Staff Information
Number of Residents
28  (63.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
3.06  (2.29 higher than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
3.88  (3.04 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
6.94  (5.35 higher than average)
vs
1.59

Number Therapy Hours Per Resident Per Day
0.41  (0.31 higher than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: Have Enough Outside Ventilation Via A Window Or Mechanical Ventilation, Or Both.
survey Date: 09/18/2009
date Of Correction: 11/03/2009 

Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.
survey Date: 03/18/2011
date Of Correction: 05/10/2011 

Deficiency #2 Scope: Some
level Of Harm: 3
deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.
survey Date: 09/18/2009
date Of Correction: 11/03/2009 

Resident Rights Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 3
deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.
survey Date: 03/18/2011
date Of Correction: 05/10/2011 

Deficiency #2 Scope: Many
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: 09/18/2009
date Of Correction: 11/03/2009 

Quality Care Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 3
deficiency: Have Enough Nurses To Care For Every Resident In A Way That Maximizes The Resident's Well Being.
survey Date: 09/18/2009
date Of Correction: 11/03/2009 

Deficiency #2 Scope: Many
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 09/18/2009
date Of Correction: 11/03/2009 

Resident Assessment Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.
survey Date: 09/18/2009
date Of Correction: 11/03/2009 

Administration Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 3
deficiency: Set Up An Ongoing Quality Assessment And Assurance Group To Review Quality Deficiencies Quarterly, And Develop Corrective Plans Of Action.
survey Date: 03/18/2011
date Of Correction: 05/10/2011 

Deficiency #2 Scope: Many
level Of Harm: 3
deficiency: Choose A Doctor To Serve As The Medical Director To Create Resident Care Policies And Coordinate Medical Care In The Facility.
survey Date: 03/18/2011
date Of Correction: 05/10/2011 

Deficiency #3 Scope: Many
level Of Harm: 2
deficiency: Be Licensed Under State And Local Laws.
survey Date: 03/18/2011
date Of Correction: 05/10/2011 

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: 09/18/2009
date Of Correction: 11/03/2009 

Quality Measures Q1
Percent of long-stay residents whose need for help with daily activities has increased
1.7 % (31.25 % lower than average)
vs
32.95 %

Percent of short-stay residents who self-report moderate to severe pain
10.8 % (14.22 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
14.3 % (70.34 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened 10.7:1 % 
Percent of short-stay residents who newly received an antipsychotic medication
10.4 % (35.5 % lower than average)
vs
45.90 %

Quality Measures Q3
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 short-stay residents who self-report moderate to severe pain
8.4 % (16.36 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
16.9-24 % (64.54 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
13.5 % (61.25 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
4.7 % (12.64 % lower than average)
vs
17.34 %



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