Compare with other Nursing Homes USA
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SANCTUARY AT HOLY CROSS--INDIANA | VS | All other Nursing Homes USA |
Staff Information | |||||
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Number of Residents |
107 (15.62 higher than average)
|
vs |
91.38
|
||
Number of RN Hours Per Resident Per Day |
0.67 (0.1 lower than average)
|
vs |
0.77
|
||
Number of LPN/LVN Hours Per Resident Per Day |
0.72 (0.12 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 |
0.1 (5.39 lower than average)
|
vs |
5.49
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||
Number Therapy Hours Per Resident Per Day |
0.1 (equals average)
|
vs |
0.10
|
Environmental Deficiencies | |||||
---|---|---|---|---|---|
Deficiency #1 |
Scope: Some level Of Harm: 1 deficiency: Provide Housekeeping And Maintenance Services. survey Date: 07/08/2011 date Of Correction: 07/27/2011 |
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Deficiency #2 |
Scope: Some level Of Harm: 2 deficiency: Make Sure There Is A Pest Control Program To Prevent/deal With Mice, Insects, Or Other Pests. survey Date: 03/15/2011 date Of Correction: 04/20/2011 |
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Deficiency #3 |
Scope: Few level Of Harm: 2 deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading. survey Date: 02/15/2011 date Of Correction: 04/20/2011 |
Mistreatment Deficiencies | |||||
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Deficiency #1 |
Scope: Some level Of Harm: 2 deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property. survey Date: 03/15/2011 date Of Correction: 04/20/2011 |
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Deficiency #2 |
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: 05/28/2009 date Of Correction: 05/29/2009 |
Resident Rights Deficiencies | |||||
---|---|---|---|---|---|
Deficiency #1 |
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: 03/15/2011 date Of Correction: 04/20/2011 |
Quality Care Deficiencies | |||||
---|---|---|---|---|---|
Deficiency #1 |
Scope: Some level Of Harm: 2 deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care. survey Date: 11/21/2011 date Of Correction: 12/20/2011 |
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Deficiency #2 |
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: 03/15/2011 date Of Correction: 04/20/2011 |
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Deficiency #3 |
Scope: Few level Of Harm: 2 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 03/15/2011 date Of Correction: 04/20/2011 |
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Deficiency #4 |
Scope: Few level Of Harm: 3 deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores. survey Date: 08/18/2010 date Of Correction: 09/17/2010 |
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Deficiency #5 |
Scope: Few level Of Harm: 2 deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores. survey Date: 05/28/2009 date Of Correction: 05/29/2009 |
Resident Assessment Deficiencies | |||||
---|---|---|---|---|---|
Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity. survey Date: 10/07/2009 date Of Correction: 11/06/2009 |
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: 11/21/2011 date Of Correction: 12/20/2011 |
Quality Measures Q1 | |||||
---|---|---|---|---|---|
Percent of long-stay residents who received an antipsychotic medication |
13.6-28 % (11.49 % lower than average)
|
vs |
25.09 %
|
||
Percent of long-stay residents whose need for help with daily activities has increased |
3.9 % (29.05 % lower than average)
|
vs |
32.95 %
|
||
Percent of long-stay residents who self-report moderate to severe pain |
1.4 % (15.26 % lower than average)
|
vs |
16.66 %
|
||
Percent of long-stay high-risk residents with pressure ulcers |
6 % (6.58 % lower than average)
|
vs |
12.58 %
|
||
Percent of long-stay residents who lose too much weight |
8 % (3.83 % lower than average)
|
vs |
11.83 %
|
||
Percent of long-stay low-risk residents who lose control of their bowels or bladder |
45.2 % (0.66 % higher than average)
|
vs |
44.54 %
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Percent of long-stay residents who have had a catheter inserted and left in their bladder |
1.2 % (14.43 % lower than average)
|
vs |
15.63 %
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Percent of long-stay residents with a urinary tract infection |
1.3 % (12.16 % lower than average)
|
vs |
13.46 %
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||
Percent of long-stay residents who have depressive symptoms |
2.7 % (25.68 % 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 |
17.7 % (7.32 % lower than average)
|
vs |
25.02 %
|
||
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
71.3 % (13.34 % lower than average)
|
vs |
84.64 %
|
||
Percent of short-stay residents with Pressure ulcers that are new or worsened |
62.7 % (21.24 % lower than average)
|
vs |
83.94 %
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Percent of short-stay residents who newly received an antipsychotic medication | 2.6 / 3 % | ||||
Percent of long-stay residents experiencing one or more falls with major injury | 2.6 / 3 % |
Quality Measures Q3 | |||||
---|---|---|---|---|---|
Percent of long-stay residents who received an antipsychotic medication |
9.8 % (15.59 % lower than average)
|
vs |
25.39 %
|
||
Percent of long-stay residents whose need for help with daily activities has increased |
3.3 % (20.4 % lower than average)
|
vs |
23.70 %
|
||
Percent of long-stay residents who self-report moderate to severe pain |
4.7 % (9.4 % lower than average)
|
vs |
14.10 %
|
||
Percent of long-stay high-risk residents with pressure ulcers |
7.5 % (1.72 % lower than average)
|
vs |
9.22 %
|
||
Percent of long-stay residents who lose too much weight |
9.1 % (0.6 % higher than average)
|
vs |
8.50 %
|
||
Percent of long-stay low-risk residents who lose control of their bowels or bladder |
50 % (6.62 % higher than average)
|
vs |
43.38 %
|
||
Percent of long-stay residents who have had a catheter inserted and left in their bladder |
1.7 % (8.95 % lower than average)
|
vs |
10.65 %
|
||
Percent of long-stay residents with a urinary tract infection |
2.1 % (7.48 % lower than average)
|
vs |
9.58 %
|
||
Percent of long-stay residents who have depressive symptoms |
0.9 % (18.96 % 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 |
2.1 % (8.63 % lower than average)
|
vs |
10.73 %
|
||
Percent of short-stay residents who self-report moderate to severe pain |
17.5 % (7.26 % lower than average)
|
vs |
24.76 %
|
||
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
65.7 % (15.74 % lower than average)
|
vs |
81.44 %
|
||
Percent of short-stay residents with Pressure ulcers that are new or worsened |
55.8 % (18.95 % lower than average)
|
vs |
74.75 %
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Percent of short-stay residents who newly received an antipsychotic medication | 2.6 / 3 % |