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SANCTUARY AT HOLY CROSS--INDIANA

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SANCTUARY AT HOLY CROSS--INDIANA VS
All other Nursing Homes USA
General
City SOUTH BEND   vs 0.1% Nursing Homes USA have SOUTH BEND
State attribute explanation IN   vs 3.1% Nursing Homes USA have IN
Street 17475 DUGDALE DR  
Zip Code 46635  
Phone 5742477500  
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
(0.17 lower than average)
vs
3.17

Quality Measures Star Rating
(1.69 higher 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
107  (15.75 higher than average)
vs
91.25

Percent of Occupied Beds
89 % (5.35 % higher than average)
vs
83.65 %

Health Survey Date 3/30/2012  
Fire Survey Date 4/9/2012  
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 Non Profit - Church Related  vs 4.4% Nursing Homes USA have Non profit - Church related
Located Within a Hospital? No  vs 93.6% Nursing Homes USA don't have Located Within a Hospital?
Multi Nursing Home Ownership? Yes  vs 54.9% Nursing Homes USA 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
(55.31 lower than average)
vs
56.31

# of deficiencies
13  (5.52 higher than average)
vs
7.48

Staff Information
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

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 

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 

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
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 

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 

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 

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 

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 

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 %

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 %

Percent of long-stay residents with a urinary tract infection
1.3 % (12.16 % lower than average)
vs
13.46 %

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 %

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 %

Percent of short-stay residents who newly received an antipsychotic medication 2.6 / 3 % 


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