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SEASHORE POINT AND WELLNESS REHABILITATION

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SEASHORE POINT AND WELLNESS REHABILITATION VS
All other Nursing Homes USA
General
City PROVINCETOWN   vs 0% Nursing Homes USA have PROVINCETOWN
State attribute explanation MA   vs 2.8% Nursing Homes USA have MA
Street 100 ALDEN STREET  
Zip Code 2657  
Phone 5084877090  
Overall Star Rating
(0.89 higher than average)
vs
3.11

Health Inspections Star Rating
(0.17 higher than average)
vs
2.83

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

Quality Measures Star Rating
(0.31 lower than average)
vs
3.31

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

Number of Certified Beds
41  (67.94 lower than average)
vs
108.94

Total Number of Residents
38  (53.25 lower than average)
vs
91.25

Percent of Occupied Beds
93 % (9.35 % higher than average)
vs
83.65 %

Health Survey Date 6/1/2011  
Fire Survey Date 6/14/2011  
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? Yes  vs 54.9% Nursing Homes USA have Multi Nursing Home Ownership?
Resident and Family Councils Both  vs 29.8% Nursing Homes USA have Both
Continuing Care Retirement Community? Yes  vs 9.1% Nursing Homes USA 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
(5.48 lower than average)
vs
7.48

Percent of long-stay residents experiencing one or more falls with major injury 75.2 % 
Staff Information
Number of Residents
36  (55.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
1.24  (0.47 higher than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.29  (0.55 lower 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
0.18  (5.31 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.18  (0.08 higher 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: 08/16/2011
date Of Correction: 09/21/2011 

Resident Assessment Deficiencies
Deficiency #1 Scope: Few
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: 08/16/2011
date Of Correction: 09/21/2011 

Quality Measures Q1
Percent of long-stay residents whose need for help with daily activities has increased
75.2 % (42.25 % higher than average)
vs
32.95 %

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
10.9 % (14.12 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
91.8 % (7.16 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
91.8 % (7.86 % 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
3.3 % (12.22 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
19.8 % (5.59 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
1.1 % (22.6 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
7.7 % (6.4 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
6.9 % (2.32 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
5.8 % (2.7 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
62.2 % (18.82 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.9 % (5.75 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
14 % (4.42 % higher 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
3.3 % (7.43 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain 19.4:1 % 
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
70.9 % (10.54 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
92.1 % (17.35 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
14.1 % (3.24 % lower than average)
vs
17.34 %



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