Compare with other Nursing Homes USA
Compare
Compare
| SERENE MANOR MEDICAL CTR. | VS | All other Nursing Homes USA |
| Staff Information | |||||
|---|---|---|---|---|---|
| Number of Residents |
75 (16.38 lower than average)
|
vs |
91.38
|
||
| Number of RN Hours Per Resident Per Day |
0.53 (0.24 lower than average)
|
vs |
0.77
|
||
| Number of LPN/LVN Hours Per Resident Per Day |
0.76 (0.08 lower than average)
|
vs |
0.84
|
||
| Total Number of Licensed Staff Hours Per Resident Per Day |
1.29 (0.3 lower than average)
|
vs |
1.59
|
||
| Number of CNA Hours Per Resident Per Day |
0.01 (5.48 lower than average)
|
vs |
5.49
|
||
| Number Therapy Hours Per Resident Per Day |
0.01 (0.09 lower than average)
|
vs |
0.10
|
||
| Environmental Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Few level Of Harm: 4 deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents. survey Date: 01/25/2010 date Of Correction: 01/29/2010 |
||||
| Mistreatment Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
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: 01/05/2012 date Of Correction: 01/20/2012 |
||||
| Deficiency #2 |
Scope: Few level Of Harm: 4 deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property. survey Date: 01/25/2010 date Of Correction: 01/29/2010 |
||||
| Resident Rights Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Some level Of Harm: 2 deficiency: Keep Each Resident's Personal And Medical Records Private And Confidential. survey Date: 01/05/2012 date Of Correction: 02/19/2012 |
||||
| Deficiency #2 |
Scope: Few level Of Harm: 4 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: 01/25/2010 date Of Correction: 01/29/2010 |
||||
| Resident Assessment Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Some level Of Harm: 4 deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity. survey Date: 01/25/2010 date Of Correction: 01/29/2010 |
||||
| Administration Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Many level Of Harm: 4 deficiency: Set Up An Ongoing Quality Assessment And Assurance Group To Review Quality Deficiencies Quarterly, And Develop Corrective Plans Of Action. survey Date: 01/25/2010 date Of Correction: 01/29/2010 |
||||
| Deficiency #2 |
Scope: Many level Of Harm: 4 deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident . survey Date: 01/25/2010 date Of Correction: 01/29/2010 |
||||
| Pharmacy Service Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards. survey Date: 01/05/2012 date Of Correction: 01/20/2012 |
||||
| Quality Measures Q1 | |||||
|---|---|---|---|---|---|
| Percent of long-stay residents who received an antipsychotic medication |
50 % (24.91 % higher than average)
|
vs |
25.09 %
|
||
| Percent of long-stay residents who self-report moderate to severe pain |
40.3 % (23.64 % higher than average)
|
vs |
16.66 %
|
||
| Percent of long-stay residents who lose too much weight |
4.1 % (7.73 % lower than average)
|
vs |
11.83 %
|
||
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
15.8 % (28.74 % lower than average)
|
vs |
44.54 %
|
||
| Percent of long-stay residents who have had a catheter inserted and left in their bladder | 5.6:1 % | ||||
| Percent of long-stay residents with a urinary tract infection |
6.8 % (6.66 % lower than average)
|
vs |
13.46 %
|
||
| Percent of long-stay residents who have depressive symptoms |
1.3 % (27.08 % lower than average)
|
vs |
28.38 %
|
||
| Percent of long-stay residents who were physically restrained |
5.3 % (38.38 % lower than average)
|
vs |
43.68 %
|
||
| Percent of long-stay residents experiencing one or more falls with major injury |
2.7 % (12.82 % lower than average)
|
vs |
15.52 %
|
||
| Quality Measures Q3 | |||||
|---|---|---|---|---|---|
| Percent of long-stay residents who received an antipsychotic medication |
44.3 % (18.91 % higher than average)
|
vs |
25.39 %
|
||
| Percent of long-stay residents whose need for help with daily activities has increased |
75.2 % (51.5 % higher than average)
|
vs |
23.70 %
|
||
| Percent of long-stay residents who self-report moderate to severe pain |
39.7 % (25.6 % higher than average)
|
vs |
14.10 %
|
||
| Percent of long-stay high-risk residents with pressure ulcers |
1.6 % (7.62 % lower than average)
|
vs |
9.22 %
|
||
| Percent of long-stay residents who lose too much weight |
1.9 % (6.6 % lower than average)
|
vs |
8.50 %
|
||
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
15 % (28.38 % lower than average)
|
vs |
43.38 %
|
||
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
1.8 % (8.85 % lower than average)
|
vs |
10.65 %
|
||
| Percent of long-stay residents with a urinary tract infection | 5.6:1 % | ||||
| Percent of long-stay residents who have depressive symptoms |
1.4 % (18.46 % lower than average)
|
vs |
19.86 %
|
||
| Percent of long-stay residents who were physically restrained |
4.5 % (34.03 % lower than average)
|
vs |
38.53 %
|
||
| Percent of long-stay residents experiencing one or more falls with major injury |
23.5 % (12.77 % higher than average)
|
vs |
10.73 %
|
||
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
100 % (18.56 % higher than average)
|
vs |
81.44 %
|
||
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
97.1 % (22.35 % higher than average)
|
vs |
74.75 %
|
||