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SHADY ACRES HEALTH AND REHABILITATION

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SHADY ACRES HEALTH AND REHABILITATION VS
All other Nursing Homes USA
General
City DOUGLAS   vs 0% Nursing Homes USA have DOUGLAS
State attribute explanation GA   vs 2.3% Nursing Homes USA have GA
Street 1310 WEST GORDON STREET  
Zip Code 31533  
Phone 9123847811  
Overall Star Rating
(0.11 lower than average)
vs
3.11

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

Nurse Staffing Star Rating
(0.17 lower than average)
vs
3.17

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

RN Only Star Rating
(0.17 lower than average)
vs
3.17

Number of Certified Beds
168  (59.06 higher than average)
vs
108.94

Total Number of Residents
144  (52.75 higher than average)
vs
91.25

Percent of Occupied Beds
86 % (2.35 % higher than average)
vs
83.65 %

Health Survey Date 11/18/2010  
Fire Survey Date 11/18/2010  
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 - Other  vs 1.9% Nursing Homes USA have Non profit - Other
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? 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 1  
Staff Information
Number of Residents
152  (60.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.42  (0.35 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.98  (0.14 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.4  (0.19 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.15  (5.34 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.15  (0.05 higher than average)
vs
0.10

Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.
survey Date: 11/18/2010
date Of Correction: 01/02/2011 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
30.3 % (5.21 % higher than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
1.4 % (31.55 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
23.1 % (6.44 % higher than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers 8.1 / 8.8 % 
Percent of long-stay residents who lose too much weight
14.1 % (2.27 % higher than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
52.6 % (8.06 % higher than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
6.5 % (9.13 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
7 % (6.46 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
3 % (25.38 % 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
33.3 % (8.28 % higher than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
100 % (15.36 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
97.2 % (13.26 % higher than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
4.2 % (41.7 % lower than average)
vs
45.90 %

Percent of long-stay residents experiencing one or more falls with major injury
7.5 % (8.02 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
32.1 % (6.71 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
0.8 % (22.9 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
25.2 % (11.1 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
5.7 % (3.52 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
17 % (8.5 % higher than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
49.7 % (6.32 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.1 % (6.55 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
7.6 % (1.98 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
2.3 % (17.56 % 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 8.6:1 % 
Percent of short-stay residents who self-report moderate to severe pain
29.3 % (4.54 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
99 % (17.56 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
97.5 % (22.75 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
17.7 % (0.36 % higher than average)
vs
17.34 %



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