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SHADY LAKE NURSING HOME

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SHADY LAKE NURSING HOME VS
All other Nursing Homes USA
General
City LAKE PROVIDENCE   vs 0% Nursing Homes USA have LAKE PROVIDENCE
State attribute explanation LA   vs 1.8% Nursing Homes USA have LA
Street 5976 HIGHWAY 65 NORTH  
Zip Code 71254  
Phone 3185592248  
Overall Star Rating
(1.11 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
(0.69 higher than average)
vs
3.31

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

Number of Certified Beds
108  (0.94 lower than average)
vs
108.94

Total Number of Residents
69  (22.25 lower than average)
vs
91.25

Percent of Occupied Beds
64 % (19.65 % lower than average)
vs
83.65 %

Health Survey Date 10/27/2011  
Fire Survey Date 10/27/2011  
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 For Profit - Corporation  vs 56.7% Nursing Homes USA have For profit - Corporation
Located Within a Hospital? No  vs 93.6% Nursing Homes USA don't have Located Within a Hospital?
Multi Nursing Home Ownership? No  vs 45.1% Nursing Homes USA don't 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? Yes  vs 31.3% Nursing Homes USA 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
(0.48 lower than average)
vs
7.48

Staff Information
Number of Residents
69  (22.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.25  (0.52 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
1.49  (0.65 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.74  (0.15 higher than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.08  (5.41 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.08  (0.02 lower than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 Scope: Some
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: 08/12/2010
date Of Correction: 09/26/2010 

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: 10/27/2011
date Of Correction: 12/11/2011 

Deficiency #2 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: 02/23/2011
date Of Correction: 03/12/2011 

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: 08/12/2010
date Of Correction: 09/26/2010 

Resident Assessment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan.
survey Date: 08/12/2010
date Of Correction: 09/26/2010 

Deficiency #2 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: 08/12/2010
date Of Correction: 09/26/2010 

Administration Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 08/12/2010
date Of Correction: 09/26/2010 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
44.3 % (19.21 % higher than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
4.8 % (28.15 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
12.9 (55.2) % (3.76 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
15.8 % (3.22 % higher than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
75.2 % (63.37 % higher than average)
vs
11.83 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
10 % (5.63 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
1.4 % (12.06 % lower than average)
vs
13.46 %

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
9.7 % (33.98 % lower than average)
vs
43.68 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
42.3 % (42.34 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
23.1 % (60.84 % lower than average)
vs
83.94 %

Percent of long-stay residents experiencing one or more falls with major injury
75.2 % (59.68 % higher than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
41.8 % (16.41 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
1.6 % (22.1 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain 10.3:1 % 
Percent of long-stay high-risk residents with pressure ulcers
12.7 % (3.48 % higher than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
1 % (7.5 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
7.1 % (36.28 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder 9.4 / 10.4 % 
Percent of long-stay residents with a urinary tract infection
0.5 - 2.0 % (9.08 % lower 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
7.7 % (30.83 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
0.5 - 2.0 % (10.23 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain 16.3:1 % 
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
33.3 % (48.14 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
4.7 % (70.05 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
2.4 % (14.94 % lower than average)
vs
17.34 %



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