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SHEBOYGAN SENIOR COMMUNITY INC

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SHEBOYGAN SENIOR COMMUNITY INC VS
All other Nursing Homes USA
General
City SHEBOYGAN   vs 0% Nursing Homes USA have SHEBOYGAN
State attribute explanation WI   vs 2.5% Nursing Homes USA have WI
Street 930 N 6TH ST  
Zip Code 53081  
Phone 9204582137  
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
(0.83 higher than average)
vs
3.17

Quality Measures Star Rating
(0.69 higher than average)
vs
3.31

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

Number of Certified Beds
75  (33.94 lower than average)
vs
108.94

Total Number of Residents
64  (27.25 lower than average)
vs
91.25

Percent of Occupied Beds
85 % (1.35 % higher than average)
vs
83.65 %

Health Survey Date 6/28/2012  
Fire Survey Date 6/28/2012  
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? 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? 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
(57.16 lower than average)
vs
58.16

Total Enforcement Actions Count
(55.31 lower than average)
vs
56.31

# of deficiencies
10  (2.52 higher than average)
vs
7.48

Staff Information
Number of Residents
64  (27.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
1.34  (0.57 higher than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.52  (0.32 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.85  (0.26 higher 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

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: 12/19/2011
date Of Correction: 01/17/2012 

Deficiency #2 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: 07/19/2010
date Of Correction: 08/18/2010 

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: 06/16/2011
date Of Correction: 07/06/2011 

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: 02/03/2011
date Of Correction: 02/22/2011 

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: 12/19/2011
date Of Correction: 01/17/2012 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 07/19/2010
date Of Correction: 08/18/2010 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Give Each Resident Enough Fluids To Keep Them Healthy And Prevent Dehydration.
survey Date: 12/23/2009
date Of Correction: 01/22/2010 

Deficiency #4 Scope: Few
level Of Harm: 3
deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So.
survey Date: 12/23/2009
date Of Correction: 01/22/2010 

Resident Assessment Deficiencies
Deficiency #1 Scope: Some
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: 12/19/2011
date Of Correction: 01/17/2012 

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: 12/23/2009
date Of Correction: 01/22/2010 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
13.2 % (11.89 % lower than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
3.3 % (29.65 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
22.9 % (6.24 % higher than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
2.1 % (10.48 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
5.7 % (6.13 % lower than average)
vs
11.83 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
75.2 % (59.57 % higher than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection 9.4 / 10.4 % 
Percent of long-stay residents who have depressive symptoms
7.5 % (20.88 % 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
38.8 % (13.78 % higher than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
90.9 % (6.26 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
94.4 % (10.46 % 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
3.8 % (11.72 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication 12.1:1 % 
Percent of long-stay residents whose need for help with daily activities has increased
4.3 % (19.4 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
18.9 % (4.8 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
1.50 % (7.72 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
6.6 % (1.9 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
62.9 % (19.52 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.6 % (9.05 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
5.3 % (4.28 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
7.3 % (12.56 % 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
3.3 % (7.43 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
36.9 % (12.14 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
82.5 % (1.06 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
92.8 % (18.05 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
11.7 % (5.64 % lower than average)
vs
17.34 %



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