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SHENANDOAH CENTER

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SHENANDOAH CENTER VS
All other Nursing Homes USA
General
City CHARLES TOWN   vs 0% Nursing Homes USA have CHARLES TOWN
State attribute explanation WV   vs 0.8% Nursing Homes USA have WV
Street 50 MULBERRY TREE STREET  
Zip Code 25414  
Phone 3047241101  
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
(1.17 lower than average)
vs
3.17

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

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

Number of Certified Beds
78  (30.94 lower than average)
vs
108.94

Total Number of Residents
74  (17.25 lower than average)
vs
91.25

Percent of Occupied Beds
95 % (11.35 % higher than average)
vs
83.65 %

Health Survey Date 3/29/2012  
Fire Survey Date 3/28/2012  
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 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? 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? 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
(57.16 lower than average)
vs
58.16

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

# of deficiencies
(4.48 lower than average)
vs
7.48

Staff Information
Number of Residents
74  (17.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.95  (0.18 higher than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.48  (0.36 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.43  (0.16 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

Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide Written Records When A Resident Is Transferred Or Discharged.
survey Date: 07/19/2011
date Of Correction: 09/01/2011 

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: 07/19/2011
date Of Correction: 09/01/2011 

Administration Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: 1) Receive Registry Verification That A Nurse Aide Has Met The Required Training And Skills That The State Requires; And 2) Ensure Nurse Aides Receive The Required Retraining After 24 Months If Nursing Related Services Were Not Provided For Monetary Compensation
survey Date: 02/02/2010
date Of Correction: 02/24/2010 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
8.5 % (16.59 % lower than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
2.7 % (30.25 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
10.2 % (6.46 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
7.1 % (5.48 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
4.4 % (7.43 % lower than average)
vs
11.83 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.9 % (10.73 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
2.20 % (11.26 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
10.9 % (17.48 % 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
27.6 % (2.58 % higher than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
97.5 % (12.86 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
98.1 % (14.16 % 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
4.2 % (11.32 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication 8.6:1 % 
Percent of long-stay residents whose need for help with daily activities has increased
2.7 % (21 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
10.2 % (3.9 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
7.1 % (2.12 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
4.4 % (4.1 % lower than average)
vs
8.50 %

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
2.20 % (7.38 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
10.9 % (8.96 % 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
4.2 % (6.53 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
27.6 % (2.84 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
97.5 % (16.06 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
98.1 % (23.35 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication 19.4:1 % 


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