SHEPHERD OF THE VALLEY HEALTHCARE CENTER

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General
City	CASPER	vs	0% Nursing Homes USA have CASPER
State attribute explanation	WY	vs	0.3% Nursing Homes USA have WY	compare WY Nursing Homes USA
Street	60 MAGNOLIA
Zip Code	82604
Phone	3072349381
Overall Star Rating	1 (2.11 lower than average)	vs	3.11	Compare similar Overall Star Rating (1)
Health Inspections Star Rating	1 (1.83 lower than average)	vs	2.83	Compare similar Health Inspections Star Rating (1)
Nurse Staffing Star Rating	4 (0.83 higher than average)	vs	3.17	Compare similar Nurse Staffing Star Rating (4)
Quality Measures Star Rating	1 (2.31 lower than average)	vs	3.31	Compare similar Quality Measures Star Rating (1)
RN Only Star Rating	4 (0.83 higher than average)	vs	3.17	Compare similar RN Only Star Rating (4)
Number of Certified Beds	192 (83.06 higher than average)	vs	108.94	Compare similar Number of Certified Beds (192)
Total Number of Residents	178 (86.75 higher than average)	vs	91.25	Compare similar Total Number of Residents (178)
Percent of Occupied Beds	93 % (9.35 % higher than average)	vs	83.65 %	Compare similar Percent of Occupied Beds (93) %
Health Survey Date	4/26/2012
Fire Survey Date	4/25/2012
Sprinkler Status	Partially Sprinklered	vs	8.5% Nursing Homes USA have Partially Sprinklered
Program Participation	Medicare And Medicaid	vs	91.5% Nursing Homes USA have Medicare and Medicaid	compare Medicare and Medicaid Nursing Homes USA
Type of Ownership	For Profit - Corporation	vs	56.7% Nursing Homes USA have For profit - Corporation	compare For profit - Corporation Nursing Homes USA
Located Within a Hospital?	No	vs	93.6% Nursing Homes USA don't have Located Within a Hospital?	Compare similar 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	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	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	22 (14.52 higher than average)	vs	7.48

Staff Information
Number of Residents	178 (86.62 higher than average)	vs	91.38
Number of RN Hours Per Resident Per Day	0.78 (0.01 higher than average)	vs	0.77
Number of LPN/LVN Hours Per Resident Per Day	0.37 (0.47 lower than average)	vs	0.84
Total Number of Licensed Staff Hours Per Resident Per Day	1.15 (0.44 lower than average)	vs	1.59
Number of CNA Hours Per Resident Per Day	0.05 (5.44 lower than average)	vs	5.49
Number Therapy Hours Per Resident Per Day	0.05 (0.05 lower than average)	vs	0.10

Environmental Deficiencies
Deficiency #1		Scope: Some level Of Harm: 2 deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading. survey Date: 04/26/2012 date Of Correction: 06/12/2012
Deficiency #2		Scope: Many level Of Harm: 2 deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading. survey Date: 03/29/2011 date Of Correction: 05/08/2011
Deficiency #3		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: 03/29/2011 date Of Correction: 05/08/2011

Mistreatment Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property. survey Date: 11/03/2010 date Of Correction: 12/18/2010
Deficiency #2		Scope: Some level Of Harm: 2 deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property. survey Date: 11/03/2010 date Of Correction: 12/18/2010

Resident Rights Deficiencies
Deficiency #1		Scope: Some level Of Harm: 2 deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality. survey Date: 11/03/2010 date Of Correction: 12/18/2010

Quality Care Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: Give Each Resident Enough Fluids To Keep Them Healthy And Prevent Dehydration. survey Date: 04/26/2012 date Of Correction: 06/12/2012
Deficiency #2		Scope: Few level Of Harm: 3 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 10/19/2011 date Of Correction: 11/16/2011
Deficiency #3		Scope: Some level Of Harm: 2 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 07/12/2011 date Of Correction: 08/26/2011
Deficiency #4		Scope: Some level Of Harm: 2 deficiency: Have Enough Nurses To Care For Every Resident In A Way That Maximizes The Resident's Well Being. survey Date: 03/29/2011 date Of Correction: 05/08/2011
Deficiency #5		Scope: Few level Of Harm: 3 deficiency: Make Sure That Each Resident Who Enters The Nursing Home Without A Catheter Is Not Given A Catheter, And Receive Proper Services To Prevent Urinary Tract Infections And Restore Normal Bladder Function. survey Date: 03/29/2011 date Of Correction: 05/08/2011
Deficiency #6		Scope: Some level Of Harm: 2 deficiency: Have Enough Nurses To Care For Every Resident In A Way That Maximizes The Resident's Well Being. survey Date: 11/03/2010 date Of Correction: 12/18/2010
Deficiency #7		Scope: Some level Of Harm: 2 deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So. survey Date: 11/03/2010 date Of Correction: 12/18/2010
Deficiency #8		Scope: Few level Of Harm: 2 deficiency: Make Sure That Each Resident Who Enters The Nursing Home Without A Catheter Is Not Given A Catheter, And Receive Proper Services To Prevent Urinary Tract Infections And Restore Normal Bladder Function. survey Date: 11/03/2010 date Of Correction: 12/18/2010
Deficiency #9		Scope: Few level Of Harm: 2 deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene. survey Date: 11/03/2010 date Of Correction: 12/18/2010
Deficiency #10		Scope: Few level Of Harm: 2 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 11/03/2010 date Of Correction: 12/18/2010
Deficiency #11		Scope: Few level Of Harm: 2 deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care. survey Date: 11/03/2010 date Of Correction: 12/18/2010
Deficiency #12		Scope: Some level Of Harm: 2 deficiency: Provide Activities To Meet The Interests And Needs Of Each Resident. survey Date: 11/03/2010 date Of Correction: 12/18/2010

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: 04/26/2012 date Of Correction: 06/12/2012

Administration Deficiencies
Deficiency #1		Scope: Some level Of Harm: 2 deficiency: Set Up An Ongoing Quality Assessment And Assurance Group To Review Quality Deficiencies Quarterly, And Develop Corrective Plans Of Action. survey Date: 10/19/2011 date Of Correction: 11/16/2011
Deficiency #2		Scope: Few level Of Harm: 2 deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards. survey Date: 07/12/2011 date Of Correction: 08/26/2011

Nutrition and Dietary Deficiencies
Deficiency #1		Scope: Some level Of Harm: 2 deficiency: 1) Provide 3 Meals At Regular Times; 2) Serve Breakfast Within 14 Hours After Dinner; Or 3) Offer A Snack At Bedtime Each Day. survey Date: 11/03/2010 date Of Correction: 12/18/2010

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication	10.6 % (14.49 % lower than average)	vs	25.09 %
Percent of long-stay residents whose need for help with daily activities has increased	4.2 % (28.75 % lower than average)	vs	32.95 %
Percent of long-stay residents who self-report moderate to severe pain	11.7 % (4.96 % lower than average)	vs	16.66 %
Percent of long-stay high-risk residents with pressure ulcers	8 % (4.58 % lower than average)	vs	12.58 %
Percent of long-stay residents who lose too much weight	8.5 % (3.33 % lower than average)	vs	11.83 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder	28.6 % (15.94 % lower than average)	vs	44.54 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder	7.9:1 %
Percent of long-stay residents with a urinary tract infection	2.6 / 3 %
Percent of long-stay residents who have depressive symptoms	15.5 % (12.88 % lower than average)	vs	28.38 %
Percent of long-stay residents who were physically restrained	8.4 % (35.28 % lower than average)	vs	43.68 %
Percent of short-stay residents who self-report moderate to severe pain	17.5 % (7.52 % lower than average)	vs	25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine	54.9 % (29.74 % lower than average)	vs	84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened	32.9 % (51.04 % lower 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	10.3:1 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication	10.6 % (14.79 % lower than average)	vs	25.39 %
Percent of long-stay residents whose need for help with daily activities has increased	3.1 % (20.6 % lower than average)	vs	23.70 %
Percent of long-stay residents who self-report moderate to severe pain	15.6 % (1.5 % higher than average)	vs	14.10 %
Percent of long-stay high-risk residents with pressure ulcers	5.4 % (3.82 % lower than average)	vs	9.22 %
Percent of long-stay residents who lose too much weight	6 % (2.5 % lower than average)	vs	8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder	25.5 % (17.88 % lower than average)	vs	43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder	8.6:1 %
Percent of long-stay residents with a urinary tract infection	3.9 % (5.68 % lower than average)	vs	9.58 %
Percent of long-stay residents who have depressive symptoms	16.1 % (3.76 % lower than average)	vs	19.86 %
Percent of long-stay residents who were physically restrained	4.7 % (33.83 % lower than average)	vs	38.53 %
Percent of long-stay residents experiencing one or more falls with major injury	8.7 % (2.03 % lower than average)	vs	10.73 %
Percent of short-stay residents who self-report moderate to severe pain	21.5 % (3.26 % lower than average)	vs	24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine	60.4 % (21.04 % lower than average)	vs	81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened	40.4 % (34.35 % lower than average)	vs	74.75 %
Percent of short-stay residents who newly received an antipsychotic medication	24.7 % (7.36 % higher than average)	vs	17.34 %