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SHIPLEY MANOR

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SHIPLEY MANOR VS
All other Nursing Homes USA
General
City WILMINGTON   vs 0.2% Nursing Homes USA have WILMINGTON
State attribute explanation DE   vs 0.3% Nursing Homes USA have DE
Street 2723 SHIPLEY ROAD  
Zip Code 19810  
Phone 3024790111  
Overall Star Rating
(0.89 higher than average)
vs
3.11

Health Inspections Star Rating
(0.17 higher 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
(0.83 higher than average)
vs
3.17

Number of Certified Beds
82  (26.94 lower than average)
vs
108.94

Total Number of Residents
66  (25.25 lower than average)
vs
91.25

Percent of Occupied Beds
80 % (3.65 % lower than average)
vs
83.65 %

Health Survey Date 6/10/2011  
Fire Survey Date 6/16/2011  
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? 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? 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 14  
Staff Information
Number of Residents
66  (25.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.99  (0.22 higher than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.99  (0.15 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.97  (0.38 higher than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.09  (5.4 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.09  (0.01 lower than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 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: 02/16/2011
date Of Correction: 04/04/2011 

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: 02/16/2011
date Of Correction: 04/04/2011 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 04/15/2011
date Of Correction: 06/04/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide Medically-related Social Services To Help Each Resident Achieve The Highest Possible Quality Of Life.
survey Date: 04/15/2011
date Of Correction: 06/04/2011 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 02/16/2011
date Of Correction: 04/04/2011 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 08/28/2009
date Of Correction: 10/10/2009 

Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 08/28/2009
date Of Correction: 10/10/2009 

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: 04/15/2011
date Of Correction: 06/04/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Make Sure Each Resident Receives An Accurate Assessment By A Qualified Health Professional.
survey Date: 02/16/2011
date Of Correction: 04/04/2011 

Deficiency #3 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: 08/28/2009
date Of Correction: 10/10/2009 

Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Give Or Get X-rays And Other Tests In A Timely Manner To Meet The Needs Of Residents.
survey Date: 04/15/2011
date Of Correction: 06/04/2011 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 02/16/2011
date Of Correction: 04/04/2011 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Quickly Tell The Resident's Doctor The Results Of Lab Tests.
survey Date: 02/16/2011
date Of Correction: 04/04/2011 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.
survey Date: 08/28/2009
date Of Correction: 10/10/2009 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
15.7 % (9.39 % lower than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
75.2 % (42.25 % higher than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
13.7 % (2.96 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
75.2 % (62.62 % higher than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
14.3 % (2.47 % higher than average)
vs
11.83 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
6.8 % (8.83 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
20.4 % (6.94 % higher than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
4.5 % (23.88 % 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
37.3 % (12.28 % higher than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
91 % (6.36 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
98.5 % (14.56 % 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
75.2 % (59.68 % higher than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
14.5 % (10.89 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
0.4 % (23.3 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
14.5 % (0.4 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
75.2 % (65.98 % higher than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight 8.1 / 8.8 % 
Percent of long-stay low-risk residents who lose control of their bowels or bladder
73 % (29.62 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
5 % (5.65 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection 16.3:1 % 
Percent of long-stay residents who have depressive symptoms
4.1 % (15.76 % 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
2.20 % (8.53 % lower than average)
vs
10.73 %

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
90.6 % (9.16 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
95.7 % (20.95 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
3.8 % (13.54 % lower than average)
vs
17.34 %



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