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SOUTH BOSTON MANOR

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SOUTH BOSTON MANOR VS
All other Nursing Homes USA
General
City SOUTH BOSTON   vs 0% Nursing Homes USA have SOUTH BOSTON
State attribute explanation VA   vs 1.8% Nursing Homes USA have VA
Street 406 OAK LANE  
Zip Code 24592  
Phone 4345722925  
Overall Star Rating
(2.11 lower than average)
vs
3.11

Health Inspections Star Rating
(1.83 lower than average)
vs
2.83

Nurse Staffing Star Rating
(2.17 lower than average)
vs
3.17

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

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

Number of Certified Beds
54  (54.94 lower than average)
vs
108.94

Total Number of Residents
45  (46.25 lower than average)
vs
91.25

Percent of Occupied Beds
83 % (0.65 % lower than average)
vs
83.65 %

Health Survey Date 5/23/2012  
Fire Survey Date 5/24/2012  
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 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
14  (6.52 higher than average)
vs
7.48

Staff Information
Number of Residents
45  (46.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.37  (0.4 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.98  (0.14 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.35  (0.24 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.1  (5.39 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.1  (equals average)
vs
0.10

Environmental Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: Keep All Essential Equipment Working Safely.
survey Date: 06/11/2009
date Of Correction: 07/27/2009 

Mistreatment Deficiencies
Deficiency #1 Scope: Some
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: 05/26/2010
date Of Correction: Not Available 

Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Help And Prepare Each Resident For A Safe And Easy Discharge And Transfer From The Nursing Home.
survey Date: 05/26/2010
date Of Correction: Not Available 

Quality Care Deficiencies
Deficiency #1 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: 05/26/2010
date Of Correction: Not Available 

Resident Assessment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide Proper Discharge Planning And Communication, Of The Resident's Health Status And Summary Of The Resident's Stay.
survey Date: 05/26/2010
date Of Correction: Not Available 

Deficiency #2 Scope: Some
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: 05/26/2010
date Of Correction: Not Available 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Make Sure That Doctors Visit Residents Regularly, As Required.
survey Date: 06/11/2009
date Of Correction: 07/27/2009 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Make Sure Each Resident Receives An Accurate Assessment By A Qualified Health Professional.
survey Date: 06/11/2009
date Of Correction: 07/27/2009 

Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Give Or Get X-rays Or Tests Only When They Are Ordered By The Attending Physician.
survey Date: 05/26/2010
date Of Correction: Not Available 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Make Sure Medically Necessary Lab Services/tests Are Ordered By The Attending Physician.
survey Date: 05/26/2010
date Of Correction: Not Available 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Give Or Get Quality Lab Services/tests In A Timely Manner To Meet The Needs Of Residents.
survey Date: 05/26/2010
date Of Correction: Not Available 

Deficiency #4 Scope: Many
level Of Harm: 2
deficiency: Operate And Provide Services According To Federal, State, And Local Laws And Professional Standards.
survey Date: 05/26/2010
date Of Correction: Not Available 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: 1) Make Sure That Each Resident's Drug Regimen Is Free From Unnecessary Drugs; 2) Each Resident's Entire Drug/medication Is Managed And Monitored To Achieve Highest Well Being.
survey Date: 05/26/2010
date Of Correction: Not Available 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.
survey Date: 06/11/2009
date Of Correction: 07/27/2009 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
15 % (10.09 % 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 high-risk residents with pressure ulcers 14.7:1 % 
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
4.9 % (10.73 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection 17.1:1 % 
Percent of long-stay residents who have depressive symptoms
32.5 % (4.12 % higher than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
9.5 % (34.18 % lower than average)
vs
43.68 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
95.2 % (11.26 % 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
4.8 % (10.72 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
17.2 % (8.19 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
4 % (19.7 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
7 % (7.1 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
15.2 % (5.98 % higher than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
75.2 % (66.7 % higher than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
47.1 % (3.72 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.9 % (6.75 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
13.6-28 % (4.02 % higher than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
23.5 % (3.64 % higher than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained 10.7:1 % 
Percent of long-stay residents experiencing one or more falls with major injury
4.1 % (6.63 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
31.7 % (6.94 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
100 % (18.56 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
90.7 % (15.95 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
4 % (13.34 % lower than average)
vs
17.34 %



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