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SOUTH CENTRAL WYO HEALTHCARE & REHABILITATION CTR

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SOUTH CENTRAL WYO HEALTHCARE & REHABILITATION CTR VS
All other Nursing Homes USA
General
City RAWLINS   vs 0% Nursing Homes USA have RAWLINS
State attribute explanation WY   vs 0.3% Nursing Homes USA have WY
Street 542 16TH STREET  
Zip Code 82301  
Phone 3073242759  
Overall Star Rating
(1.11 lower than average)
vs
3.11

Health Inspections Star Rating
(1.83 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
62  (46.94 lower than average)
vs
108.94

Total Number of Residents
56  (35.25 lower than average)
vs
91.25

Percent of Occupied Beds
90 % (6.35 % higher than average)
vs
83.65 %

Health Survey Date 3/1/2012  
Fire Survey Date 2/27/2012  
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
13  (5.52 higher than average)
vs
7.48

Staff Information
Number of Residents
56  (35.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
1.02  (0.25 higher than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.49  (0.35 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.51  (0.08 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: Some
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 12/22/2011
date Of Correction: 02/15/2012 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 08/12/2010
date Of Correction: 11/01/2010 

Quality Care Deficiencies
Deficiency #1 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: 12/22/2011
date Of Correction: 02/15/2012 

Deficiency #2 Scope: Few
level Of Harm: 3
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 12/22/2011
date Of Correction: 02/15/2012 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.
survey Date: 12/22/2011
date Of Correction: 02/15/2012 

Deficiency #4 Scope: Some
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 12/22/2011
date Of Correction: 02/15/2012 

Deficiency #5 Scope: Some
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 12/22/2011
date Of Correction: 02/15/2012 

Deficiency #6 Scope: Some
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 12/22/2011
date Of Correction: 02/15/2012 

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: 12/22/2011
date Of Correction: 02/15/2012 

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: 12/22/2011
date Of Correction: 02/15/2012 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Review Or Revise The Resident's Care Plan After Any Major Change In A Resident's Physical Or Mental Health.
survey Date: 12/22/2011
date Of Correction: 02/15/2012 

Deficiency #4 Scope: Some
level Of Harm: 2
deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.
survey Date: 12/22/2011
date Of Correction: 02/15/2012 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Some
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: 12/22/2011
date Of Correction: 02/15/2012 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
18.4 % (6.69 % lower than average)
vs
25.09 %

Percent of long-stay residents who self-report moderate to severe pain
15.8 % (0.86 % lower than average)
vs
16.66 %

Percent of long-stay residents who lose too much weight
2 % (9.83 % lower than average)
vs
11.83 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
5.5 % (10.13 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
6.1 % (7.36 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
12 % (16.38 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
4 % (39.68 % lower than average)
vs
43.68 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
70 % (14.64 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
65 % (18.94 % 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
75.2 % (59.68 % higher than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
21.1 % (4.29 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
3.8 % (19.9 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
10.9 % (3.2 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers 10.1:1 % 
Percent of long-stay residents who lose too much weight 8.9 / 9.9 % 
Percent of long-stay low-risk residents who lose control of their bowels or bladder
16.1 % (27.28 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
5.7 % (4.95 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
4.8 % (4.78 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
11.3 % (8.56 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
4 % (34.53 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
75.2 % (64.47 % higher than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
11.1 % (13.66 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
77.1 % (4.34 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
9.1 % (65.65 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
2.4 % (14.94 % lower than average)
vs
17.34 %



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