Compare with other Nursing Homes USA
Compare
Compare
| SOUTH CONGRESS CARE & REHABILITATION | VS | All other Nursing Homes USA |
| Staff Information | |||||
|---|---|---|---|---|---|
| Number of Residents |
80 (11.38 lower than average)
|
vs |
91.38
|
||
| Number of RN Hours Per Resident Per Day |
0.44 (0.33 lower than average)
|
vs |
0.77
|
||
| Number of LPN/LVN Hours Per Resident Per Day |
0.92 (0.08 higher than average)
|
vs |
0.84
|
||
| Total Number of Licensed Staff Hours Per Resident Per Day |
1.36 (0.23 lower 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: Some level Of Harm: 2 deficiency: Make Sure There Is A Pest Control Program To Prevent/deal With Mice, Insects, Or Other Pests. survey Date: 03/15/2011 date Of Correction: 04/05/2011 |
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| Deficiency #2 |
Scope: Some level Of Harm: 2 deficiency: Make Sure That The Nursing Home Area Is Safe, Easy To Use, Clean And Comfortable For Residents, Staff And The Public. survey Date: 03/15/2011 date Of Correction: 04/05/2011 |
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| Deficiency #3 |
Scope: Some level Of Harm: 2 deficiency: Keep All Essential Equipment Working Safely. survey Date: 12/10/2010 date Of Correction: 01/20/2011 |
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| Deficiency #4 |
Scope: Few level Of Harm: 2 deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading. survey Date: 12/10/2010 date Of Correction: 01/20/2011 |
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| Deficiency #5 |
Scope: Some level Of Harm: 2 deficiency: Provide Housekeeping And Maintenance Services. survey Date: 12/10/2010 date Of Correction: 01/20/2011 |
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| Deficiency #6 |
Scope: Some level Of Harm: 2 deficiency: Make Sure That The Nursing Home Area Is Safe, Easy To Use, Clean And Comfortable For Residents, Staff And The Public. survey Date: 09/16/2010 date Of Correction: 09/20/2010 |
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| Deficiency #7 |
Scope: Some level Of Harm: 2 deficiency: Make Sure There Is A Pest Control Program To Prevent/deal With Mice, Insects, Or Other Pests. survey Date: 08/25/2010 date Of Correction: 10/01/2010 |
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| Deficiency #8 |
Scope: Many level Of Harm: 2 deficiency: Be Designed, Built, Equipped, Or Well Kept To Protect The Health And Safety Of Residents, Workers, And The Public. survey Date: 07/16/2010 date Of Correction: 08/16/2010 |
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| Deficiency #9 |
Scope: Some level Of Harm: 2 deficiency: Make Sure That A Working Call System Is Available In Each Resident's Room Or Bathroom And Bathing Area. survey Date: 11/13/2009 date Of Correction: 12/13/2009 |
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| Deficiency #10 |
Scope: Some level Of Harm: 2 deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading. survey Date: 11/13/2009 date Of Correction: 12/13/2009 |
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| Deficiency #11 |
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: 11/13/2009 date Of Correction: 12/13/2009 |
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| Deficiency #12 |
Scope: Some level Of Harm: 2 deficiency: Provide Housekeeping And Maintenance Services. survey Date: 11/13/2009 date Of Correction: 12/13/2009 |
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| Deficiency #13 |
Scope: Many level Of Harm: 2 deficiency: Make Sure There Is A Pest Control Program To Prevent/deal With Mice, Insects, Or Other Pests. survey Date: 07/31/2009 date Of Correction: 08/31/2009 |
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| Deficiency #14 |
Scope: Many level Of Harm: 2 deficiency: Provide Housekeeping And Maintenance Services. survey Date: 07/31/2009 date Of Correction: 12/13/2009 |
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| 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: 07/31/2009 date Of Correction: 08/31/2009 |
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| Deficiency #2 |
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: 07/31/2009 date Of Correction: 08/31/2009 |
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| Resident Rights Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Many level Of Harm: 1 deficiency: Send And Promptly Deliver Unopened Mail To Residents. survey Date: 12/10/2010 date Of Correction: 01/20/2011 |
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| Deficiency #2 |
Scope: Some level Of Harm: 2 deficiency: Try To Resolve Each Resident's Complaints Quickly. survey Date: 02/25/2010 date Of Correction: 03/01/2010 |
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| Deficiency #3 |
Scope: Some level Of Harm: 2 deficiency: Try To Resolve Each Resident's Complaints Quickly. survey Date: 07/31/2009 date Of Correction: 08/31/2009 |
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| Quality Care Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Give Proper Treatment To Residents With Feeding Tubes To Prevent Problems (such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-pharyngeal Ulcers) And Help Restore Eating Skills, If Possible. survey Date: 12/10/2010 date Of Correction: 01/20/2011 |
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| Deficiency #2 |
Scope: Some level Of Harm: 2 deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care. survey Date: 12/10/2010 date Of Correction: 01/20/2011 |
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| Deficiency #3 |
Scope: Some level Of Harm: 2 deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care. survey Date: 11/13/2009 date Of Correction: 12/13/2009 |
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| Deficiency #4 |
Scope: Few level Of Harm: 2 deficiency: Give Proper Treatment To Residents With Feeding Tubes To Prevent Problems (such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-pharyngeal Ulcers) And Help Restore Eating Skills, If Possible. survey Date: 10/16/2009 date Of Correction: 10/19/2009 |
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| Deficiency #5 |
Scope: Few level Of Harm: 2 deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores. survey Date: 10/16/2009 date Of Correction: 10/19/2009 |
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| Deficiency #6 |
Scope: Some 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: 07/31/2009 date Of Correction: 08/31/2009 |
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| Deficiency #7 |
Scope: Few level Of Harm: 3 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 07/31/2009 date Of Correction: 08/31/2009 |
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| Deficiency #8 |
Scope: Some level Of Harm: 2 deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care. survey Date: 07/31/2009 date Of Correction: 08/31/2009 |
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| Resident Assessment Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Make Sure Each Resident Receives An Accurate Assessment By A Qualified Health Professional. survey Date: 11/13/2009 date Of Correction: 12/13/2009 |
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| Administration Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Some level Of Harm: 2 deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards. survey Date: 12/10/2010 date Of Correction: 01/20/2011 |
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| 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: 11/13/2009 date Of Correction: 12/13/2009 |
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| Deficiency #3 |
Scope: Some level Of Harm: 2 deficiency: Make Sure That Nurse Aides Show They Have The Skills And Techniques To Be Able To Care For Residents' Needs. survey Date: 11/13/2009 date Of Correction: 12/13/2009 |
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| Deficiency #4 |
Scope: Many level Of Harm: 2 deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident . survey Date: 07/31/2009 date Of Correction: 08/31/2009 |
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| Pharmacy Service Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Some level Of Harm: 2 deficiency: Make Sure That Residents Are Safe From Serious Medication Errors. survey Date: 07/16/2010 date Of Correction: 08/16/2010 |
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| Deficiency #2 |
Scope: Some level Of Harm: 2 deficiency: At Least Once A Month, Have A Licensed Pharmacist Review Each Resident's Medication(s) And Report Any Irregularities To The Attending Doctor. survey Date: 11/13/2009 date Of Correction: 12/13/2009 |
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| Deficiency #3 |
Scope: Some level Of Harm: 2 deficiency: Keep The Rate Of Medication Errors (wrong Drug, Wrong Dose, Wrong Time) To Less Than 5%. survey Date: 11/13/2009 date Of Correction: 12/13/2009 |
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| Deficiency #4 |
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: 10/16/2009 date Of Correction: 10/19/2009 |
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| Deficiency #5 |
Scope: Some level Of Harm: 2 deficiency: Keep The Rate Of Medication Errors (wrong Drug, Wrong Dose, Wrong Time) To Less Than 5%. survey Date: 10/16/2009 date Of Correction: 10/19/2009 |
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| Nutrition and Dietary Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Some level Of Harm: 2 deficiency: Store, Cook, And Serve Food In A Safe And Clean Way. survey Date: 11/13/2009 date Of Correction: 12/13/2009 |
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| Deficiency #2 |
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: 11/13/2009 date Of Correction: 12/13/2009 |
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| Deficiency #3 |
Scope: Some level Of Harm: 2 deficiency: Provide Food In A Way That Meets A Resident's Needs. survey Date: 11/13/2009 date Of Correction: 12/13/2009 |
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| Deficiency #4 |
Scope: Some level Of Harm: 2 deficiency: Prepare Food That Is Nutritional, Appetizing, Tasty, Attractive, Well-cooked, And At The Right Temperature. survey Date: 11/13/2009 date Of Correction: 12/13/2009 |
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| Deficiency #5 |
Scope: Few level Of Harm: 2 deficiency: Provide Food In A Way That Meets A Resident's Needs. survey Date: 10/16/2009 date Of Correction: 12/13/2009 |
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| Deficiency #6 |
Scope: Many level Of Harm: 2 deficiency: Store, Cook, And Serve Food In A Safe And Clean Way. survey Date: 07/31/2009 date Of Correction: 12/13/2009 |
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| Quality Measures Q1 | |||||
|---|---|---|---|---|---|
| Percent of long-stay residents who received an antipsychotic medication |
33.9 % (8.81 % higher 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 |
75.2 % (58.54 % higher than average)
|
vs |
16.66 %
|
||
| Percent of long-stay high-risk residents with pressure ulcers |
2.4 % (10.18 % lower than average)
|
vs |
12.58 %
|
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| Percent of long-stay residents who lose too much weight | 5.6:1 % | ||||
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
53.7 % (9.16 % higher than average)
|
vs |
44.54 %
|
||
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
1.7 % (13.93 % lower than average)
|
vs |
15.63 %
|
||
| Percent of long-stay residents with a urinary tract infection |
2.8 % (10.66 % lower than average)
|
vs |
13.46 %
|
||
| Percent of long-stay residents who have depressive symptoms | 18.1:1 % | ||||
| Percent of long-stay residents who were physically restrained | 5.6:1 % | ||||
| Percent of short-stay residents who self-report moderate to severe pain | 8.1 / 8.8 % | ||||
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
72.5 % (12.14 % lower than average)
|
vs |
84.64 %
|
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| Percent of short-stay residents with Pressure ulcers that are new or worsened |
60.5 % (23.44 % 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 | 5.6:1 % | ||||
| Quality Measures Q3 | |||||
|---|---|---|---|---|---|
| Percent of long-stay residents who received an antipsychotic medication |
32.8 % (7.41 % higher than average)
|
vs |
25.39 %
|
||
| Percent of long-stay residents whose need for help with daily activities has increased |
75.2 % (51.5 % higher than average)
|
vs |
23.70 %
|
||
| Percent of long-stay residents who self-report moderate to severe pain |
1.8 % (12.3 % lower than average)
|
vs |
14.10 %
|
||
| Percent of long-stay high-risk residents with pressure ulcers |
3.6 % (5.62 % lower than average)
|
vs |
9.22 %
|
||
| Percent of long-stay residents who lose too much weight |
3.7 % (4.8 % lower than average)
|
vs |
8.50 %
|
||
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
41.8 % (1.58 % lower than average)
|
vs |
43.38 %
|
||
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
1.9 % (8.75 % lower than average)
|
vs |
10.65 %
|
||
| Percent of long-stay residents with a urinary tract infection |
3.7 % (5.88 % lower than average)
|
vs |
9.58 %
|
||
| Percent of long-stay residents who have depressive symptoms |
13.5 % (6.36 % lower than average)
|
vs |
19.86 %
|
||
| Percent of long-stay residents who were physically restrained |
6.9 % (31.63 % lower than average)
|
vs |
38.53 %
|
||
| Percent of long-stay residents experiencing one or more falls with major injury |
4.5 % (6.23 % lower than average)
|
vs |
10.73 %
|
||
| Percent of short-stay residents who self-report moderate to severe pain |
14.3 % (10.46 % lower than average)
|
vs |
24.76 %
|
||
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
64.7 % (16.74 % lower than average)
|
vs |
81.44 %
|
||
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
30 % (44.75 % lower than average)
|
vs |
74.75 %
|
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| Percent of short-stay residents who newly received an antipsychotic medication | 17.3:1 % | ||||