Compare with other Nursing Homes USA
Compare
Compare
SOUTH PASADENA CONV. HOSPI | VS | All other Nursing Homes USA |
Staff Information | |||||
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Number of Residents |
139 (47.62 higher 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 |
0.93 (0.09 higher than average)
|
vs |
0.84
|
||
Total Number of Licensed Staff Hours Per Resident Per Day |
1.3 (0.29 lower than average)
|
vs |
1.59
|
||
Number of CNA Hours Per Resident Per Day |
0.13 (5.36 lower than average)
|
vs |
5.49
|
||
Number Therapy Hours Per Resident Per Day |
0.13 (0.03 higher than average)
|
vs |
0.10
|
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: 08/31/2010 date Of Correction: 10/12/2010 |
Resident Rights Deficiencies | |||||
---|---|---|---|---|---|
Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Immediately Tell The Resident, The Resident's Doctor And A Family Member Of The Resident Of Situations (injury/decline/room, Etc.) That Affect The Resident. survey Date: 08/31/2010 date Of Correction: 10/12/2010 |
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Deficiency #2 |
Scope: Few level Of Harm: 2 deficiency: Immediately Tell The Resident, The Resident's Doctor And A Family Member Of The Resident Of Situations (injury/decline/room, Etc.) That Affect The Resident. survey Date: 08/31/2010 date Of Correction: 10/12/2010 |
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Deficiency #3 |
Scope: Few level Of Harm: 2 deficiency: Immediately Tell The Resident, The Resident's Doctor And A Family Member Of The Resident Of Situations (injury/decline/room, Etc.) That Affect The Resident. survey Date: 08/31/2010 date Of Correction: 10/12/2010 |
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: 08/31/2010 date Of Correction: 10/12/2010 |
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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: 08/31/2010 date Of Correction: 10/12/2010 |
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Deficiency #3 |
Scope: Some level Of Harm: 2 deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards. survey Date: 08/31/2010 date Of Correction: 10/12/2010 |
Quality Measures Q1 | |||||
---|---|---|---|---|---|
Percent of long-stay residents who received an antipsychotic medication |
31.2 % (6.11 % higher than average)
|
vs |
25.09 %
|
||
Percent of long-stay residents whose need for help with daily activities has increased |
0.6 % (32.35 % lower than average)
|
vs |
32.95 %
|
||
Percent of long-stay residents who self-report moderate to severe pain |
0.7 % (15.96 % lower than average)
|
vs |
16.66 %
|
||
Percent of long-stay high-risk residents with pressure ulcers | 11.8:1 % | ||||
Percent of long-stay residents who lose too much weight |
2.1 % (9.73 % lower than average)
|
vs |
11.83 %
|
||
Percent of long-stay low-risk residents who lose control of their bowels or bladder | 8.1 / 8.8 % | ||||
Percent of long-stay residents who have had a catheter inserted and left in their bladder |
3.6 % (12.03 % lower than average)
|
vs |
15.63 %
|
||
Percent of long-stay residents with a urinary tract infection |
8.2 % (5.26 % lower than average)
|
vs |
13.46 %
|
||
Percent of long-stay residents who have depressive symptoms |
75.2 % (46.82 % higher 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 |
4.7 % (20.32 % lower than average)
|
vs |
25.02 %
|
||
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
97.3 % (12.66 % higher than average)
|
vs |
84.64 %
|
||
Percent of short-stay residents with Pressure ulcers that are new or worsened |
96.8 % (12.86 % 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 |
34.8 % (9.41 % higher than average)
|
vs |
25.39 %
|
||
Percent of long-stay residents whose need for help with daily activities has increased |
1.7 % (22 % lower than average)
|
vs |
23.70 %
|
||
Percent of long-stay residents who self-report moderate to severe pain | 2.6 / 3 % | ||||
Percent of long-stay high-risk residents with pressure ulcers |
8 % (1.22 % lower than average)
|
vs |
9.22 %
|
||
Percent of long-stay residents who lose too much weight |
2.8 % (5.7 % lower than average)
|
vs |
8.50 %
|
||
Percent of long-stay low-risk residents who lose control of their bowels or bladder |
8.2 % (35.18 % lower than average)
|
vs |
43.38 %
|
||
Percent of long-stay residents who have had a catheter inserted and left in their bladder |
3.5 % (7.15 % lower than average)
|
vs |
10.65 %
|
||
Percent of long-stay residents with a urinary tract infection |
7.3 % (2.28 % lower than average)
|
vs |
9.58 %
|
||
Percent of long-stay residents who have depressive symptoms |
75.2 % (55.34 % higher 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 |
0.9 % (9.83 % lower than average)
|
vs |
10.73 %
|
||
Percent of short-stay residents who self-report moderate to severe pain |
5.3 % (19.46 % lower than average)
|
vs |
24.76 %
|
||
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
95.8 % (14.36 % higher than average)
|
vs |
81.44 %
|
||
Percent of short-stay residents with Pressure ulcers that are new or worsened |
95.5 % (20.75 % higher than average)
|
vs |
74.75 %
|
||
Percent of short-stay residents who newly received an antipsychotic medication | 9.9:1 % |