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SOUTH SHORE HEALTH & REHABILITATION

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SOUTH SHORE HEALTH & REHABILITATION VS
All other Nursing Homes USA
General
City GARY   vs 0% Nursing Homes USA have GARY
State attribute explanation IN   vs 3.1% Nursing Homes USA have IN
Street 353 TYLER ST  
Zip Code 46402  
Phone 2198867070  
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
(0.31 lower than average)
vs
3.31

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

Number of Certified Beds
129  (20.06 higher than average)
vs
108.94

Total Number of Residents
105  (13.75 higher than average)
vs
91.25

Percent of Occupied Beds
81 % (2.65 % lower than average)
vs
83.65 %

Health Survey Date 4/27/2012  
Fire Survey Date 5/21/2012  
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 Non Profit - Corporation  vs 18.7% Nursing Homes USA have Non 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
(55.31 lower than average)
vs
56.31

# of deficiencies
19  (11.52 higher than average)
vs
7.48

Staff Information
Number of Residents
105  (13.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.29  (0.48 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.57  (0.27 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
0.86  (0.73 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: Few
level Of Harm: 4
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 03/17/2012
date Of Correction: Not Available 

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: 12/15/2011
date Of Correction: 01/03/2012 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Maintain Comfortable And Safe Temperature Levels.
survey Date: 12/15/2011
date Of Correction: 01/03/2012 

Deficiency #4 Scope: Some
level Of Harm: 2
deficiency: Maintain Comfortable And Safe Temperature Levels.
survey Date: 12/12/2011
date Of Correction: 01/03/2012 

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: 08/26/2010
date Of Correction: 09/07/2010 

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: 08/26/2010
date Of Correction: 09/07/2010 

Resident Rights Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.
survey Date: 12/15/2011
date Of Correction: 01/03/2012 

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: 06/02/2011
date Of Correction: 07/20/2011 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.
survey Date: 07/20/2010
date Of Correction: 08/26/2010 

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: 03/17/2012
date Of Correction: Not Available 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 06/02/2011
date Of Correction: 07/20/2011 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Give Or Get Specialized Rehabilitative Services Per The Patient's Assessment Or Plan Of Care.
survey Date: 12/14/2010
date Of Correction: 01/06/2011 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 12/14/2010
date Of Correction: 01/06/2011 

Deficiency #5 Scope: Some
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 06/25/2010
date Of Correction: 08/26/2010 

Resident Assessment Deficiencies
Deficiency #1 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: 03/17/2012
date Of Correction: Not Available 

Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Employ Or Obtain Outside Professional Resources Providing Services In The Nursing Home That Meet Professional Standards.
survey Date: 09/27/2011
date Of Correction: 09/28/2011 

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: 07/20/2010
date Of Correction: 08/26/2010 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 06/25/2010
date Of Correction: 08/26/2010 

Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure Menus Meet The Resident's Nutritional Needs And That There Is A Prepared Menu By Which Nutritious Meals Have Been Planned For The Resident And Followed.
survey Date: 07/20/2010
date Of Correction: 08/26/2010 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
28.1 % (3.01 % higher than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
3.2 % (29.75 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
6 % (10.66 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers 16.3:1 % 
Percent of long-stay residents who lose too much weight
9.3 % (2.53 % lower than average)
vs
11.83 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
4 % (11.63 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
4 % (9.46 % 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
3.8 % (21.22 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
16 % (68.64 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
11.1 % (72.84 % lower than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
(44.9 lower than average)
vs
45.90

Percent of long-stay residents experiencing one or more falls with major injury 2.6 / 3 % 
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
27.5 % (2.11 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
5.5 % (18.2 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
4.1 % (10 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
18.7 % (9.48 % higher than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight 9.9:1 % 
Percent of long-stay low-risk residents who lose control of their bowels or bladder
31.2 % (12.18 % lower 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
3.2 % (6.38 % 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
1.8 % (36.73 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
2.7 % (8.03 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
13.7 % (11.06 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
25 % (56.44 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
27.6 % (47.15 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
9.7 % (7.64 % lower than average)
vs
17.34 %



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