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SOUTHEAST GEORGIA HEALTH SYSTEM - SENIOR CARE CTR

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SOUTHEAST GEORGIA HEALTH SYSTEM - SENIOR CARE CTR VS
All other Nursing Homes USA
General
Percent of short-stay residents with Pressure ulcers that are new or worsened 1 % 
City BRUNSWICK   vs 0.1% Nursing Homes USA have BRUNSWICK
State attribute explanation GA   vs 2.3% Nursing Homes USA have GA
Street 2611 WILDWOOD DRIVE  
Zip Code 31520  
Phone 9124665651  
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
(1.31 lower than average)
vs
3.31

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

Number of Certified Beds
200  (91.06 higher than average)
vs
108.94

Total Number of Residents
143  (51.75 higher than average)
vs
91.25

Percent of Occupied Beds
72 % (11.65 % lower than average)
vs
83.65 %

Health Survey Date 2/23/2011  
Fire Survey Date 2/23/2011  
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 Government - Hospital District  vs 0.9% Nursing Homes USA have Government - Hospital district
Located Within a Hospital? Yes  vs 6.4% Nursing Homes USA 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
(56.16 lower than average)
vs
58.16

Total Enforcement Actions Count
(53.31 lower than average)
vs
56.31

# of deficiencies 1  
Staff Information
Number of Residents
143  (51.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.43  (0.34 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
1.48  (0.64 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.92  (0.33 higher than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.04  (5.45 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.04  (0.06 lower 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: 10/31/2011
date Of Correction: 12/15/2011 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
27.9 % (2.81 % higher than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
6 % (26.95 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
16.8 % (0.14 % higher than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
8.5 % (4.08 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
7.8 % (4.03 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
26.1 % (18.44 % lower than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.1 % (12.53 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection 12.8:1 % 
Percent of long-stay residents who have depressive symptoms 9.9:1 % 
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
29.7 % (4.68 % higher than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
96.2 % (11.56 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
97.9 % (13.96 % higher than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
2 % (43.9 % lower than average)
vs
45.90 %

Percent of long-stay residents experiencing one or more falls with major injury
4.9 % (10.62 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
26.3 (79.3) % (0.91 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
2.5 % (21.2 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
22 % (7.9 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
8.4 % (0.82 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
6.5 % (2 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
25.6 (78.1) % (17.78 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.3 % (7.35 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
16.1 % (6.52 % higher than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
7.7 % (12.16 % lower 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
4 % (6.73 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
26.9 % (2.14 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
96.2 % (14.76 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
97.4 % (22.65 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
17.6 % (0.26 % higher than average)
vs
17.34 %



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