Compare with other Nursing Homes USA
Compare
Compare
| SOUTHEAST NURSING & REHABILITATION CENTER | VS | All other Nursing Homes USA |
| Staff Information | |||||
|---|---|---|---|---|---|
| Number of Residents |
101 (9.62 higher than average)
|
vs |
91.38
|
||
| Number of RN Hours Per Resident Per Day |
0.34 (0.43 lower than average)
|
vs |
0.77
|
||
| Number of LPN/LVN Hours Per Resident Per Day |
1.36 (0.52 higher than average)
|
vs |
0.84
|
||
| Total Number of Licensed Staff Hours Per Resident Per Day |
1.69 (0.1 higher than average)
|
vs |
1.59
|
||
| Number of CNA Hours Per Resident Per Day |
0.05 (5.44 lower than average)
|
vs |
5.49
|
||
| Number Therapy Hours Per Resident Per Day |
0.05 (0.05 lower than average)
|
vs |
0.10
|
||
| Environmental Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
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: 02/05/2010 date Of Correction: 02/16/2010 |
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| Deficiency #2 |
Scope: Some level Of Harm: 2 deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading. survey Date: 01/22/2010 date Of Correction: 02/04/2010 |
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| Deficiency #3 |
Scope: Few level Of Harm: 3 deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents. survey Date: 12/07/2009 date Of Correction: 02/18/2010 |
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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: 12/07/2009 date Of Correction: 12/11/2009 |
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| Resident Rights Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident. survey Date: 02/05/2010 date Of Correction: 02/08/2010 |
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| Quality Care Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Some level Of Harm: 2 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 05/25/2012 date Of Correction: Not Available |
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| Deficiency #2 |
Scope: Few level Of Harm: 2 deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So. survey Date: 03/12/2012 date Of Correction: 04/19/2012 |
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| Deficiency #3 |
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: 03/12/2012 date Of Correction: 04/19/2012 |
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| Deficiency #4 |
Scope: Few level Of Harm: 2 deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores. survey Date: 03/12/2012 date Of Correction: 04/19/2012 |
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| Deficiency #5 |
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: 03/12/2012 date Of Correction: 04/19/2012 |
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| Deficiency #6 |
Scope: Some level Of Harm: 2 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 03/12/2012 date Of Correction: 04/19/2012 |
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| Deficiency #7 |
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: 12/07/2009 date Of Correction: 12/11/2009 |
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| Resident Assessment Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity. survey Date: 12/20/2010 date Of Correction: 12/21/2010 |
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| Administration Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Few 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: 03/12/2012 date Of Correction: 04/19/2012 |
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| Deficiency #2 |
Scope: Some level Of Harm: 2 deficiency: Give Or Get Quality Lab Services/tests In A Timely Manner To Meet The Needs Of Residents. survey Date: 09/02/2010 date Of Correction: 10/11/2010 |
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| Pharmacy Service Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
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: 06/09/2011 date Of Correction: 07/10/2011 |
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| Deficiency #2 |
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: 09/02/2010 date Of Correction: 10/11/2010 |
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| Deficiency #3 |
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: 01/22/2010 date Of Correction: 02/04/2010 |
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| Quality Measures Q1 | |||||
|---|---|---|---|---|---|
| Percent of long-stay residents who received an antipsychotic medication |
22.6 % (2.49 % lower than average)
|
vs |
25.09 %
|
||
| Percent of long-stay residents whose need for help with daily activities has increased |
3 % (29.95 % lower than average)
|
vs |
32.95 %
|
||
| Percent of long-stay residents who self-report moderate to severe pain |
15.5 % (1.16 % lower than average)
|
vs |
16.66 %
|
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| Percent of long-stay high-risk residents with pressure ulcers |
10 % (2.58 % lower than average)
|
vs |
12.58 %
|
||
| Percent of long-stay residents who lose too much weight |
9.2 % (2.63 % lower than average)
|
vs |
11.83 %
|
||
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
2.7 % (12.93 % lower than average)
|
vs |
15.63 %
|
||
| Percent of long-stay residents with a urinary tract infection |
6.4 % (7.06 % lower than average)
|
vs |
13.46 %
|
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| Percent of long-stay residents who have depressive symptoms | 5.6:1 % | ||||
| Percent of long-stay residents who were physically restrained |
75.2 % (31.52 % higher than average)
|
vs |
43.68 %
|
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| Percent of short-stay residents who self-report moderate to severe pain |
55 % (29.98 % higher than average)
|
vs |
25.02 %
|
||
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
14 % (70.64 % lower than average)
|
vs |
84.64 %
|
||
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
14 % (69.94 % lower than average)
|
vs |
83.94 %
|
||
| Percent of long-stay residents experiencing one or more falls with major injury |
2 % (13.52 % lower than average)
|
vs |
15.52 %
|
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| Quality Measures Q3 | |||||
|---|---|---|---|---|---|
| Percent of long-stay residents who received an antipsychotic medication |
22.8 % (2.59 % lower than average)
|
vs |
25.39 %
|
||
| Percent of long-stay residents whose need for help with daily activities has increased |
3.7 % (20 % lower than average)
|
vs |
23.70 %
|
||
| Percent of long-stay residents who self-report moderate to severe pain | 18.2:1 % | ||||
| Percent of long-stay high-risk residents with pressure ulcers |
6.9 % (2.32 % lower than average)
|
vs |
9.22 %
|
||
| Percent of long-stay residents who lose too much weight |
6.6 % (1.9 % lower than average)
|
vs |
8.50 %
|
||
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
57.3 % (13.92 % higher than average)
|
vs |
43.38 %
|
||
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
3.4 % (7.25 % lower than average)
|
vs |
10.65 %
|
||
| Percent of long-stay residents with a urinary tract infection |
6.2 % (3.38 % lower than average)
|
vs |
9.58 %
|
||
| Percent of long-stay residents who have depressive symptoms | 9.9:1 % | ||||
| 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 |
2.1 % (8.63 % lower than average)
|
vs |
10.73 %
|
||
| Percent of short-stay residents who self-report moderate to severe pain |
51.9 % (27.14 % higher than average)
|
vs |
24.76 %
|
||
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine | 9.9:1 % | ||||
| Percent of short-stay residents with Pressure ulcers that are new or worsened | 9.9:1 % | ||||
| Percent of short-stay residents who newly received an antipsychotic medication |
3.2 % (14.14 % lower than average)
|
vs |
17.34 %
|
||