Compare with other Nursing Homes USA
Compare
Compare
| SOUTHERN TRACE REHABILITATION AND CARE CENTER | VS | All other Nursing Homes USA |
| Staff Information | |||||
|---|---|---|---|---|---|
| Number of Residents |
100 (8.62 higher than average)
|
vs |
91.38
|
||
| Number of RN Hours Per Resident Per Day |
0.4 (0.37 lower than average)
|
vs |
0.77
|
||
| Number of LPN/LVN Hours Per Resident Per Day |
0.82 (0.02 lower than average)
|
vs |
0.84
|
||
| Total Number of Licensed Staff Hours Per Resident Per Day |
1.23 (0.36 lower 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
|
||
| Environmental Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Some level Of Harm: 2 deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading. survey Date: 06/03/2011 date Of Correction: 06/25/2011 |
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| Deficiency #2 |
Scope: Some 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: 08/07/2009 date Of Correction: 10/08/2009 |
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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: 01/31/2012 date Of Correction: 02/20/2012 |
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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: 01/31/2012 date Of Correction: 02/20/2012 |
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| Deficiency #3 |
Scope: Few level Of Harm: 2 deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment. survey Date: 03/29/2010 date Of Correction: 04/19/2010 |
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| Deficiency #4 |
Scope: Some level Of Harm: 1 deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property. survey Date: 12/30/2009 date Of Correction: 12/30/2009 |
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| Deficiency #5 |
Scope: Some level Of Harm: 1 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: 12/30/2009 date Of Correction: 12/30/2009 |
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| Deficiency #6 |
Scope: Some level Of Harm: 2 deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property. survey Date: 08/07/2009 date Of Correction: 09/02/2009 |
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| Deficiency #7 |
Scope: Some 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: 08/07/2009 date Of Correction: 09/02/2009 |
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| Resident Rights Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Some 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: 05/13/2010 date Of Correction: 06/01/2010 |
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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: 08/07/2009 date Of Correction: 10/08/2009 |
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| Quality Care Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Some level Of Harm: 2 deficiency: Give Each Resident Enough Fluids To Keep Them Healthy And Prevent Dehydration. survey Date: 06/03/2011 date Of Correction: 06/25/2011 |
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| Deficiency #2 |
Scope: Some level Of Harm: 2 deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores. survey Date: 06/03/2011 date Of Correction: 06/25/2011 |
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| Deficiency #3 |
Scope: Few level Of Harm: 2 deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene. survey Date: 06/03/2011 date Of Correction: 06/25/2011 |
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| Deficiency #4 |
Scope: Some level Of Harm: 2 deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care. survey Date: 05/13/2010 date Of Correction: 06/01/2010 |
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| Deficiency #5 |
Scope: Some level Of Harm: 2 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 03/02/2010 date Of Correction: 03/17/2010 |
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| Resident Assessment Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Some 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: 05/13/2010 date Of Correction: 06/01/2010 |
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| Deficiency #2 |
Scope: Some level Of Harm: 2 deficiency: Review Or Revise The Resident's Care Plan After Any Major Change In A Resident's Physical Or Mental Health. survey Date: 08/07/2009 date Of Correction: 09/02/2009 |
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| Pharmacy Service Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
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: 07/08/2010 date Of Correction: 08/02/2010 |
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| Quality Measures Q1 | |||||
|---|---|---|---|---|---|
| Percent of long-stay residents who received an antipsychotic medication |
50 % (24.91 % 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 |
4.1 % (12.56 % lower than average)
|
vs |
16.66 %
|
||
| Percent of long-stay high-risk residents with pressure ulcers |
75.2 % (62.62 % higher than average)
|
vs |
12.58 %
|
||
| Percent of long-stay residents who lose too much weight |
8.4 % (3.43 % lower than average)
|
vs |
11.83 %
|
||
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
25.5 % (19.04 % lower than average)
|
vs |
44.54 %
|
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| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
8 % (7.63 % lower than average)
|
vs |
15.63 %
|
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| Percent of long-stay residents with a urinary tract infection |
4.2 % (9.26 % lower than average)
|
vs |
13.46 %
|
||
| Percent of long-stay residents who have depressive symptoms |
1 % (27.38 % lower than average)
|
vs |
28.38 %
|
||
| Percent of long-stay residents who were physically restrained |
1 % (42.68 % lower than average)
|
vs |
43.68 %
|
||
| Percent of short-stay residents who self-report moderate to severe pain |
17.2 % (7.82 % lower than average)
|
vs |
25.02 %
|
||
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
92.9 % (8.26 % higher than average)
|
vs |
84.64 %
|
||
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
100 % (16.06 % higher than average)
|
vs |
83.94 %
|
||
| Percent of long-stay residents experiencing one or more falls with major injury |
6.9 % (8.62 % lower than average)
|
vs |
15.52 %
|
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| Quality Measures Q3 | |||||
|---|---|---|---|---|---|
| Percent of long-stay residents who received an antipsychotic medication |
44.6 % (19.21 % higher than average)
|
vs |
25.39 %
|
||
| Percent of long-stay residents whose need for help with daily activities has increased |
0.7 % (23 % lower than average)
|
vs |
23.70 %
|
||
| Percent of long-stay residents who self-report moderate to severe pain |
4.4 % (9.7 % lower than average)
|
vs |
14.10 %
|
||
| Percent of long-stay high-risk residents with pressure ulcers |
3.8 % (5.42 % lower than average)
|
vs |
9.22 %
|
||
| Percent of long-stay residents who lose too much weight |
9.3 % (0.8 % higher than average)
|
vs |
8.50 %
|
||
| Percent of long-stay low-risk residents who lose control of their bowels or bladder | 23.8:1 % | ||||
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
7.7 % (2.95 % lower than average)
|
vs |
10.65 %
|
||
| Percent of long-stay residents with a urinary tract infection |
4.8 % (4.78 % lower than average)
|
vs |
9.58 %
|
||
| Percent of long-stay residents who have depressive symptoms |
1.4 % (18.46 % lower than average)
|
vs |
19.86 %
|
||
| Percent of long-stay residents who were physically restrained |
4.9 % (33.63 % lower than average)
|
vs |
38.53 %
|
||
| Percent of long-stay residents experiencing one or more falls with major injury |
7 % (3.73 % lower than average)
|
vs |
10.73 %
|
||
| Percent of short-stay residents who self-report moderate to severe pain | 17.1:1 % | ||||
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
94.1 % (12.66 % higher than average)
|
vs |
81.44 %
|
||
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
23.7 (74.7) % (51.05 % lower than average)
|
vs |
74.75 %
|
||
| Percent of short-stay residents who newly received an antipsychotic medication |
1.8 % (15.54 % lower than average)
|
vs |
17.34 %
|
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