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SOUTHLAKE VILLAGE REHABILITATION & CARE CENTER

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SOUTHLAKE VILLAGE REHABILITATION & CARE CENTER VS
All other Nursing Homes USA
General
Percent of short-stay residents with Pressure ulcers that are new or worsened 75.2 % 
City Lincoln  vs 0.1% Nursing Homes USA have Lincoln
State attribute explanation NE   vs 1.4% Nursing Homes USA have NE
Street 9401 ANDERMATT DRIVE  
Zip Code 68526  
Phone 4024763274  
Overall Star Rating
(0.89 higher than average)
vs
3.11

Health Inspections Star Rating
(1.17 higher than average)
vs
2.83

Nurse Staffing Star Rating
(1.83 higher than average)
vs
3.17

Quality Measures Star Rating
(2.31 lower than average)
vs
3.31

RN Only Star Rating
(1.83 higher than average)
vs
3.17

Number of Certified Beds
126  (17.06 higher than average)
vs
108.94

Total Number of Residents
63  (28.25 lower than average)
vs
91.25

Percent of Occupied Beds
50 % (33.65 % lower than average)
vs
83.65 %

Health Survey Date 8/25/2011  
Fire Survey Date 9/13/2011  
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 For Profit - Corporation  vs 56.7% Nursing Homes USA have For 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
75.2  (18.89 higher than average)
vs
56.31

# of deficiencies
(3.48 lower than average)
vs
7.48

Staff Information
Number of Residents
63  (28.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
1.89  (1.12 higher than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.88  (0.04 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
2.77  (1.18 higher than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
75.2  (69.71 higher than average)
vs
5.49

Resident Rights Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: Give Each Resident A Notice Of Rights, Rules, Services And Charges. Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items And Services Medicaid Covers And Which The Resident Must Pay For.
survey Date: 04/02/2009
date Of Correction: 05/15/2009 

Quality Care Deficiencies
Deficiency #1 Scope: Few
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: 04/02/2009
date Of Correction: 05/15/2009 

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: 08/25/2011
date Of Correction: 10/09/2011 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: 1) Make Sure That Each Resident's Drug Regimen Is Free From Unnecessary Drugs; 2) Each Resident's Entire Drug/medication Is Managed And Monitored To Achieve Highest Well Being.
survey Date: 04/02/2009
date Of Correction: 05/15/2009 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
18.5 % (6.59 % lower than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
1.50 % (31.45 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
13 % (3.66 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
15.6 % (3.02 % higher than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
6 % (5.83 % lower than average)
vs
11.83 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
12.5 % (3.13 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
10 % (3.46 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
5.9 % (22.48 % lower 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
29.1 % (4.08 % higher than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
82.4 % (2.24 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
84.9 % (0.96 % higher than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
0.5 - 2.0 % (45.4 % lower than average)
vs
45.90 %

Percent of long-stay residents experiencing one or more falls with major injury
7.3 % (8.22 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
11.2-20 % (14.19 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
1.8 % (21.9 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
14.2 % (0.1 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
8.5 % (0.72 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
5.5 % (3 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
52.2 % (8.82 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
10.6 % (0.05 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
9.6 % (0.02 % higher than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
4.9 % (14.96 % 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
7.2 % (3.53 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
28.8 % (4.04 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
79.1 % (2.34 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
84.5 % (9.75 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication 16.3:1 % 


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