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SPRING CREEK HEALTHCARE CENTER

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SPRING CREEK HEALTHCARE CENTER VS
All other Nursing Homes USA
General
City HOLLADAY   vs 0% Nursing Homes USA have HOLLADAY
State attribute explanation UT   vs 0.6% Nursing Homes USA have UT
Street 4600 SOUTH HIGHLAND DRIVE  
Zip Code 84117  
Phone 8012721892  
Overall Star Rating
(0.11 lower than average)
vs
3.11

Health Inspections Star Rating
(0.83 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
(1.83 higher than average)
vs
3.17

Number of Certified Beds
100  (8.94 lower than average)
vs
108.94

Total Number of Residents
52  (39.25 lower than average)
vs
91.25

Percent of Occupied Beds
52 % (31.65 % lower than average)
vs
83.65 %

Health Survey Date 1/12/2012  
Fire Survey Date 1/10/2012  
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 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
(56.16 lower than average)
vs
58.16

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

# of deficiencies
(1.48 lower than average)
vs
7.48

Staff Information
Number of Residents
52  (39.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
1.41  (0.64 higher than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.21  (0.63 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.62  (0.03 higher than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.16  (5.33 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.16  (0.06 higher than average)
vs
0.10

Resident Rights Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 1
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: 03/25/2010
date Of Correction: 05/11/2010 

Deficiency #2 Scope: Some
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: 07/08/2009
date Of Correction: 08/10/2009 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 03/25/2010
date Of Correction: 05/11/2010 

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: 03/25/2010
date Of Correction: 05/11/2010 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Make Sure Each Resident Receives An Accurate Assessment By A Qualified Health Professional.
survey Date: 03/25/2010
date Of Correction: 05/11/2010 

Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Give Or Get X-rays And Other Tests In A Timely Manner To Meet The Needs Of Residents.
survey Date: 03/25/2010
date Of Correction: 05/11/2010 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
20 % (5.09 % lower than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
1.8 % (31.15 % lower than average)
vs
32.95 %

Percent of long-stay high-risk residents with pressure ulcers
3 % (9.58 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
5.3 % (6.53 % lower than average)
vs
11.83 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
5.8 % (9.83 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
15.8 % (2.34 % higher than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
13.5 % (14.88 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
2.7 % (40.98 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
55.2 % (30.18 % 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
87.4 % (3.46 % higher than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
2.8 % (43.1 % lower than average)
vs
45.90 %

Percent of long-stay residents experiencing one or more falls with major injury
75.2 % (59.68 % higher than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
20.4 % (4.99 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
1.1 % (22.6 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
32.4 (90.3) % (18.3 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
5.1 % (4.12 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
3.9 % (4.6 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
35 % (8.38 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
8.3 % (2.35 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection 16.3:1 % 
Percent of long-stay residents who have depressive symptoms
9.2 % (10.66 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
0.9 % (37.63 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
75.2 % (64.47 % higher than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
33.6 % (8.84 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
80.3 % (1.14 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
87.3 % (12.55 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
14 % (3.34 % lower than average)
vs
17.34 %



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