Compare with other Nursing Homes USA
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SPRINGS AT WATERMARK 3030 PARK, THE | VS | All other Nursing Homes USA |
Staff Information | |||||
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Number of Residents |
20 (71.38 lower than average)
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vs |
91.38
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Number of RN Hours Per Resident Per Day |
1.89 (1.12 higher than average)
|
vs |
0.77
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Number of LPN/LVN Hours Per Resident Per Day |
0.72 (0.12 lower than average)
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vs |
0.84
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Total Number of Licensed Staff Hours Per Resident Per Day | 2.6 / 3 | ||||
Number of CNA Hours Per Resident Per Day |
0.43 (5.06 lower than average)
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vs |
5.49
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Number Therapy Hours Per Resident Per Day |
0.43 (0.33 higher than average)
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vs |
0.10
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Environmental Deficiencies | |||||
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Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents. survey Date: 02/24/2010 date Of Correction: 04/05/2010 |
Mistreatment Deficiencies | |||||
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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: 02/23/2011 date Of Correction: 03/22/2011 |
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Deficiency #2 |
Scope: Many level Of Harm: 4 deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property. survey Date: 02/23/2011 date Of Correction: 03/09/2011 |
Resident Rights Deficiencies | |||||
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Deficiency #1 |
Scope: Some level Of Harm: 4 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: 02/23/2011 date Of Correction: 03/09/2011 |
Quality Care Deficiencies | |||||
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Deficiency #1 |
Scope: Some level Of Harm: 2 deficiency: Have Enough Nurses To Care For Every Resident In A Way That Maximizes The Resident's Well Being. survey Date: 02/23/2011 date Of Correction: 03/22/2011 |
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Deficiency #2 |
Scope: Some level Of Harm: 2 deficiency: Properly Care For Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, And Prostheses. survey Date: 02/23/2011 date Of Correction: 03/22/2011 |
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Deficiency #3 |
Scope: Some level Of Harm: 4 deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores. survey Date: 02/23/2011 date Of Correction: 03/09/2011 |
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Deficiency #4 |
Scope: Many level Of Harm: 4 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 02/23/2011 date Of Correction: 03/09/2011 |
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Deficiency #5 |
Scope: Some level Of Harm: 4 deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality. survey Date: 02/23/2011 date Of Correction: 03/09/2011 |
Resident Assessment Deficiencies | |||||
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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: 10/19/2010 date Of Correction: 11/29/2010 |
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Deficiency #2 |
Scope: Few level Of Harm: 2 deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity. survey Date: 02/24/2010 date Of Correction: 04/05/2010 |
Administration Deficiencies | |||||
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Deficiency #1 |
Scope: Many level Of Harm: 2 deficiency: Set Up An Ongoing Quality Assessment And Assurance Group To Review Quality Deficiencies Quarterly, And Develop Corrective Plans Of Action. survey Date: 02/23/2011 date Of Correction: 03/22/2011 |
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Deficiency #2 |
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: 02/23/2011 date Of Correction: 03/22/2011 |
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Deficiency #3 |
Scope: Some level Of Harm: 2 deficiency: 1) Review The Work Of Each Nurse Aide Every Year; And 2) Give Regular In-service Training Based Upon These Reviews. survey Date: 02/23/2011 date Of Correction: 03/22/2011 |
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Deficiency #4 |
Scope: Few level Of Harm: 2 deficiency: 1) Receive Registry Verification That A Nurse Aide Has Met The Required Training And Skills That The State Requires; And 2) Ensure Nurse Aides Receive The Required Retraining After 24 Months If Nursing Related Services Were Not Provided For Monetary Compensation survey Date: 02/23/2011 date Of Correction: 03/22/2011 |
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Deficiency #5 |
Scope: Few level Of Harm: 2 deficiency: Operate And Provide Services According To Federal, State, And Local Laws And Professional Standards. survey Date: 02/23/2011 date Of Correction: 03/22/2011 |
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Deficiency #6 |
Scope: Many level Of Harm: 4 deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident . survey Date: 02/23/2011 date Of Correction: 03/09/2011 |
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Deficiency #7 |
Scope: Few level Of Harm: 2 deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards. survey Date: 10/19/2010 date Of Correction: 11/29/2010 |
Quality Measures Q1 | |||||
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Percent of long-stay residents whose need for help with daily activities has increased |
75.2 % (42.25 % higher than average)
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vs |
32.95 %
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Percent of short-stay residents who self-report moderate to severe pain |
12.7 % (12.32 % lower than average)
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vs |
25.02 %
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Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
98 % (13.36 % higher than average)
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vs |
84.64 %
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Percent of short-stay residents with Pressure ulcers that are new or worsened |
97.1 % (13.16 % higher than average)
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vs |
83.94 %
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Percent of short-stay residents who newly received an antipsychotic medication |
2.8 % (43.1 % lower than average)
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vs |
45.90 %
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Quality Measures Q3 | |||||
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Percent of long-stay residents whose need for help with daily activities has increased |
0.9 % (22.8 % lower than average)
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vs |
23.70 %
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Percent of short-stay residents who self-report moderate to severe pain |
13.7 % (11.06 % lower than average)
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vs |
24.76 %
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Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
94.7 % (13.26 % higher than average)
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vs |
81.44 %
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Percent of short-stay residents with Pressure ulcers that are new or worsened |
96.9 % (22.15 % higher than average)
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vs |
74.75 %
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Percent of short-stay residents who newly received an antipsychotic medication |
1.3 % (16.04 % lower than average)
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vs |
17.34 %
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