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ST ANNE'S SALVATORIAN CAMPUS

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ST ANNE'S SALVATORIAN CAMPUS VS
All other Nursing Homes USA
General
City MILWAUKEE   vs 0.2% Nursing Homes USA have MILWAUKEE
State attribute explanation WI   vs 2.5% Nursing Homes USA have WI
Street 3800 N 92ND ST  
Zip Code 53222  
Phone 4144637570  
Overall Star Rating
(1.89 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
(0.69 higher than average)
vs
3.31

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

Number of Certified Beds
106  (2.94 lower than average)
vs
108.94

Total Number of Residents
90  (1.25 lower than average)
vs
91.25

Percent of Occupied Beds
85 % (1.35 % higher than average)
vs
83.65 %

Health Survey Date 4/19/2012  
Fire Survey Date 4/19/2012  
Sprinkler Status Partially Sprinklered  vs 8.5% Nursing Homes USA have Partially Sprinklered
Program Participation Medicare And Medicaid  vs 91.5% Nursing Homes USA have Medicare and Medicaid
Type of Ownership Non Profit - Church Related  vs 4.4% Nursing Homes USA have Non profit - Church related
Located Within a Hospital? No  vs 93.6% Nursing Homes USA don't have Located Within a Hospital?
Multi Nursing Home Ownership? No  vs 45.1% Nursing Homes USA don't 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? No  vs 68.7% Nursing Homes USA don't 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
(0.48 lower than average)
vs
7.48

Staff Information
Number of Residents
90  (1.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.97  (0.2 higher than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.56  (0.28 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.54  (0.05 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.06  (5.43 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.06  (0.04 lower than average)
vs
0.10

Environmental Deficiencies
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: 03/24/2010
date Of Correction: 04/24/2010 

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: 09/22/2011
date Of Correction: 10/22/2011 

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: 09/22/2011
date Of Correction: 10/22/2011 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 10/14/2010
date Of Correction: 11/14/2010 

Deficiency #4 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: 10/14/2010
date Of Correction: 11/14/2010 

Deficiency #5 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: 03/24/2010
date Of Correction: 04/24/2010 

Quality Care Deficiencies
Deficiency #1 Scope: Few
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: 07/06/2011
date Of Correction: 08/06/2011 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
17.9 (64.2) % (7.19 % lower 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 10.1:1 % 
Percent of long-stay high-risk residents with pressure ulcers
6.1 % (6.48 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
4.9 % (6.93 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
50 % (5.46 % higher than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
5.1 % (10.53 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection 8.6:1 % 
Percent of long-stay residents who have depressive symptoms
2.4 % (25.98 % 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
31.8 % (6.78 % higher than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
93.2 % (8.56 % 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 short-stay residents who newly received an antipsychotic medication
75.2 % (29.3 % higher than average)
vs
45.90 %

Percent of long-stay residents experiencing one or more falls with major injury
2.4 % (13.12 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
16 % (9.39 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
75.2 % (51.5 % higher than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
11.4 % (2.7 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
6.3 % (2.92 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
5.2 % (3.3 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
51.3 % (7.92 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
5 % (5.65 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
6.4 % (3.18 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
3.6 % (16.26 % 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
3.6 % (7.13 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
26.6 (79.9) % (1.84 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
94.7 % (13.26 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
100 % (25.25 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
75.2 % (57.86 % higher than average)
vs
17.34 %



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