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ST FRANCIS NURSING CTR

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ST FRANCIS NURSING CTR VS
All other Nursing Homes USA
General
City NEWPORT NEWS   vs 0% Nursing Homes USA have NEWPORT NEWS
State attribute explanation VA   vs 1.8% Nursing Homes USA have VA
Street 4 RIDGEWOOD PARKWAY  
Zip Code 23602  
Phone 7578866500  
Overall Star Rating
(1.11 lower than average)
vs
3.11

Health Inspections Star Rating
(0.83 lower than average)
vs
2.83

Nurse Staffing Star Rating
(0.17 lower than average)
vs
3.17

Quality Measures Star Rating
(0.69 higher than average)
vs
3.31

RN Only Star Rating
(0.17 lower than average)
vs
3.17

Number of Certified Beds
115  (6.06 higher than average)
vs
108.94

Total Number of Residents
96  (4.75 higher than average)
vs
91.25

Percent of Occupied Beds
83 % (0.65 % lower than average)
vs
83.65 %

Health Survey Date 8/12/2011  
Fire Survey Date 8/19/2011  
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 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? Yes  vs 54.9% Nursing Homes USA have Multi Nursing Home Ownership?
Resident and Family Councils Both  vs 29.8% Nursing Homes USA have Both
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
(56.16 lower than average)
vs
58.16

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

# of deficiencies
(0.52 higher than average)
vs
7.48

Staff Information
Number of Residents
96  (4.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.7  (0.07 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
2.51  (1.67 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
3.21  (1.62 higher 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: 4
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 08/26/2009
date Of Correction: 10/09/2009 

Deficiency #2 Scope: Some
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: 08/26/2009
date Of Correction: 10/09/2009 

Mistreatment Deficiencies
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: 08/26/2009
date Of Correction: 10/09/2009 

Resident Rights Deficiencies
Deficiency #1 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: 08/26/2009
date Of Correction: 10/09/2009 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.
survey Date: 08/26/2009
date Of Correction: 10/09/2009 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.
survey Date: 08/26/2009
date Of Correction: 10/09/2009 

Deficiency #2 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: 08/26/2009
date Of Correction: 11/12/2009 

Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: 1) Provide 3 Meals At Regular Times; 2) Serve Breakfast Within 14 Hours After Dinner; Or 3) Offer A Snack At Bedtime Each Day.
survey Date: 09/03/2010
date Of Correction: 11/01/2010 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication 17.3:1 % 
Percent of long-stay residents whose need for help with daily activities has increased
2.20 % (30.75 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
3 % (13.66 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
23.2 % (10.62 % higher than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
5 % (6.83 % lower than average)
vs
11.83 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.4 % (12.23 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
3.8 % (9.66 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
2.5 % (25.88 % 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
13.7 % (11.32 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
88.7 % (4.06 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
88.8 % (4.86 % 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
75.2 % (59.68 % higher than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
16.7 % (8.69 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
2.9 % (20.8 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain 7.9:1 % 
Percent of long-stay high-risk residents with pressure ulcers
18.5 % (9.28 % higher than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
5.7 % (2.8 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
20.6 % (22.78 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
2 % (8.65 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
4.1 % (5.48 % lower 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
0.8 % (9.93 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
25.5 % (0.74 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
61.7 % (19.74 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
72.2 % (2.55 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
23.2 % (5.86 % higher than average)
vs
17.34 %



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