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ST JOHNS ON THE LAKE

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ST JOHNS ON THE LAKE 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 1840 N PROSPECT AVE  
Zip Code 53202  
Phone 4142722022  
Overall Star Rating
(1.89 higher than average)
vs
3.11

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

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

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

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

Number of Certified Beds
56  (52.94 lower than average)
vs
108.94

Total Number of Residents
51  (40.25 lower than average)
vs
91.25

Percent of Occupied Beds
91 % (7.35 % higher than average)
vs
83.65 %

Health Survey Date 3/15/2012  
Fire Survey Date 3/15/2012  
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 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? Yes  vs 9.1% Nursing Homes USA 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
(2.48 lower than average)
vs
7.48

Staff Information
Number of Residents
51  (40.38 lower than average)
vs
91.38

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: 07/06/2010
date Of Correction: 07/23/2010 

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: 03/31/2011
date Of Correction: 04/29/2011 

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: 03/31/2011
date Of Correction: 04/29/2011 

Administration Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 1
deficiency: Post Nurse Staffing Information/data On A Daily Basis.
survey Date: 04/01/2009
date Of Correction: 04/29/2009 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.
survey Date: 03/31/2011
date Of Correction: 04/30/2011 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
12.2 % (12.89 % 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
8.5 % (8.16 % lower than average)
vs
16.66 %

Percent of long-stay residents who lose too much weight
12.5 % (0.67 % higher than average)
vs
11.83 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
8.4 % (7.23 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
75.2 % (61.74 % higher than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
75.2 % (46.82 % higher 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
8 % (17.02 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
86.3 % (1.66 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
96.1 % (12.16 % 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
9.8 % (5.72 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
9.7 % (15.69 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
2.5 % (21.2 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
6.3 % (7.8 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
10 % (0.78 % higher than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
9.1 % (0.6 % higher than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
39 % (4.38 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
6 % (4.65 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
3.3 % (6.28 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
2.5 % (17.36 % 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 8.1 / 8.8 % 
Percent of short-stay residents who self-report moderate to severe pain
13.2 % (11.56 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
86 % (4.56 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
96.9 % (22.15 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
2.20 % (15.14 % lower than average)
vs
17.34 %



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