ST JOHNSBURY HEALTH & REHAB

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General
City	SAINT JOHNSBURY	vs	0% Nursing Homes USA have SAINT JOHNSBURY
State attribute explanation	VT	vs	0.2% Nursing Homes USA have VT	compare VT Nursing Homes USA
Street	1248 HOSPITAL DRIVE
Zip Code	5819
Phone	8027488757
Overall Star Rating	5 (1.89 higher than average)	vs	3.11	Compare similar Overall Star Rating (5)
Health Inspections Star Rating	3 (0.17 higher than average)	vs	2.83	Compare similar Health Inspections Star Rating (3)
Nurse Staffing Star Rating	4 (0.83 higher than average)	vs	3.17	Compare similar Nurse Staffing Star Rating (4)
Quality Measures Star Rating	5 (1.69 higher than average)	vs	3.31	Compare similar Quality Measures Star Rating (5)
RN Only Star Rating	3 (0.17 lower than average)	vs	3.17	Compare similar RN Only Star Rating (3)
Number of Certified Beds	110 (1.06 higher than average)	vs	108.94	Compare similar Number of Certified Beds (110)
Total Number of Residents	87 (4.25 lower than average)	vs	91.25	Compare similar Total Number of Residents (87)
Percent of Occupied Beds	79 % (4.65 % lower than average)	vs	83.65 %	Compare similar Percent of Occupied Beds (79) %
Health Survey Date	4/18/2012
Fire Survey Date	4/18/2012
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	compare Medicare and Medicaid Nursing Homes USA
Type of Ownership	For Profit - Corporation	vs	56.7% Nursing Homes USA have For profit - Corporation	compare For profit - Corporation Nursing Homes USA
Located Within a Hospital?	No	vs	93.6% Nursing Homes USA don't have Located Within a Hospital?	Compare similar 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?	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	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	18 (10.52 higher than average)	vs	7.48

Staff Information
Number of Residents	87 (4.38 lower than average)	vs	91.38
Number of RN Hours Per Resident Per Day	0.64 (0.13 lower than average)	vs	0.77
Number of LPN/LVN Hours Per Resident Per Day	0.88 (0.04 higher than average)	vs	0.84
Total Number of Licensed Staff Hours Per Resident Per Day	1.52 (0.07 lower than average)	vs	1.59
Number of CNA Hours Per Resident Per Day	0.25 (5.24 lower than average)	vs	5.49
Number Therapy Hours Per Resident Per Day	0.25 (0.15 higher than average)	vs	0.10

Environmental Deficiencies
Deficiency #1		Scope: Many level Of Harm: 1 deficiency: Make Sure That The Nursing Home Area Is Safe, Easy To Use, Clean And Comfortable For Residents, Staff And The Public. survey Date: 07/15/2009 date Of Correction: 08/06/2009
Deficiency #2		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: 05/06/2009 date Of Correction: 05/28/2009

Mistreatment Deficiencies
Deficiency #1		Scope: Many level Of Harm: 1 deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property. survey Date: 08/19/2009 date Of Correction: 09/02/2009
Deficiency #2		Scope: Few level Of Harm: 2 deficiency: Keep Each Resident Free From Drugs That Restrain Them, Unless Needed For Medical Treatment. survey Date: 05/06/2009 date Of Correction: 05/28/2009

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: 03/14/2012 date Of Correction: Not Available
Deficiency #2		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: 03/17/2010 date Of Correction: 04/05/2010
Deficiency #3		Scope: Few level Of Harm: 2 deficiency: Make Sure Each Resident Has The Right To Have A Choice Over Activities, Their Schedules And Health Care According To His Or Her Interests, Assessment, And Plan Of Care. survey Date: 10/20/2009 date Of Correction: 11/09/2009
Deficiency #4		Scope: Few level Of Harm: 2 deficiency: Determine If It Is Safe For The Resident To Self-administer Drugs. survey Date: 10/20/2009 date Of Correction: 11/09/2009

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: 03/14/2012 date Of Correction: Not Available
Deficiency #2		Scope: Few level Of Harm: 2 deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality. survey Date: 10/20/2009 date Of Correction: 11/09/2009
Deficiency #3		Scope: Some level Of Harm: 2 deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality. survey Date: 08/19/2009 date Of Correction: 09/02/2009
Deficiency #4		Scope: Few level Of Harm: 2 deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality. survey Date: 06/22/2009 date Of Correction: 09/02/2009

Resident Assessment Deficiencies
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: 10/20/2009 date Of Correction: 11/09/2009

Administration Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards. survey Date: 03/14/2012 date Of Correction: Not Available
Deficiency #2		Scope: Many level Of Harm: 1 deficiency: Post Nurse Staffing Information/data On A Daily Basis. survey Date: 03/14/2012 date Of Correction: Not Available
Deficiency #3		Scope: Few level Of Harm: 2 deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards. survey Date: 06/22/2009 date Of Correction: 07/09/2009

Pharmacy Service Deficiencies
Deficiency #1		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: 10/20/2009 date Of Correction: 11/09/2009
Deficiency #2		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: 05/06/2009 date Of Correction: 05/28/2009

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication	12.9 (55.2) % (12.19 % lower than average)	vs	25.09 %
Percent of long-stay residents whose need for help with daily activities has increased	1 % (31.95 % lower than average)	vs	32.95 %
Percent of long-stay residents who self-report moderate to severe pain	1.8 % (14.86 % lower than average)	vs	16.66 %
Percent of long-stay high-risk residents with pressure ulcers	1.9 % (10.68 % lower than average)	vs	12.58 %
Percent of long-stay residents who lose too much weight	4.4 % (7.43 % lower than average)	vs	11.83 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder	7.5 % (8.13 % lower than average)	vs	15.63 %
Percent of long-stay residents with a urinary tract infection	4.3 % (9.16 % lower 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	2.7 % (22.32 % lower than average)	vs	25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine	88.2 % (3.56 % higher than average)	vs	84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened	85.3 % (1.36 % higher than average)	vs	83.94 %
Percent of short-stay residents who newly received an antipsychotic medication	3.1 % (42.8 % lower than average)	vs	45.90 %
Percent of long-stay residents experiencing one or more falls with major injury	1.4 % (14.12 % lower than average)	vs	15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication	13.7 % (11.69 % lower than average)	vs	25.39 %
Percent of long-stay residents whose need for help with daily activities has increased	2.3 % (21.4 % lower than average)	vs	23.70 %
Percent of long-stay residents who self-report moderate to severe pain	3 % (11.1 % lower than average)	vs	14.10 %
Percent of long-stay high-risk residents with pressure ulcers	3.6 % (5.62 % lower than average)	vs	9.22 %
Percent of long-stay residents who lose too much weight	9 % (0.5 % higher than average)	vs	8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder	56.1 % (12.72 % higher than average)	vs	43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder	6.6 % (4.05 % lower than average)	vs	10.65 %
Percent of long-stay residents with a urinary tract infection	4.2 % (5.38 % lower than average)	vs	9.58 %
Percent of long-stay residents who have depressive symptoms	75.2 % (55.34 % higher than average)	vs	19.86 %
Percent of long-stay residents who were physically restrained	0.5 - 2.0 % (38.03 % lower than average)	vs	38.53 %
Percent of long-stay residents experiencing one or more falls with major injury	2.3 % (8.43 % lower than average)	vs	10.73 %
Percent of short-stay residents who self-report moderate to severe pain	6.3 % (18.46 % lower than average)	vs	24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine	88.2 % (6.76 % higher than average)	vs	81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened	79.8 % (5.05 % higher than average)	vs	74.75 %
Percent of short-stay residents who newly received an antipsychotic medication	2.3 % (15.04 % lower than average)	vs	17.34 %