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ST MARK VILLAGE

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ST MARK VILLAGE VS
All other Nursing Homes USA
General
City PALM HARBOR   vs 0% Nursing Homes USA have PALM HARBOR
State attribute explanation FL   vs 4.4% Nursing Homes USA have FL
Street 2655 NEBRASKA AVE  
Zip Code 34684  
Phone 7277852577  
Overall Star Rating
(0.11 lower than average)
vs
3.11

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

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

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

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

Number of Certified Beds
60  (48.94 lower than average)
vs
108.94

Total Number of Residents
58  (33.25 lower than average)
vs
91.25

Percent of Occupied Beds
97 % (13.35 % higher than average)
vs
83.65 %

Health Survey Date 11/23/2011  
Fire Survey Date 11/23/2011  
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 - Corporation  vs 18.7% Nursing Homes USA have Non profit - Corporation
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? 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 4  
Staff Information
Number of Residents
58  (33.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.51  (0.26 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
1.21  (0.37 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.72  (0.13 higher than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.09  (5.4 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.09  (0.01 lower than average)
vs
0.10

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: 09/01/2011
date Of Correction: 10/01/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 02/22/2011
date Of Correction: 03/22/2011 

Deficiency #3 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: 02/22/2011
date Of Correction: 03/22/2011 

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: 09/01/2011
date Of Correction: 10/01/2011 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
27.3 % (2.21 % higher than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
2.7 % (30.25 % lower than average)
vs
32.95 %

Percent of long-stay high-risk residents with pressure ulcers 13.9 / 15.3 % 
Percent of long-stay residents who lose too much weight
9.1 % (2.73 % lower than average)
vs
11.83 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
2.3 % (13.33 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
11.4 % (2.06 % 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
13.6-28 % (30.08 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
25.9 % (0.88 % higher than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
87.1 % (2.46 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
74.2 % (9.74 % lower 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
24.8 % (0.59 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
3.3 % (20.4 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
15.7 % (1.6 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
9 % (0.22 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
12.2 % (3.7 % higher than average)
vs
8.50 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.9 % (6.75 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
11.4 % (1.82 % higher than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
6.5 % (13.36 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
11.3 % (27.23 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
4 % (6.73 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
23.7 (74.7) % (1.06 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
91.9 % (10.46 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
74.9 % (0.15 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
8.2 % (9.14 % lower than average)
vs
17.34 %



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