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ST MARY HOME

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ST MARY HOME VS
All other Nursing Homes USA
General
City WEST HARTFORD   vs 0% Nursing Homes USA have WEST HARTFORD
State attribute explanation CT   vs 1.5% Nursing Homes USA have CT
Street 2021 ALBANY AVE  
Zip Code 6117  
Phone 8605708200  
Overall Star Rating
(1.89 higher 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
(1.69 higher than average)
vs
3.31

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

Number of Certified Beds
256  (147.06 higher than average)
vs
108.94

Total Number of Residents
248  (156.75 higher than average)
vs
91.25

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

Health Survey Date 3/13/2012  
Fire Survey Date 3/8/2012  
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 For Profit - Limited Liability Company  vs 1.1% Nursing Homes USA have For profit - Limited liability company
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 12  
Staff Information
Number of Residents
248  (156.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.86  (0.09 higher than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.61  (0.23 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.47  (0.12 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.03  (5.46 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.03  (0.07 lower than average)
vs
0.10

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: 05/27/2010
date Of Correction: 07/05/2010 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.
survey Date: 05/27/2010
date Of Correction: 07/05/2010 

Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Tell The Resident Or The Resident's Representative In Writing How Long The Nursing Home Will Hold The Resident's Bed.
survey Date: 03/13/2012
date Of Correction: 04/24/2012 

Deficiency #2 Scope: Some
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: 11/30/2010
date Of Correction: 02/09/2011 

Quality Care Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 11/30/2010
date Of Correction: 02/09/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Give Each Resident Enough Fluids To Keep Them Healthy And Prevent Dehydration.
survey Date: 05/27/2010
date Of Correction: 07/05/2010 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 07/22/2009
date Of Correction: 09/02/2009 

Resident Assessment Deficiencies
Deficiency #1 Scope: Few
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: 03/13/2012
date Of Correction: 04/24/2012 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Make Sure Each Resident Receives An Accurate Assessment By A Qualified Health Professional.
survey Date: 05/27/2010
date Of Correction: 07/05/2010 

Administration Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Operate And Provide Services According To Federal, State, And Local Laws And Professional Standards.
survey Date: 11/30/2010
date Of Correction: 02/09/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 05/27/2010
date Of Correction: 07/05/2010 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.
survey Date: 11/30/2010
date Of Correction: 02/09/2011 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
23.4 % (1.69 % lower than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
2 % (30.95 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
1 % (15.66 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers 9.4 / 10.4 % 
Percent of long-stay residents who lose too much weight 7.9:1 % 
Percent of long-stay low-risk residents who lose control of their bowels or bladder
32.5 % (12.04 % lower than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.4 % (14.23 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
4.7 % (8.76 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
0.5 - 2.0 % (27.88 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
0.9 % (42.78 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
0.5 - 2.0 % (24.52 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
89.9 % (5.26 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
88.5 % (4.56 % 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
1.4 % (14.12 % lower 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
2.1 % (21.6 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
1.9 % (12.2 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
7.7 % (1.52 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
8 % (0.5 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
33.5 % (9.88 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
2.1 % (8.55 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
5.4 % (4.18 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
0.6 % (19.26 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
0.8 % (37.73 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury 2.6 / 3 % 
Percent of short-stay residents who self-report moderate to severe pain
2.8 % (21.96 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
90.5 % (9.06 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
88.6 % (13.85 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication 10.1:1 % 


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