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STEVENS COUNTY HOSPITAL LTCU DBA PIONEER MANOR

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STEVENS COUNTY HOSPITAL LTCU DBA PIONEER MANOR VS
All other Nursing Homes USA
General
Percent of short-stay residents with Pressure ulcers that are new or worsened 75.2 % 
City HUGOTON   vs 0% Nursing Homes USA have HUGOTON
State attribute explanation KS   vs 2.2% Nursing Homes USA have KS
Street 1711  
Zip Code 67951  
Phone 6205442023  
Overall Star Rating
(1.11 lower than average)
vs
3.11

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

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

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

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

Number of Certified Beds
58  (50.94 lower than average)
vs
108.94

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

Percent of Occupied Beds
88 % (4.35 % higher than average)
vs
83.65 %

Health Survey Date 8/4/2011  
Fire Survey Date 2/24/2011  
Sprinkler Status Partially Sprinklered  vs 8.5% Nursing Homes USA have Partially Sprinklered
Program Participation Medicaid  vs 3.5% Nursing Homes USA have Medicaid
Type of Ownership Government - County  vs 2.9% Nursing Homes USA have Government - County
Located Within a Hospital? Yes  vs 6.4% Nursing Homes USA 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? 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
(0.48 lower than average)
vs
7.48

Staff Information
Number of Residents
61  (30.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.62  (0.15 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.36  (0.48 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
0.97  (0.62 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.01  (5.48 lower than average)
vs
5.49

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

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: 08/06/2009
date Of Correction: 11/05/2009 

Mistreatment Deficiencies
Deficiency #1 Scope: Many
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: 08/06/2009
date Of Correction: 09/17/2009 

Resident Rights Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Give The Resident The Right To Receive Visitors.
survey Date: 08/06/2009
date Of Correction: 11/05/2009 

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: 08/06/2009
date Of Correction: 09/17/2009 

Quality Care Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Have Enough Nurses To Care For Every Resident In A Way That Maximizes The Resident's Well Being.
survey Date: 08/06/2009
date Of Correction: 09/17/2009 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.
survey Date: 08/06/2009
date Of Correction: 09/16/2009 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 08/06/2009
date Of Correction: 11/05/2009 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
27.1 % (2.01 % higher than average)
vs
25.09 %

Percent of long-stay residents who self-report moderate to severe pain
23.3 % (6.64 % higher than average)
vs
16.66 %

Percent of long-stay residents who lose too much weight
2.1 % (9.73 % lower than average)
vs
11.83 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
5.1 % (10.53 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
22.9 % (9.44 % higher than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
11.1 % (17.28 % 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 long-stay residents experiencing one or more falls with major injury
4.2 % (11.32 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
26.2 % (0.81 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
75.2 % (51.5 % higher than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
26.6 (79.9) % (12.5 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
1.7 % (7.52 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
5.4 % (3.1 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
27.3 % (16.08 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.5 % (7.15 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
17.4 % (7.82 % higher than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
9.2 % (10.66 % 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
4.9 % (5.83 % lower than average)
vs
10.73 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
16.7 % (58.05 % lower than average)
vs
74.75 %



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