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SUBLETTE CENTER

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SUBLETTE CENTER VS
All other Nursing Homes USA
General
City PINEDALE   vs 0% Nursing Homes USA have PINEDALE
State attribute explanation WY   vs 0.3% Nursing Homes USA have WY
Street 333 N BRIDGER AVE  
Zip Code 82941  
Phone 3073674161  
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
(0.31 lower than average)
vs
3.31

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

Number of Certified Beds
50  (58.94 lower than average)
vs
108.94

Total Number of Residents
34  (57.25 lower than average)
vs
91.25

Percent of Occupied Beds
68 % (15.65 % lower than average)
vs
83.65 %

Health Survey Date 8/11/2011  
Fire Survey Date 8/9/2011  
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? No  vs 90.9% Nursing Homes USA don't 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
(55.31 lower than average)
vs
56.31

# of deficiencies
(1.48 lower than average)
vs
7.48

Staff Information
Number of Residents
34  (57.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.58  (0.19 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.86  (0.02 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.44  (0.15 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.04  (5.45 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.04  (0.06 lower than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 Scope: Some
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: 09/02/2010
date Of Correction: 09/23/2010 

Mistreatment Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 08/13/2009
date Of Correction: 09/22/2009 

Resident Rights Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Make Sure That Each Resident Has The Right To Join In Social, Religious, And Community Activities.
survey Date: 09/02/2010
date Of Correction: 09/02/2010 

Quality Care Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: Use A Registered Nurse At Least 8 Hours A Day, 7 Days A Week.
survey Date: 09/02/2010
date Of Correction: 09/23/2010 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Make Sure That Residents With Reduced Range Of Motion Get Proper Treatment And Services To Increase Range Of Motion.
survey Date: 09/02/2010
date Of Correction: 09/23/2010 

Administration Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: Set Up An Ongoing Quality Assessment And Assurance Group To Review Quality Deficiencies Quarterly, And Develop Corrective Plans Of Action.
survey Date: 09/02/2010
date Of Correction: 10/17/2010 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
15.2 % (9.89 % lower than average)
vs
25.09 %

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 12.8:1 % 
Percent of long-stay residents with a urinary tract infection
6.1 % (7.36 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
15.2 % (13.18 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
15.2 % (28.48 % lower than average)
vs
43.68 %

Percent of short-stay residents who newly received an antipsychotic medication
(44.9 lower than average)
vs
45.90

Percent of long-stay residents experiencing one or more falls with major injury
6.1 % (9.42 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
14.4 % (10.99 % lower 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
10.2 % (3.9 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
4.3 % (4.92 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
10.4 % (1.9 % higher than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
8.8 % (34.58 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder 12.8:1 % 
Percent of long-stay residents with a urinary tract infection
5.2 % (4.38 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
18.6 (65.5) % (1.26 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
13.4 % (25.13 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
11.5 % (0.77 % higher than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
21.6 % (3.16 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
77.8 % (3.64 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
80.4 % (5.65 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
75.2 % (57.86 % higher than average)
vs
17.34 %



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