SUBURBAN WOODS HEALTH AND REHA

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General
City	NORRISTOWN	vs	0% Nursing Homes USA have NORRISTOWN
State attribute explanation	PA	vs	4.5% Nursing Homes USA have PA	compare PA Nursing Homes USA
Street	2751 DEKALB PIKE
Zip Code	19401
Phone	6102782700
Overall Star Rating	1 (2.11 lower than average)	vs	3.11	Compare similar Overall Star Rating (1)
Health Inspections Star Rating	1 (1.83 lower than average)	vs	2.83	Compare similar Health Inspections Star Rating (1)
Nurse Staffing Star Rating	2 (1.17 lower than average)	vs	3.17	Compare similar Nurse Staffing Star Rating (2)
Quality Measures Star Rating	3 (0.31 lower than average)	vs	3.31	Compare similar Quality Measures Star Rating (3)
RN Only Star Rating	2 (1.17 lower than average)	vs	3.17	Compare similar RN Only Star Rating (2)
Number of Certified Beds	120 (11.06 higher than average)	vs	108.94	Compare similar Number of Certified Beds (120)
Total Number of Residents	117 (25.75 higher than average)	vs	91.25	Compare similar Total Number of Residents (117)
Percent of Occupied Beds	98 % (14.35 % higher than average)	vs	83.65 %	Compare similar Percent of Occupied Beds (98) %
Health Survey Date	11/17/2011
Fire Survey Date	11/2/2011
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	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	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	75.2 (18.89 higher than average)	vs	56.31
# of deficiencies	19 (11.52 higher than average)	vs	7.48

Staff Information
Number of Residents	117 (25.62 higher than average)	vs	91.38
Number of RN Hours Per Resident Per Day	0.48 (0.29 lower than average)	vs	0.77
Number of LPN/LVN Hours Per Resident Per Day	0.79 (0.05 lower than average)	vs	0.84
Total Number of Licensed Staff Hours Per Resident Per Day	1.27 (0.32 lower 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

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: 04/02/2012 date Of Correction: 05/25/2012
Deficiency #2		Scope: Few level Of Harm: 2 deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading. survey Date: 06/21/2011 date Of Correction: 07/15/2011
Deficiency #3		Scope: Some level Of Harm: 2 deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading. survey Date: 02/17/2011 date Of Correction: 03/21/2011
Deficiency #4		Scope: Some level Of Harm: 2 deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading. survey Date: 08/31/2010 date Of Correction: 10/19/2010
Deficiency #5		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: 12/08/2009 date Of Correction: 01/05/2010

Resident Rights Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality. survey Date: 11/17/2011 date Of Correction: 01/06/2012
Deficiency #2		Scope: Few level Of Harm: 2 deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality. survey Date: 02/17/2011 date Of Correction: 03/21/2011

Quality Care Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 03/06/2012 date Of Correction: 04/09/2012
Deficiency #2		Scope: Some level Of Harm: 2 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 11/17/2011 date Of Correction: 01/06/2012
Deficiency #3		Scope: Few level Of Harm: 2 deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores. survey Date: 11/03/2011 date Of Correction: 12/03/2011
Deficiency #4		Scope: Few level Of Harm: 2 deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care. survey Date: 06/21/2011 date Of Correction: 07/15/2011
Deficiency #5		Scope: Few level Of Harm: 2 deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So. survey Date: 10/29/2010 date Of Correction: 11/17/2010
Deficiency #6		Scope: Few level Of Harm: 2 deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care. survey Date: 03/31/2010 date Of Correction: 05/04/2010
Deficiency #7		Scope: Few level Of Harm: 2 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 03/19/2010 date Of Correction: 05/04/2010

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: 05/17/2011 date Of Correction: 06/30/2011
Deficiency #2		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: 12/08/2009 date Of Correction: 01/05/2010

Administration Deficiencies
Deficiency #1		Scope: Some level Of Harm: 2 deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident . survey Date: 03/27/2012 date Of Correction: 04/24/2012
Deficiency #2		Scope: Some level Of Harm: 2 deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards. survey Date: 06/21/2011 date Of Correction: 07/15/2011
Deficiency #3		Scope: Few level Of Harm: 2 deficiency: Operate And Provide Services According To Federal, State, And Local Laws And Professional Standards. survey Date: 03/24/2011 date Of Correction: 05/06/2011

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication	19.5-24 % (5.59 % lower than average)	vs	25.09 %
Percent of long-stay residents whose need for help with daily activities has increased	1.3 % (31.65 % lower than average)	vs	32.95 %
Percent of long-stay residents who self-report moderate to severe pain	9.3 % (7.36 % lower than average)	vs	16.66 %
Percent of long-stay high-risk residents with pressure ulcers	6.6 % (5.98 % lower than average)	vs	12.58 %
Percent of long-stay residents who lose too much weight	13.6-28 % (1.77 % higher than average)	vs	11.83 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder	43.2 % (1.34 % lower than average)	vs	44.54 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder	3.9 % (11.73 % lower than average)	vs	15.63 %
Percent of long-stay residents with a urinary tract infection	3.3 % (10.16 % lower than average)	vs	13.46 %
Percent of long-stay residents who have depressive symptoms	14 % (14.38 % lower than average)	vs	28.38 %
Percent of long-stay residents who were physically restrained	1.1 % (42.58 % lower than average)	vs	43.68 %
Percent of short-stay residents who self-report moderate to severe pain	10.7:1 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine	57.1 % (27.54 % lower than average)	vs	84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened	52.6 % (31.34 % 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	6.5 % (9.02 % lower than average)	vs	15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication	19.3 % (6.09 % lower than average)	vs	25.39 %
Percent of long-stay residents whose need for help with daily activities has increased	1.4 % (22.3 % lower than average)	vs	23.70 %
Percent of long-stay residents who self-report moderate to severe pain	10 % (4.1 % lower than average)	vs	14.10 %
Percent of long-stay high-risk residents with pressure ulcers	8.7 % (0.52 % lower than average)	vs	9.22 %
Percent of long-stay residents who lose too much weight	12.9 (55.2) % (4.4 % higher than average)	vs	8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder	44 % (0.62 % higher than average)	vs	43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder	4.3 % (6.35 % lower than average)	vs	10.65 %
Percent of long-stay residents with a urinary tract infection	4.9 % (4.68 % lower than average)	vs	9.58 %
Percent of long-stay residents who have depressive symptoms	10.4 % (9.46 % lower than average)	vs	19.86 %
Percent of long-stay residents who were physically restrained	0.4 % (38.13 % lower than average)	vs	38.53 %
Percent of long-stay residents experiencing one or more falls with major injury	6.3 % (4.43 % lower than average)	vs	10.73 %
Percent of short-stay residents who self-report moderate to severe pain	16.9-24 % (7.86 % lower than average)	vs	24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine	62.1 % (19.34 % lower than average)	vs	81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened	57.7 % (17.05 % lower than average)	vs	74.75 %
Percent of short-stay residents who newly received an antipsychotic medication	1.8 % (15.54 % lower than average)	vs	17.34 %