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SUMMERSVILLE MEM HOSP D/P

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SUMMERSVILLE MEM HOSP D/P VS
All other Nursing Homes USA
General
City SUMMERSVILLE   vs 0% Nursing Homes USA have SUMMERSVILLE
State attribute explanation WV   vs 0.8% Nursing Homes USA have WV
Street 400 FAIRVIEW HEIGHTS ROAD  
Zip Code 26651  
Phone 3048722891  
Overall Star Rating
(2.11 lower than average)
vs
3.11

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

Nurse Staffing Star Rating
(1.17 lower than average)
vs
3.17

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

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

Number of Certified Beds
52  (56.94 lower than average)
vs
108.94

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

Percent of Occupied Beds
98 % (14.35 % higher than average)
vs
83.65 %

Health Survey Date 10/4/2011  
Fire Survey Date 9/28/2011  
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 Government - City/county  vs 0.5% Nursing Homes USA have Government - City/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
(54.31 lower than average)
vs
56.31

# of deficiencies
11  (3.52 higher than average)
vs
7.48

Staff Information
Number of Residents
51  (40.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.34  (0.43 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
1.41  (0.57 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.75  (0.16 higher than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.11  (5.38 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.11  (0.01 higher than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Maintain Comfortable And Safe Temperature Levels.
survey Date: 05/30/2012
date Of Correction: 06/26/2012 

Deficiency #2 Scope: Many
level Of Harm: 1
deficiency: Maintain Comfortable And Safe Temperature Levels.
survey Date: 10/20/2010
date Of Correction: 11/18/2010 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Make Sure That A Working Call System Is Available In Each Resident's Room Or Bathroom And Bathing Area.
survey Date: 03/24/2010
date Of Correction: 08/11/2010 

Deficiency #4 Scope: Few
level Of Harm: 3
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 03/24/2010
date Of Correction: 08/11/2010 

Mistreatment Deficiencies
Deficiency #1 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: 10/20/2010
date Of Correction: 11/15/2010 

Deficiency #2 Scope: Some
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: 03/24/2010
date Of Correction: 07/01/2010 

Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Keep Each Resident's Personal And Medical Records Private And Confidential.
survey Date: 03/24/2010
date Of Correction: 08/11/2010 

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: 03/24/2010
date Of Correction: 08/11/2010 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 03/24/2010
date Of Correction: 08/11/2010 

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: 03/24/2010
date Of Correction: 08/11/2010 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: 1) Make Sure That Each Resident's Drug Regimen Is Free From Unnecessary Drugs; 2) Each Resident's Entire Drug/medication Is Managed And Monitored To Achieve Highest Well Being.
survey Date: 03/24/2010
date Of Correction: 08/11/2010 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
14.9-28 % (10.19 % lower than average)
vs
25.09 %

Percent of long-stay residents who self-report moderate to severe pain
2.8 % (13.86 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
2.7 % (9.88 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
8 % (3.83 % lower than average)
vs
11.83 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.6 % (11.03 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
10 % (3.46 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
6 % (22.38 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
12 % (31.68 % lower than average)
vs
43.68 %

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

Percent of long-stay residents experiencing one or more falls with major injury
6 % (9.52 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
16.8 % (8.59 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
7.5 % (16.2 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
2.5 % (11.6 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
3.5 % (5.72 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
6.6 % (1.9 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
35.1 % (8.28 % 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
13.2 % (3.62 % higher than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
3.9 % (15.96 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained 7.9:1 % 
Percent of long-stay residents experiencing one or more falls with major injury
5.3 % (5.43 % lower than average)
vs
10.73 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
95.2 % (13.76 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
78.3 % (3.55 % higher than average)
vs
74.75 %



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