Compare with other Nursing Homes USA
Compare
Compare
| SURREY PLACE HEALTHCARE AND REHABILITATION | VS | All other Nursing Homes USA |
| Staff Information | |||||
|---|---|---|---|---|---|
| Number of Residents |
55 (36.38 lower than average)
|
vs |
91.38
|
||
| Number of RN Hours Per Resident Per Day |
0.81 (0.04 higher than average)
|
vs |
0.77
|
||
| Number of LPN/LVN Hours Per Resident Per Day |
1.16 (0.32 higher than average)
|
vs |
0.84
|
||
| Total Number of Licensed Staff Hours Per Resident Per Day |
1.97 (0.38 higher than average)
|
vs |
1.59
|
||
| Number of CNA Hours Per Resident Per Day |
0.19 (5.3 lower than average)
|
vs |
5.49
|
||
| Number Therapy Hours Per Resident Per Day |
0.19 (0.09 higher than average)
|
vs |
0.10
|
||
| Environmental Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Few level Of Harm: 4 deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents. survey Date: 10/13/2011 date Of Correction: 10/27/2011 |
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| 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: 01/18/2012 date Of Correction: 02/15/2012 |
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| Deficiency #2 |
Scope: Few level Of Harm: 4 deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property. survey Date: 01/18/2012 date Of Correction: 02/15/2012 |
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| Deficiency #3 |
Scope: Few level Of Harm: 4 deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property. survey Date: 10/13/2011 date Of Correction: 10/27/2011 |
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| Resident Rights Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Few level Of Harm: 4 deficiency: Give Each Resident A Notice Of Rights, Rules, Services And Charges. Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items And Services Medicaid Covers And Which The Resident Must Pay For. survey Date: 01/18/2012 date Of Correction: 02/15/2012 |
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| Deficiency #2 |
Scope: Few level Of Harm: 4 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: 10/13/2011 date Of Correction: 10/27/2011 |
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| Administration Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Few level Of Harm: 4 deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident . survey Date: 01/18/2012 date Of Correction: 02/15/2012 |
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| Deficiency #2 |
Scope: Few level Of Harm: 4 deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident . survey Date: 10/13/2011 date Of Correction: 10/27/2011 |
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| Quality Measures Q1 | |||||
|---|---|---|---|---|---|
| Percent of long-stay residents whose need for help with daily activities has increased |
5.3 % (27.65 % lower than average)
|
vs |
32.95 %
|
||
| Percent of short-stay residents who self-report moderate to severe pain |
50.4 % (25.38 % higher than average)
|
vs |
25.02 %
|
||
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
94.4 % (9.76 % higher than average)
|
vs |
84.64 %
|
||
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
97.9 % (13.96 % 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
|
||
| Quality Measures Q3 | |||||
|---|---|---|---|---|---|
| Percent of long-stay residents who received an antipsychotic medication |
28.9 % (3.51 % higher than average)
|
vs |
25.39 %
|
||
| Percent of long-stay residents whose need for help with daily activities has increased |
3.3 % (20.4 % lower than average)
|
vs |
23.70 %
|
||
| Percent of long-stay residents who self-report moderate to severe pain |
20.1 % (6 % higher than average)
|
vs |
14.10 %
|
||
| Percent of long-stay high-risk residents with pressure ulcers |
7.1 % (2.12 % lower than average)
|
vs |
9.22 %
|
||
| Percent of long-stay residents who lose too much weight |
6.8 % (1.7 % lower than average)
|
vs |
8.50 %
|
||
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
48.5 % (5.12 % higher than average)
|
vs |
43.38 %
|
||
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
75.2 % (64.55 % higher than average)
|
vs |
10.65 %
|
||
| Percent of long-stay residents with a urinary tract infection |
12.5 % (2.92 % higher than average)
|
vs |
9.58 %
|
||
| Percent of long-stay residents who have depressive symptoms |
11.1 % (8.76 % 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 | 8.9 / 9.9 % | ||||
| Percent of short-stay residents who self-report moderate to severe pain |
46.8 % (22.04 % higher than average)
|
vs |
24.76 %
|
||
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
92.8 % (11.36 % higher than average)
|
vs |
81.44 %
|
||
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
97.3 % (22.55 % higher than average)
|
vs |
74.75 %
|
||
| Percent of short-stay residents who newly received an antipsychotic medication |
0.8 % (16.54 % lower than average)
|
vs |
17.34 %
|
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