TERRA VISTA REHAB AND HEALTH CENTER

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General
City	ORLANDO	vs	0.1% Nursing Homes USA have ORLANDO
State attribute explanation	FL	vs	4.4% Nursing Homes USA have FL	compare FL Nursing Homes USA
Street	1730 LUCERNE TERRACE
Zip Code	32806
Phone	4074231612
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	3 (0.17 lower than average)	vs	3.17	Compare similar Nurse Staffing Star Rating (3)
Quality Measures Star Rating	2 (1.31 lower than average)	vs	3.31	Compare similar Quality Measures Star Rating (2)
RN Only Star Rating	2 (1.17 lower than average)	vs	3.17	Compare similar RN Only Star Rating (2)
Number of Certified Beds	115 (6.06 higher than average)	vs	108.94	Compare similar Number of Certified Beds (115)
Total Number of Residents	93 (1.75 higher than average)	vs	91.25	Compare similar Total Number of Residents (93)
Percent of Occupied Beds	81 % (2.65 % lower than average)	vs	83.65 %	Compare similar Percent of Occupied Beds (81) %
Health Survey Date	10/14/2011
Fire Survey Date	10/11/2011
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?	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	16

Staff Information
Number of Residents	93 (1.62 higher than average)	vs	91.38
Number of RN Hours Per Resident Per Day	0.51 (0.26 lower than average)	vs	0.77
Number of LPN/LVN Hours Per Resident Per Day	0.82 (0.02 lower than average)	vs	0.84
Total Number of Licensed Staff Hours Per Resident Per Day	1.32 (0.27 lower than average)	vs	1.59
Number of CNA Hours Per Resident Per Day	0.12 (5.37 lower than average)	vs	5.49
Number Therapy Hours Per Resident Per Day	0.12 (0.02 higher than average)	vs	0.10

Mistreatment Deficiencies
Deficiency #1		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: 03/25/2011 date Of Correction: 04/26/2011
Deficiency #2		Scope: Few level Of Harm: 2 deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property. survey Date: 03/18/2011 date Of Correction: 04/26/2011

Resident Rights Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: Tell The Resident Or The Resident's Representative In Writing How Long The Nursing Home Will Hold The Resident's Bed. survey Date: 01/25/2011 date Of Correction: 03/02/2011
Deficiency #2		Scope: Few level Of Harm: 2 deficiency: Provide Enough Notice Before Discharging Or Transferring A Resident. survey Date: 01/25/2011 date Of Correction: 03/02/2011

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: 04/25/2012 date Of Correction: 05/25/2012
Deficiency #2		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: 10/13/2011 date Of Correction: 11/14/2011
Deficiency #3		Scope: Few level Of Harm: 2 deficiency: Provide Medically-related Social Services To Help Each Resident Achieve The Highest Possible Quality Of Life. survey Date: 08/10/2011 date Of Correction: 09/13/2011
Deficiency #4		Scope: Few level Of Harm: 2 deficiency: Make Sure That Each Resident Who Enters The Nursing Home Without A Catheter Is Not Given A Catheter, And Receive Proper Services To Prevent Urinary Tract Infections And Restore Normal Bladder Function. survey Date: 06/28/2011 date Of Correction: 07/28/2011
Deficiency #5		Scope: Few level Of Harm: 3 deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores. survey Date: 09/01/2009 date Of Correction: 10/09/2009

Resident Assessment Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan. survey Date: 05/11/2011 date Of Correction: 06/20/2011
Deficiency #2		Scope: Few level Of Harm: 2 deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity. survey Date: 05/11/2011 date Of Correction: 06/20/2011
Deficiency #3		Scope: Few level Of Harm: 2 deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity. survey Date: 03/18/2011 date Of Correction: 04/26/2011

Administration Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: Choose A Doctor To Serve As The Medical Director To Create Resident Care Policies And Coordinate Medical Care In The Facility. survey Date: 04/25/2012 date Of Correction: 05/25/2012

Pharmacy Service Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: At Least Once A Month, Have A Licensed Pharmacist Review Each Resident's Medication(s) And Report Any Irregularities To The Attending Doctor. survey Date: 04/25/2012 date Of Correction: 05/25/2012
Deficiency #2		Scope: Few level Of Harm: 2 deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist. survey Date: 04/25/2012 date Of Correction: 05/25/2012

Nutrition and Dietary Deficiencies
Deficiency #1		Scope: Some level Of Harm: 2 deficiency: Prepare Food That Is Nutritional, Appetizing, Tasty, Attractive, Well-cooked, And At The Right Temperature. survey Date: 10/13/2011 date Of Correction: 11/14/2011

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication	15.7 % (9.39 % lower than average)	vs	25.09 %
Percent of long-stay residents whose need for help with daily activities has increased	1.7 % (31.25 % lower than average)	vs	32.95 %
Percent of long-stay residents who self-report moderate to severe pain	14.6 % (2.06 % lower than average)	vs	16.66 %
Percent of long-stay high-risk residents with pressure ulcers	11.1 % (1.48 % lower than average)	vs	12.58 %
Percent of long-stay residents who lose too much weight	9.9:1 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder	16.1 % (28.44 % lower than average)	vs	44.54 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder	6.1 % (9.53 % lower than average)	vs	15.63 %
Percent of long-stay residents with a urinary tract infection	9.9:1 %
Percent of long-stay residents who have depressive symptoms	7.4 % (20.98 % 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	50 % (24.98 % higher than average)	vs	25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine	87.9 % (3.26 % higher than average)	vs	84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened	85.5 % (1.56 % 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
Percent of long-stay residents experiencing one or more falls with major injury	1.1 % (14.42 % lower than average)	vs	15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication	18.3 % (7.09 % lower than average)	vs	25.39 %
Percent of long-stay residents whose need for help with daily activities has increased	2.20 % (21.5 % lower than average)	vs	23.70 %
Percent of long-stay residents who self-report moderate to severe pain	13.5 % (0.6 % lower than average)	vs	14.10 %
Percent of long-stay high-risk residents with pressure ulcers	13 % (3.78 % higher than average)	vs	9.22 %
Percent of long-stay residents who lose too much weight	7.2 % (1.3 % lower than average)	vs	8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder	15.5 % (27.88 % lower than average)	vs	43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder	4.2 % (6.45 % lower than average)	vs	10.65 %
Percent of long-stay residents with a urinary tract infection	9.4 / 10.4 %
Percent of long-stay residents who have depressive symptoms	7.7 % (12.16 % lower than average)	vs	19.86 %
Percent of long-stay residents who were physically restrained	1.1 % (37.43 % lower than average)	vs	38.53 %
Percent of long-stay residents experiencing one or more falls with major injury	0.7 % (10.03 % lower than average)	vs	10.73 %
Percent of short-stay residents who self-report moderate to severe pain	49.6 % (24.84 % higher than average)	vs	24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine	60.8 % (20.64 % lower than average)	vs	81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened	81.2 % (6.45 % higher than average)	vs	74.75 %
Percent of short-stay residents who newly received an antipsychotic medication	16.6 % (0.74 % lower than average)	vs	17.34 %