Compare with other Nursing Homes USA
Compare
Compare
TERRACE WEST NURSING AND REHABILITATION LP | VS | All other Nursing Homes USA |
Staff Information | |||||
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Number of Residents |
109 (17.62 higher than average)
|
vs |
91.38
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Number of RN Hours Per Resident Per Day |
0.28 (0.49 lower than average)
|
vs |
0.77
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||
Number of LPN/LVN Hours Per Resident Per Day |
0.68 (0.16 lower than average)
|
vs |
0.84
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||
Total Number of Licensed Staff Hours Per Resident Per Day |
0.96 (0.63 lower than average)
|
vs |
1.59
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||
Number of CNA Hours Per Resident Per Day |
0.05 (5.44 lower than average)
|
vs |
5.49
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||
Number Therapy Hours Per Resident Per Day |
0.05 (0.05 lower than average)
|
vs |
0.10
|
Environmental Deficiencies | |||||
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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: 02/05/2010 date Of Correction: 03/05/2010 |
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Deficiency #2 |
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: 12/01/2009 date Of Correction: 12/31/2009 |
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Deficiency #3 |
Scope: Some 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: 09/24/2009 date Of Correction: 09/24/2009 |
Mistreatment Deficiencies | |||||
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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: 03/11/2011 date Of Correction: 04/12/2011 |
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Deficiency #2 |
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: 03/11/2011 date Of Correction: 04/12/2011 |
Resident Rights Deficiencies | |||||
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Deficiency #1 |
Scope: Some level Of Harm: 1 deficiency: Provide Access To A Telephone For Resident To Use In Private. survey Date: 07/05/2010 date Of Correction: 08/05/2010 |
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Deficiency #2 |
Scope: Some level Of Harm: 2 deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident. survey Date: 03/25/2010 date Of Correction: 04/16/2010 |
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Deficiency #3 |
Scope: Some level Of Harm: 2 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: 12/01/2009 date Of Correction: 12/31/2009 |
Quality Care Deficiencies | |||||
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Deficiency #1 |
Scope: Some level Of Harm: 2 deficiency: Provide Medically-related Social Services To Help Each Resident Achieve The Highest Possible Quality Of Life. survey Date: 06/07/2012 date Of Correction: 07/09/2012 |
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Deficiency #2 |
Scope: Some level Of Harm: 2 deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene. survey Date: 03/25/2010 date Of Correction: 04/16/2010 |
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Deficiency #3 |
Scope: Few level Of Harm: 4 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 09/24/2009 date Of Correction: 10/23/2009 |
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Deficiency #4 |
Scope: Few level Of Harm: 4 deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality. survey Date: 09/24/2009 date Of Correction: 10/23/2009 |
Resident Assessment Deficiencies | |||||
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Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Develop A Post-discharge Plan With The Resident And Family For The Resident's Care After Leaving The Nursing Home. survey Date: 06/07/2012 date Of Correction: 07/09/2012 |
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Deficiency #2 |
Scope: Some 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: 12/01/2009 date Of Correction: 12/31/2009 |
Nutrition and Dietary Deficiencies | |||||
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Deficiency #1 |
Scope: Some level Of Harm: 2 deficiency: Store, Cook, And Serve Food In A Safe And Clean Way. survey Date: 07/29/2010 date Of Correction: 08/31/2010 |
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Deficiency #2 |
Scope: Some level Of Harm: 2 deficiency: Make Sure Menus Meet The Resident's Nutritional Needs And That There Is A Prepared Menu By Which Nutritious Meals Have Been Planned For The Resident And Followed. survey Date: 07/29/2010 date Of Correction: 08/31/2010 |
Quality Measures Q1 | |||||
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Percent of long-stay residents who received an antipsychotic medication |
42 % (16.91 % higher than average)
|
vs |
25.09 %
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Percent of long-stay residents who self-report moderate to severe pain |
24.6 % (7.94 % higher than average)
|
vs |
16.66 %
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Percent of long-stay high-risk residents with pressure ulcers | 8.1 / 8.8 % | ||||
Percent of long-stay residents who lose too much weight |
2.8 % (9.03 % lower than average)
|
vs |
11.83 %
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Percent of long-stay low-risk residents who lose control of their bowels or bladder |
51 % (6.46 % higher than average)
|
vs |
44.54 %
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Percent of long-stay residents who have had a catheter inserted and left in their bladder |
1.7 % (13.93 % lower than average)
|
vs |
15.63 %
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Percent of long-stay residents with a urinary tract infection |
0.9 % (12.56 % lower than average)
|
vs |
13.46 %
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||
Percent of long-stay residents who have depressive symptoms |
2.8 % (25.58 % lower than average)
|
vs |
28.38 %
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Percent of long-stay residents who were physically restrained |
75.2 % (31.52 % higher than average)
|
vs |
43.68 %
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Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
22.7 (72.9) % (61.94 % lower than average)
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vs |
84.64 %
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Percent of short-stay residents with Pressure ulcers that are new or worsened |
34.8 % (49.14 % lower than average)
|
vs |
83.94 %
|
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Percent of short-stay residents who newly received an antipsychotic medication |
75.2 (29.3 higher than average)
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vs |
45.90
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Percent of long-stay residents experiencing one or more falls with major injury |
2.7 % (12.82 % lower than average)
|
vs |
15.52 %
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Quality Measures Q3 | |||||
---|---|---|---|---|---|
Percent of long-stay residents who received an antipsychotic medication |
34 % (8.61 % higher than average)
|
vs |
25.39 %
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Percent of long-stay residents whose need for help with daily activities has increased |
1.6 % (22.1 % lower than average)
|
vs |
23.70 %
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Percent of long-stay residents who self-report moderate to severe pain |
19.9 % (5.8 % higher than average)
|
vs |
14.10 %
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Percent of long-stay high-risk residents with pressure ulcers | 8.9 / 9.9 % | ||||
Percent of long-stay residents who lose too much weight |
6.2 % (2.3 % lower than average)
|
vs |
8.50 %
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Percent of long-stay low-risk residents who lose control of their bowels or bladder |
56.2 % (12.82 % higher than average)
|
vs |
43.38 %
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||
Percent of long-stay residents who have had a catheter inserted and left in their bladder |
2.1 % (8.55 % lower than average)
|
vs |
10.65 %
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||
Percent of long-stay residents with a urinary tract infection |
5.9 % (3.68 % lower than average)
|
vs |
9.58 %
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||
Percent of long-stay residents who have depressive symptoms |
4 % (15.86 % lower than average)
|
vs |
19.86 %
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||
Percent of long-stay residents who were physically restrained |
75.2 % (36.67 % higher than average)
|
vs |
38.53 %
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Percent of long-stay residents experiencing one or more falls with major injury |
3.3 % (7.43 % lower than average)
|
vs |
10.73 %
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Percent of short-stay residents who self-report moderate to severe pain |
32.1 % (7.34 % higher than average)
|
vs |
24.76 %
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||
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
23.3 % (58.14 % lower than average)
|
vs |
81.44 %
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Percent of short-stay residents with Pressure ulcers that are new or worsened |
71.2 % (3.55 % lower than average)
|
vs |
74.75 %
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Percent of short-stay residents who newly received an antipsychotic medication |
13.6-28 % (3.74 % lower than average)
|
vs |
17.34 %
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