Compare with other Nursing Homes USA
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THE COURTYARDS AT PASADENA | VS | All other Nursing Homes USA |
Staff Information | |||||
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Number of Residents |
130 (38.62 higher than average)
|
vs |
91.38
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Number of RN Hours Per Resident Per Day |
0.44 (0.33 lower than average)
|
vs |
0.77
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||
Number of LPN/LVN Hours Per Resident Per Day |
0.88 (0.04 higher 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
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Number of CNA Hours Per Resident Per Day |
0.08 (5.41 lower than average)
|
vs |
5.49
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Number Therapy Hours Per Resident Per Day |
0.08 (0.02 lower than average)
|
vs |
0.10
|
Environmental Deficiencies | |||||
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Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Make Sure That The Nursing Home Area Is Safe, Easy To Use, Clean And Comfortable For Residents, Staff And The Public. survey Date: 08/04/2011 date Of Correction: 09/02/2011 |
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Deficiency #2 |
Scope: Some level Of Harm: 2 deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading. survey Date: 05/18/2011 date Of Correction: Not Available |
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Deficiency #3 |
Scope: Few level Of Harm: 2 deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading. survey Date: 01/25/2011 date Of Correction: 02/08/2011 |
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Deficiency #4 |
Scope: Some level Of Harm: 2 deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading. survey Date: 09/04/2010 date Of Correction: 09/23/2010 |
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Deficiency #5 |
Scope: Some level Of Harm: 1 deficiency: Dispose Of Garbage And Refuse Properly. survey Date: 09/04/2010 date Of Correction: 09/23/2010 |
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Deficiency #6 |
Scope: Some level Of Harm: 1 deficiency: Provide Housekeeping And Maintenance Services. survey Date: 05/06/2010 date Of Correction: Not Available |
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Deficiency #7 |
Scope: Few level Of Harm: 2 deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading. survey Date: 11/06/2009 date Of Correction: 12/11/2009 |
Resident Rights Deficiencies | |||||
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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: 08/04/2011 date Of Correction: 09/06/2011 |
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Deficiency #2 |
Scope: Some level Of Harm: 2 deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident. survey Date: 11/06/2009 date Of Correction: 12/11/2009 |
Quality Care Deficiencies | |||||
---|---|---|---|---|---|
Deficiency #1 |
Scope: Some 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: 05/18/2011 date Of Correction: Not Available |
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Deficiency #2 |
Scope: Some level Of Harm: 2 deficiency: Properly Care For Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, And Prostheses. survey Date: 01/25/2011 date Of Correction: 02/07/2011 |
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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: 10/12/2010 date Of Correction: Not Available |
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Deficiency #4 |
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: 09/04/2010 date Of Correction: 09/23/2010 |
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Deficiency #5 |
Scope: Some 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: 09/04/2010 date Of Correction: 09/30/2010 |
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Deficiency #6 |
Scope: Few level Of Harm: 2 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 09/04/2010 date Of Correction: 09/23/2010 |
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Deficiency #7 |
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: 11/06/2009 date Of Correction: 12/11/2009 |
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Deficiency #8 |
Scope: Some 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: 11/06/2009 date Of Correction: 12/11/2009 |
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Deficiency #9 |
Scope: Some level Of Harm: 2 deficiency: Provide Activities To Meet The Interests And Needs Of Each Resident. survey Date: 08/27/2009 date Of Correction: 09/30/2009 |
Administration Deficiencies | |||||
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Deficiency #1 |
Scope: Some level Of Harm: 2 deficiency: Make Sure That Nurse Aides Show They Have The Skills And Techniques To Be Able To Care For Residents' Needs. survey Date: 08/04/2011 date Of Correction: 09/02/2011 |
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Deficiency #2 |
Scope: Some level Of Harm: 2 deficiency: Make Sure That Nurse Aides Show They Have The Skills And Techniques To Be Able To Care For Residents' Needs. survey Date: 05/18/2011 date Of Correction: Not Available |
Pharmacy Service Deficiencies | |||||
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Deficiency #1 |
Scope: Some 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: 11/06/2009 date Of Correction: 12/11/2009 |
Nutrition and Dietary Deficiencies | |||||
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Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Make Sure That Special Or Therapeutic Diets Are Ordered By The Attending Doctor. survey Date: 07/13/2009 date Of Correction: 08/06/2009 |
Quality Measures Q1 | |||||
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Percent of long-stay residents who received an antipsychotic medication |
48.6 % (23.51 % higher than average)
|
vs |
25.09 %
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Percent of long-stay residents whose need for help with daily activities has increased |
0.5 - 2.0 % (32.45 % lower than average)
|
vs |
32.95 %
|
||
Percent of long-stay residents who self-report moderate to severe pain |
5.9 % (10.76 % lower than average)
|
vs |
16.66 %
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Percent of long-stay high-risk residents with pressure ulcers |
9.3 % (3.28 % lower than average)
|
vs |
12.58 %
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Percent of long-stay residents who lose too much weight |
4.6 % (7.23 % 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 |
50 % (5.46 % 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 |
9 % (6.63 % lower than average)
|
vs |
15.63 %
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Percent of long-stay residents with a urinary tract infection |
20.2 (68.4) % (6.74 % higher than average)
|
vs |
13.46 %
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Percent of long-stay residents who have depressive symptoms |
45.9 % (17.52 % higher 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 who self-report moderate to severe pain |
37.1 % (12.08 % higher than average)
|
vs |
25.02 %
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Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
60.2 % (24.44 % lower than average)
|
vs |
84.64 %
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Percent of short-stay residents with Pressure ulcers that are new or worsened |
61.6 % (22.34 % lower than average)
|
vs |
83.94 %
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Percent of short-stay residents who newly received an antipsychotic medication | 8.9 / 9.9 % | ||||
Percent of long-stay residents experiencing one or more falls with major injury |
6.3 % (9.22 % lower than average)
|
vs |
15.52 %
|
Quality Measures Q3 | |||||
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Percent of long-stay residents who received an antipsychotic medication |
46.8 % (21.41 % higher than average)
|
vs |
25.39 %
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Percent of long-stay residents whose need for help with daily activities has increased |
1.4 % (22.3 % lower than average)
|
vs |
23.70 %
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Percent of long-stay residents who self-report moderate to severe pain |
11.9 % (2.2 % lower than average)
|
vs |
14.10 %
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||
Percent of long-stay high-risk residents with pressure ulcers |
5.9 % (3.32 % lower than average)
|
vs |
9.22 %
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Percent of long-stay residents who lose too much weight |
5.9 % (2.6 % 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 |
45.1 % (1.72 % 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 | 8.9 / 9.9 % | ||||
Percent of long-stay residents with a urinary tract infection |
23.7 (74.7) % (14.12 % higher than average)
|
vs |
9.58 %
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||
Percent of long-stay residents who have depressive symptoms |
36.4 % (16.54 % higher 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 %
|
||
Percent of long-stay residents experiencing one or more falls with major injury |
5.7 % (5.03 % lower than average)
|
vs |
10.73 %
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||
Percent of short-stay residents who self-report moderate to severe pain |
34.1 % (9.34 % higher than average)
|
vs |
24.76 %
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||
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
50.2 % (31.24 % lower than average)
|
vs |
81.44 %
|
||
Percent of short-stay residents with Pressure ulcers that are new or worsened |
37.5 % (37.25 % lower than average)
|
vs |
74.75 %
|
||
Percent of short-stay residents who newly received an antipsychotic medication |
14.6 % (2.74 % lower than average)
|
vs |
17.34 %
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