Compare with other Nursing Homes USA
Compare
Compare
| THE LEGACY REHAB & CARE CENTER | VS | All other Nursing Homes USA |
| Staff Information | |||||
|---|---|---|---|---|---|
| Number of Residents |
88 (3.38 lower than average)
|
vs |
91.38
|
||
| Number of RN Hours Per Resident Per Day |
0.67 (0.1 lower than average)
|
vs |
0.77
|
||
| Number of LPN/LVN Hours Per Resident Per Day |
0.85 (0.01 higher than average)
|
vs |
0.84
|
||
| Total Number of Licensed Staff Hours Per Resident Per Day |
1.52 (0.07 lower than average)
|
vs |
1.59
|
||
| Number of CNA Hours Per Resident Per Day |
0.06 (5.43 lower than average)
|
vs |
5.49
|
||
| Number Therapy Hours Per Resident Per Day |
0.06 (0.04 lower than average)
|
vs |
0.10
|
||
| Environmental Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Some level Of Harm: 2 deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading. survey Date: 03/17/2011 date Of Correction: 04/13/2011 |
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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: 03/17/2011 date Of Correction: 04/13/2011 |
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| Deficiency #3 |
Scope: Many level Of Harm: 2 deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading. survey Date: 12/18/2009 date Of Correction: 02/25/2010 |
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| Deficiency #4 |
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: 12/18/2009 date Of Correction: 02/25/2010 |
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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: 03/17/2011 date Of Correction: 04/13/2011 |
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| Deficiency #2 |
Scope: Few level Of Harm: 2 deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment. survey Date: 03/17/2011 date Of Correction: 04/13/2011 |
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| Deficiency #3 |
Scope: Some level Of Harm: 2 deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property. survey Date: 12/18/2009 date Of Correction: 02/25/2010 |
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| Deficiency #4 |
Scope: Some level Of Harm: 3 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: 12/18/2009 date Of Correction: 02/25/2010 |
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| Deficiency #5 |
Scope: Some level Of Harm: 3 deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property. survey Date: 12/18/2009 date Of Correction: 02/25/2010 |
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| Resident Rights Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Some level Of Harm: 1 deficiency: Allow Residents To Easily View The Results Of The Nursing Home's Most Recent Survey. survey Date: 03/17/2011 date Of Correction: 04/13/2011 |
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| Deficiency #2 |
Scope: Some level Of Harm: 1 deficiency: Properly Hold, Secure And Manage Each Resident's Personal Money Which Is Deposited With The Nursing Home. survey Date: 03/17/2011 date Of Correction: 04/13/2011 |
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| Deficiency #3 |
Scope: Few 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: 03/17/2011 date Of Correction: 04/13/2011 |
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| Deficiency #4 |
Scope: Some level Of Harm: 2 deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident. survey Date: 12/18/2009 date Of Correction: 02/25/2010 |
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| Deficiency #5 |
Scope: Few level Of Harm: 3 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: 12/18/2009 date Of Correction: 02/25/2010 |
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| 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: 03/17/2011 date Of Correction: 04/13/2011 |
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| Deficiency #2 |
Scope: Few level Of Harm: 3 deficiency: Give Each Resident Enough Fluids To Keep Them Healthy And Prevent Dehydration. survey Date: 12/18/2009 date Of Correction: 02/25/2010 |
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| Deficiency #3 |
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: 12/18/2009 date Of Correction: 02/25/2010 |
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| Deficiency #4 |
Scope: Few level Of Harm: 3 deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores. survey Date: 12/18/2009 date Of Correction: 02/25/2010 |
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| Deficiency #5 |
Scope: Some level Of Harm: 3 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 12/18/2009 date Of Correction: 02/25/2010 |
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| Deficiency #6 |
Scope: Some level Of Harm: 2 deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality. survey Date: 12/18/2009 date Of Correction: 02/25/2010 |
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| Deficiency #7 |
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: 12/18/2009 date Of Correction: 02/25/2010 |
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| Administration Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Some level Of Harm: 1 deficiency: Post Nurse Staffing Information/data On A Daily Basis. survey Date: 03/17/2011 date Of Correction: 04/13/2011 |
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| Deficiency #2 |
Scope: Some level Of Harm: 2 deficiency: Set Up An Ongoing Quality Assessment And Assurance Group To Review Quality Deficiencies Quarterly, And Develop Corrective Plans Of Action. survey Date: 12/18/2009 date Of Correction: 02/25/2010 |
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| Deficiency #3 |
Scope: Few level Of Harm: 2 deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards. survey Date: 12/18/2009 date Of Correction: 02/25/2010 |
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| Deficiency #4 |
Scope: Few level Of Harm: 2 deficiency: Give Or Get Quality Lab Services/tests In A Timely Manner To Meet The Needs Of Residents. survey Date: 12/18/2009 date Of Correction: 02/25/2010 |
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| Deficiency #5 |
Scope: Some 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: 12/18/2009 date Of Correction: 02/25/2010 |
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| Pharmacy Service Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Some level Of Harm: 2 deficiency: Make Sure That Residents Are Safe From Serious Medication Errors. survey Date: 12/18/2009 date Of Correction: 02/25/2010 |
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| Nutrition and Dietary Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Some level Of Harm: 2 deficiency: Store, Cook, And Serve Food In A Safe And Clean Way. survey Date: 03/17/2011 date Of Correction: 04/13/2011 |
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| Deficiency #2 |
Scope: Some level Of Harm: 2 deficiency: Store, Cook, And Serve Food In A Safe And Clean Way. survey Date: 12/18/2009 date Of Correction: 02/25/2010 |
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| Quality Measures Q1 | |||||
|---|---|---|---|---|---|
| Percent of long-stay residents who received an antipsychotic medication |
19.8 % (5.29 % lower than average)
|
vs |
25.09 %
|
||
| Percent of long-stay residents whose need for help with daily activities has increased |
3.8 % (29.15 % lower than average)
|
vs |
32.95 %
|
||
| Percent of long-stay residents who self-report moderate to severe pain | 22.2:1 % | ||||
| Percent of long-stay high-risk residents with pressure ulcers |
15.6 % (3.02 % higher than average)
|
vs |
12.58 %
|
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| Percent of long-stay residents who lose too much weight |
2.4 % (9.43 % 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 |
43.2 % (1.34 % lower 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 |
5.2 % (10.43 % lower than average)
|
vs |
15.63 %
|
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| Percent of long-stay residents with a urinary tract infection |
17.9 (64.2) % (4.44 % higher than average)
|
vs |
13.46 %
|
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| Percent of long-stay residents who have depressive symptoms |
75.2 % (46.82 % higher than average)
|
vs |
28.38 %
|
||
| Percent of long-stay residents who were physically restrained |
75.2 % (31.52 % higher than average)
|
vs |
43.68 %
|
||
| Percent of short-stay residents who self-report moderate to severe pain |
37.7 % (12.68 % higher than average)
|
vs |
25.02 %
|
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| 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 |
94.7 % (10.76 % 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 %
|
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| Percent of long-stay residents experiencing one or more falls with major injury |
3.4 % (12.12 % lower than average)
|
vs |
15.52 %
|
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| Quality Measures Q3 | |||||
|---|---|---|---|---|---|
| Percent of long-stay residents who received an antipsychotic medication |
17.4 % (7.99 % lower than average)
|
vs |
25.39 %
|
||
| Percent of long-stay residents whose need for help with daily activities has increased |
3.4 % (20.3 % lower than average)
|
vs |
23.70 %
|
||
| Percent of long-stay residents who self-report moderate to severe pain |
22.9 % (8.8 % higher than average)
|
vs |
14.10 %
|
||
| Percent of long-stay high-risk residents with pressure ulcers |
13.5 % (4.28 % higher than average)
|
vs |
9.22 %
|
||
| Percent of long-stay residents who lose too much weight |
3.9 % (4.6 % lower than average)
|
vs |
8.50 %
|
||
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
48.8 % (5.42 % higher than average)
|
vs |
43.38 %
|
||
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
4.3 % (6.35 % lower than average)
|
vs |
10.65 %
|
||
| Percent of long-stay residents with a urinary tract infection |
18.5 % (8.92 % higher than average)
|
vs |
9.58 %
|
||
| Percent of long-stay residents who have depressive symptoms |
0.4 % (19.46 % 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 |
2.9 % (7.83 % lower than average)
|
vs |
10.73 %
|
||
| Percent of short-stay residents who self-report moderate to severe pain |
40.1 % (15.34 % higher than average)
|
vs |
24.76 %
|
||
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
96.8 % (15.36 % higher than average)
|
vs |
81.44 %
|
||
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
95.8 % (21.05 % higher than average)
|
vs |
74.75 %
|
||
| Percent of short-stay residents who newly received an antipsychotic medication |
19.3 % (1.96 % higher than average)
|
vs |
17.34 %
|
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