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THERMOPOLIS REHABILITATION AND CARE CENTER

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THERMOPOLIS REHABILITATION AND CARE CENTER VS
All other Nursing Homes USA
General
City THERMOPOLIS   vs 0% Nursing Homes USA have THERMOPOLIS
State attribute explanation WY   vs 0.3% Nursing Homes USA have WY
Street PO BOX 1325  
Zip Code 82443  
Phone 3078645591  
Overall Star Rating
(0.89 higher than average)
vs
3.11

Health Inspections Star Rating
(0.83 lower than average)
vs
2.83

Nurse Staffing Star Rating
(0.83 higher than average)
vs
3.17

Quality Measures Star Rating
(1.69 higher than average)
vs
3.31

RN Only Star Rating
(0.83 higher than average)
vs
3.17

Number of Certified Beds
60  (48.94 lower than average)
vs
108.94

Total Number of Residents
49  (42.25 lower than average)
vs
91.25

Percent of Occupied Beds
82 % (1.65 % lower than average)
vs
83.65 %

Health Survey Date 3/15/2012  
Fire Survey Date 3/15/2012  
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
Type of Ownership For Profit - Corporation  vs 56.7% Nursing Homes USA have For profit - Corporation
Located Within a Hospital? No  vs 93.6% Nursing Homes USA 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? No  vs 68.7% Nursing Homes USA don't 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
(0.52 higher than average)
vs
7.48

Staff Information
Number of Residents
49  (42.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.7  (0.07 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.66  (0.18 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.37  (0.22 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
75.2  (69.71 higher than average)
vs
5.49

Resident Rights Deficiencies
Deficiency #1 Scope: Some
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: 03/15/2012
date Of Correction: 04/29/2012 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Keep Each Resident's Personal And Medical Records Private And Confidential.
survey Date: 03/15/2012
date Of Correction: 04/29/2012 

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: 02/10/2011
date Of Correction: 03/27/2011 

Deficiency #4 Scope: Some
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: 12/17/2009
date Of Correction: 02/01/2010 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.
survey Date: 03/15/2012
date Of Correction: 04/29/2012 

Deficiency #2 Scope: Some
level Of Harm: 3
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 06/10/2009
date Of Correction: 07/03/2009 

Resident Assessment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Review Or Revise The Resident's Care Plan After Any Major Change In A Resident's Physical Or Mental Health.
survey Date: 02/10/2011
date Of Correction: 03/27/2011 

Administration Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 3
deficiency: Set Up An Ongoing Quality Assessment And Assurance Group To Review Quality Deficiencies Quarterly, And Develop Corrective Plans Of Action.
survey Date: 06/10/2009
date Of Correction: 07/03/2009 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
18 % (7.09 % lower than average)
vs
25.09 %

Percent of long-stay residents who self-report moderate to severe pain
2.7 % (13.96 % lower than average)
vs
16.66 %

Percent of long-stay residents who lose too much weight
8 % (3.83 % lower than average)
vs
11.83 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
75.2 % (59.57 % higher than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
4 % (9.46 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
12.2 % (16.18 % lower 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 long-stay residents experiencing one or more falls with major injury
8 % (7.52 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication 18.1:1 % 
Percent of long-stay residents whose need for help with daily activities has increased
75.2 % (51.5 % higher than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
2.9 % (11.2 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
75.2 % (65.98 % higher than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
8.8 % (0.3 % higher than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
63.4 % (20.02 % 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
5.4 % (4.18 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
9.6 % (10.26 % 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 8.1 / 8.8 % 
Percent of short-stay residents who self-report moderate to severe pain
18.4 % (6.36 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
100 % (18.56 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
100 % (25.25 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
75.2 % (57.86 % higher than average)
vs
17.34 %



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