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TIFFANY HALL NURSING AND REHAB CENTER

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TIFFANY HALL NURSING AND REHAB CENTER VS
All other Nursing Homes USA
General
City PORT SAINT LUCIE   vs 0% Nursing Homes USA have PORT SAINT LUCIE
State attribute explanation FL   vs 4.4% Nursing Homes USA have FL
Street 1800 SE HILLMOOR DRIVE  
Zip Code 34952  
Phone 7723373565  
Overall Star Rating
(0.11 lower 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
(0.69 higher than average)
vs
3.31

RN Only Star Rating
(0.17 lower than average)
vs
3.17

Number of Certified Beds
120  (11.06 higher than average)
vs
108.94

Total Number of Residents
115  (23.75 higher than average)
vs
91.25

Percent of Occupied Beds
96 % (12.35 % higher than average)
vs
83.65 %

Health Survey Date 9/23/2011  
Fire Survey Date 9/23/2011  
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
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? Yes  vs 54.9% Nursing Homes USA have Multi Nursing Home Ownership?
Resident and Family Councils Both  vs 29.8% Nursing Homes USA have Both
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 3  
Staff Information
Number of Residents
115  (23.62 higher 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
1.38  (0.54 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
2.06  (0.47 higher than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.18  (5.31 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.18  (0.08 higher than average)
vs
0.10

Resident Rights Deficiencies
Deficiency #1 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: 12/08/2010
date Of Correction: 01/08/2011 

Deficiency #2 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: 06/28/2010
date Of Correction: 07/28/2010 

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: 05/17/2012
date Of Correction: 06/17/2012 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
30.3 % (5.21 % higher than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
0.4 % (32.55 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
18.6 (65.5) % (1.94 % higher than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
1.4 % (11.18 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
2.3 % (9.53 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
63.2 % (18.66 % higher than average)
vs
44.54 %

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
4.5 % (8.96 % lower than average)
vs
13.46 %

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
23.9 % (1.12 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
81.1 % (3.54 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
94.6 % (10.66 % higher than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
4.4 % (41.5 % lower than average)
vs
45.90 %

Percent of long-stay residents experiencing one or more falls with major injury
4.4 % (11.12 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
32.6 % (7.21 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
0.5 - 2.0 % (23.2 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
16.8 % (2.7 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
1.8 % (7.42 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
5.9 % (2.6 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
58.1 % (14.72 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.8 % (8.85 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
4.8 % (4.78 % lower 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
2.20 % (8.53 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
28.1 % (3.34 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
79.8 % (1.64 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
94.8 % (20.05 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
17.7 % (0.36 % higher than average)
vs
17.34 %



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