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TROY MANOR

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TROY MANOR VS
All other Nursing Homes USA
General
City TROY   vs 0.1% Nursing Homes USA have TROY
State attribute explanation MO   vs 3.2% Nursing Homes USA have MO
Street 200 THOMPSON DRIVE  
Zip Code 63379  
Phone 6365288446  
Overall Star Rating
(2.11 lower than average)
vs
3.11

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

Nurse Staffing Star Rating
(2.17 lower than average)
vs
3.17

Quality Measures Star Rating
(1.31 lower than average)
vs
3.31

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

Number of Certified Beds
130  (21.06 higher than average)
vs
108.94

Total Number of Residents
112  (20.75 higher than average)
vs
91.25

Percent of Occupied Beds
86 % (2.35 % higher than average)
vs
83.65 %

Health Survey Date 5/7/2012  
Fire Survey Date 5/7/2012  
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
(55.31 lower than average)
vs
56.31

# of deficiencies
13  (5.52 higher than average)
vs
7.48

Staff Information
Number of Residents
112  (20.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.23  (0.54 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.61  (0.23 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
0.84  (0.75 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.04  (5.45 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.04  (0.06 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: 07/12/2011
date Of Correction: 08/18/2011 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Provide Clean Bed And Bath Linens That Are In Good Condition.
survey Date: 07/12/2011
date Of Correction: 08/18/2011 

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: 07/12/2011
date Of Correction: 08/18/2011 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 12/22/2011
date Of Correction: 01/23/2012 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 07/12/2011
date Of Correction: 08/18/2011 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 07/12/2011
date Of Correction: 08/18/2011 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 02/17/2011
date Of Correction: 03/28/2011 

Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 10/09/2009
date Of Correction: 11/04/2009 

Resident Assessment Deficiencies
Deficiency #1 Scope: Few
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: 07/12/2011
date Of Correction: 08/18/2011 

Administration Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 1
deficiency: Ensure The Activities Program Is Directed By A Qualified Professional.
survey Date: 07/12/2011
date Of Correction: 08/18/2011 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.
survey Date: 12/22/2011
date Of Correction: 01/23/2012 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: 1) Make Sure That Each Resident's Drug Regimen Is Free From Unnecessary Drugs; 2) Each Resident's Entire Drug/medication Is Managed And Monitored To Achieve Highest Well Being.
survey Date: 10/09/2009
date Of Correction: 11/04/2009 

Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Provide Food In A Way That Meets A Resident's Needs.
survey Date: 07/12/2011
date Of Correction: 08/18/2011 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
32.9 % (7.81 % higher than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased 8.9 / 9.9 % 
Percent of long-stay residents who self-report moderate to severe pain
9 % (7.66 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
1.9 % (10.68 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
7.7 % (4.13 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
31 % (13.54 % lower than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.4 % (11.23 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
5.5 % (7.96 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
18.5 % (9.88 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
4.2 % (39.48 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
28.1 % (3.08 % higher than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
85 % (0.36 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
84.4 % (0.46 % higher than average)
vs
83.94 %

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

Percent of long-stay residents experiencing one or more falls with major injury
3.1 % (12.42 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
31.9 % (6.51 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
3.8 % (19.9 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
11.9 % (2.2 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
6.9 % (2.32 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight 9.4 / 10.4 % 
Percent of long-stay low-risk residents who lose control of their bowels or bladder
30.1 % (13.28 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.6 % (7.05 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
5.8 % (3.78 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
15.7 % (4.16 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
5.2 % (33.33 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
3.8 % (6.93 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
26.6 (79.9) % (1.84 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
79.3 % (2.14 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
10.8 % (63.95 % lower 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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