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VALLEY CENTER

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VALLEY CENTER VS
All other Nursing Homes USA
General
City SOUTH CHARLESTON   vs 0% Nursing Homes USA have SOUTH CHARLESTON
State attribute explanation WV   vs 0.8% Nursing Homes USA have WV
Street 1000 LINCOLN DRIVE  
Zip Code 25309  
Phone 3047684400  
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
(0.17 lower than average)
vs
3.17

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

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

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

Total Number of Residents
124  (32.75 higher than average)
vs
91.25

Percent of Occupied Beds
95 % (11.35 % higher than average)
vs
83.65 %

Health Survey Date 4/28/2011  
Fire Survey Date 4/25/2011  
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 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
(57.16 lower than average)
vs
58.16

Total Enforcement Actions Count
(55.31 lower than average)
vs
56.31

# of deficiencies
33  (25.52 higher than average)
vs
7.48

Staff Information
Number of Residents
124  (32.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.94  (0.17 higher than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.68  (0.16 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.61  (0.02 higher 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: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 09/28/2011
date Of Correction: 11/03/2011 

Deficiency #2 Scope: Many
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 12/09/2010
date Of Correction: 02/15/2011 

Deficiency #3 Scope: Many
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 06/16/2010
date Of Correction: 07/20/2010 

Mistreatment Deficiencies
Deficiency #1 Scope: Some
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: 04/14/2011
date Of Correction: 06/23/2011 

Deficiency #2 Scope: Some
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: 04/13/2010
date Of Correction: 05/11/2010 

Deficiency #3 Scope: Few
level Of Harm: 3
deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.
survey Date: 12/17/2009
date Of Correction: 02/23/2010 

Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.
survey Date: 09/28/2011
date Of Correction: 11/03/2011 

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: 09/28/2011
date Of Correction: 11/03/2011 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Make Sure Each Resident Has The Right To Have A Choice Over Activities, Their Schedules And Health Care According To His Or Her Interests, Assessment, And Plan Of Care.
survey Date: 04/28/2011
date Of Correction: 06/23/2011 

Deficiency #4 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: 12/09/2010
date Of Correction: 02/15/2011 

Deficiency #5 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: 12/17/2009
date Of Correction: 02/23/2010 

Deficiency #6 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: 05/12/2009
date Of Correction: 06/16/2009 

Quality Care Deficiencies
Deficiency #1 Scope: Few
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: 09/28/2011
date Of Correction: 11/03/2011 

Deficiency #2 Scope: Few
level Of Harm: 3
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 09/28/2011
date Of Correction: 11/03/2011 

Deficiency #3 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: 08/17/2011
date Of Correction: 09/22/2011 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 08/17/2011
date Of Correction: 09/22/2011 

Deficiency #5 Scope: Few
level Of Harm: 3
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 04/14/2011
date Of Correction: 06/23/2011 

Deficiency #6 Scope: Few
level Of Harm: 3
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 12/09/2010
date Of Correction: 02/15/2011 

Deficiency #7 Scope: Some
level Of Harm: 2
deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So.
survey Date: 07/29/2010
date Of Correction: 08/17/2010 

Deficiency #8 Scope: Few
level Of Harm: 2
deficiency: Give Or Get Emergency Care By A Doctor 24 Hours A Day.
survey Date: 12/17/2009
date Of Correction: 02/23/2010 

Deficiency #9 Scope: Few
level Of Harm: 3
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 12/17/2009
date Of Correction: 02/23/2010 

Deficiency #10 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 05/12/2009
date Of Correction: 06/16/2009 

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: 04/28/2011
date Of Correction: 06/23/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan.
survey Date: 12/17/2009
date Of Correction: 02/23/2010 

Deficiency #3 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: 12/17/2009
date Of Correction: 02/23/2010 

Administration Deficiencies
Deficiency #1 Scope: Many
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: 12/09/2010
date Of Correction: 02/15/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 12/09/2010
date Of Correction: 02/15/2011 

Deficiency #3 Scope: Many
level Of Harm: 2
deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .
survey Date: 12/09/2010
date Of Correction: 02/15/2011 

Deficiency #4 Scope: Some
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 06/16/2010
date Of Correction: 07/20/2010 

Deficiency #5 Scope: Many
level Of Harm: 2
deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .
survey Date: 06/16/2010
date Of Correction: 07/20/2010 

Deficiency #6 Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 05/12/2009
date Of Correction: 06/16/2009 

Pharmacy Service Deficiencies
Deficiency #1 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: 08/17/2011
date Of Correction: 09/22/2011 

Deficiency #2 Scope: Few
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: 05/12/2009
date Of Correction: 06/16/2009 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
17 % (8.09 % lower than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
75.2 % (42.25 % higher than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
14.5 % (2.16 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
17.5 % (4.92 % higher than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
18 % (6.17 % higher than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
54.8 % (10.26 % higher 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
18 % (4.54 % higher than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
12 % (16.38 % 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 short-stay residents who self-report moderate to severe pain
4.9 % (20.12 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
77.8 % (6.84 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
75 % (8.94 % lower than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
2.5 % (43.4 % lower than average)
vs
45.90 %

Percent of long-stay residents experiencing one or more falls with major injury
2.9 % (12.62 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
13.5 % (11.89 % lower than average)
vs
25.39 %

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
9 % (5.1 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers 18.2:1 % 
Percent of long-stay residents who lose too much weight
14.9-28 % (6.4 % higher than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
61.2 % (17.82 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
6.7 % (3.95 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
19.2 % (9.62 % higher than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
8.7 % (11.16 % 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
5.1 % (5.63 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
6.3 % (18.46 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
69.2 % (12.24 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
65.7 % (9.05 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
30.1 % (12.76 % higher than average)
vs
17.34 %



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