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VALLEY RANCH NURSING AND REHAB CENTER

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VALLEY RANCH NURSING AND REHAB CENTER VS
All other Nursing Homes USA
General
City LITTLE ROCK   vs 0.1% Nursing Homes USA have LITTLE ROCK
State attribute explanation AR   vs 1.5% Nursing Homes USA have AR
Street 6411 VALLEY RANCH DR  
Zip Code 72223  
Phone 5018688857  
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
(1.17 lower than average)
vs
3.17

Number of Certified Beds
90  (18.94 lower than average)
vs
108.94

Total Number of Residents
84  (7.25 lower than average)
vs
91.25

Percent of Occupied Beds
93 % (9.35 % higher than average)
vs
83.65 %

Health Survey Date 2/17/2012  
Fire Survey Date 2/17/2012  
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
(50.16 lower than average)
vs
58.16

Total Enforcement Actions Count
10  (46.31 lower than average)
vs
56.31

# of deficiencies 26  
Staff Information
Number of Residents
84  (7.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.4  (0.37 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
1.1  (0.26 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.50  (0.09 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.08  (5.41 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.08  (0.02 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: 03/04/2011
date Of Correction: 04/01/2011 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 12/21/2010
date Of Correction: 01/19/2011 

Deficiency #3 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: 12/21/2010
date Of Correction: 01/19/2011 

Deficiency #4 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: 09/09/2010
date Of Correction: 10/05/2010 

Mistreatment Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 4
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 03/04/2011
date Of Correction: 04/01/2011 

Deficiency #2 Scope: Some
level Of Harm: 4
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: 03/04/2011
date Of Correction: 04/01/2011 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment.
survey Date: 12/21/2010
date Of Correction: 01/19/2011 

Deficiency #4 Scope: Few
level Of Harm: 4
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 10/27/2010
date Of Correction: 11/14/2010 

Deficiency #5 Scope: Few
level Of Harm: 4
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: 10/27/2010
date Of Correction: 11/14/2010 

Deficiency #6 Scope: Few
level Of Harm: 4
deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.
survey Date: 10/27/2010
date Of Correction: 11/14/2010 

Resident Rights Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 1
deficiency: Tell The Resident Or The Resident's Representative In Writing How Long The Nursing Home Will Hold The Resident's Bed.
survey Date: 03/04/2011
date Of Correction: 03/04/2011 

Deficiency #2 Scope: Many
level Of Harm: 1
deficiency: Provide Enough Notice Before Discharging Or Transferring A Resident.
survey Date: 03/04/2011
date Of Correction: 03/04/2011 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.
survey Date: 12/21/2010
date Of Correction: 01/19/2011 

Quality Care Deficiencies
Deficiency #1 Scope: Some
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: 03/16/2012
date Of Correction: 04/01/2012 

Deficiency #2 Scope: Some
level Of Harm: 3
deficiency: Give Each Resident Enough Fluids To Keep Them Healthy And Prevent Dehydration.
survey Date: 04/05/2011
date Of Correction: 05/03/2011 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 04/05/2011
date Of Correction: 05/03/2011 

Deficiency #4 Scope: Some
level Of Harm: 2
deficiency: Provide Routine And 24-hour Emergency Dental Care For Each Resident.
survey Date: 03/04/2011
date Of Correction: 04/01/2011 

Deficiency #5 Scope: Some
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 03/04/2011
date Of Correction: 04/01/2011 

Deficiency #6 Scope: Some
level Of Harm: 2
deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.
survey Date: 03/04/2011
date Of Correction: 04/01/2011 

Deficiency #7 Scope: Some
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 12/21/2010
date Of Correction: 01/19/2011 

Deficiency #8 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 12/21/2010
date Of Correction: 01/19/2011 

Deficiency #9 Scope: Some
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 09/09/2010
date Of Correction: 10/05/2010 

Administration Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 1
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 03/16/2012
date Of Correction: 03/16/2012 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Give Or Get Quality Lab Services/tests In A Timely Manner To Meet The Needs Of Residents.
survey Date: 03/16/2012
date Of Correction: 04/01/2012 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Quickly Tell The Resident's Doctor The Results Of Lab Tests.
survey Date: 12/21/2010
date Of Correction: 01/19/2011 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 4
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: 07/26/2010
date Of Correction: 07/26/2010 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
36.1 % (11.01 % higher than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased 2.6 / 3 % 
Percent of long-stay residents who self-report moderate to severe pain
18.8 % (2.14 % higher than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
13.5 % (0.92 % higher than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
1.6 % (10.23 % lower than average)
vs
11.83 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.50 % (14.13 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
4.9 % (8.56 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
4.9 % (23.48 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
14.1 % (29.58 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
9.3 % (15.72 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
89.3 % (4.66 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
90.3 % (6.36 % higher than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
2.20 % (43.7 % lower than average)
vs
45.90 %

Percent of long-stay residents experiencing one or more falls with major injury 9.4 / 10.4 % 
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
33.5 % (8.11 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
1.3 % (22.4 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
10.2 % (3.9 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
8.7 % (0.52 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
1.1 % (7.4 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
45.2 % (1.82 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
2.5 % (8.15 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
9.7 % (0.12 % higher than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
3.7 % (16.16 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
14.4 % (24.13 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
8.2 % (2.53 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain 10.7:1 % 
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
91.3 % (9.86 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
91.9 % (17.15 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
35.6 % (18.26 % higher than average)
vs
17.34 %



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