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VICTORY HEALTH & REHAB OF BATTLE GROUND LLC

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VICTORY HEALTH & REHAB OF BATTLE GROUND LLC VS
All other Nursing Homes USA
General
City BATTLE GROUND   vs 0% Nursing Homes USA have BATTLE GROUND
State attribute explanation WA   vs 1.4% Nursing Homes USA have WA
Street 510 NORTH PARKWAY  
Zip Code 98604  
Phone 3606875141  
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
(0.31 lower than average)
vs
3.31

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

Number of Certified Beds
83  (25.94 lower than average)
vs
108.94

Total Number of Residents
74  (17.25 lower than average)
vs
91.25

Percent of Occupied Beds
89 % (5.35 % higher than average)
vs
83.65 %

Health Survey Date 3/26/2012  
Fire Survey Date 3/21/2012  
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? 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? 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
11  (3.52 higher than average)
vs
7.48

Staff Information
Number of Residents
74  (17.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.9  (0.13 higher than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.53  (0.31 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.43  (0.16 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

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: 05/06/2010
date Of Correction: 05/06/2010 

Resident Rights Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Tell The Resident Completely About His Or Her Health Status, Care And Treatments.
survey Date: 08/24/2011
date Of Correction: 09/06/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Determine If It Is Safe For The Resident To Self-administer Drugs.
survey Date: 02/17/2011
date Of Correction: 03/16/2011 

Deficiency #3 Scope: Few
level Of Harm: 3
deficiency: Honor All Of The Resident's Rights As A Resident Of The Nursing Home, Free Of Coercion And Reprisal, And As A Citizen Or Resident Of The United States.
survey Date: 11/17/2009
date Of Correction: 12/18/2009 

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: 04/24/2009
date Of Correction: 05/15/2009 

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: 12/13/2011
date Of Correction: 12/29/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 02/17/2011
date Of Correction: 03/16/2011 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 01/05/2011
date Of Correction: 02/04/2011 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Provide Activities To Meet The Interests And Needs Of Each Resident.
survey Date: 11/17/2009
date Of Correction: 12/18/2009 

Resident Assessment Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.
survey Date: 08/24/2011
date Of Correction: 09/06/2011 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.
survey Date: 01/05/2011
date Of Correction: 02/04/2011 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
70.2 % (45.11 % higher 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
6.2 % (10.46 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
4.1 % (8.48 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
3 % (8.83 % 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
7.5 % (5.96 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
4.6 % (23.78 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
4.5 % (39.18 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain 19.4:1 % 
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
92.5 % (7.86 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
97.9 % (13.96 % higher than average)
vs
83.94 %

Percent of long-stay residents experiencing one or more falls with major injury
1.50 % (14.02 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
65.9 % (40.51 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
1.1 % (22.6 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain 8.6:1 % 
Percent of long-stay high-risk residents with pressure ulcers 8.1 / 8.8 % 
Percent of long-stay residents who lose too much weight
2.1 % (6.4 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
51.3 % (7.92 % 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
11.2-20 % (1.62 % higher than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
4.3 % (15.56 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained 2.6 / 3 % 
Percent of long-stay residents experiencing one or more falls with major injury
2.1 % (8.63 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
19.2 % (5.56 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
90.7 % (9.26 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
94.9 % (20.15 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
5.8 % (11.54 % lower than average)
vs
17.34 %



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