Compare with other Nursing Homes USA
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VILLAGE AT LUTHER SQUARE, THE | VS | All other Nursing Homes USA |
Staff Information | |||||
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Number of Residents |
106 (14.62 higher than average)
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vs |
91.38
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Number of RN Hours Per Resident Per Day |
0.54 (0.23 lower than average)
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vs |
0.77
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Number of LPN/LVN Hours Per Resident Per Day |
0.87 (0.03 higher than average)
|
vs |
0.84
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Total Number of Licensed Staff Hours Per Resident Per Day |
1.41 (0.18 lower than average)
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vs |
1.59
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Number of CNA Hours Per Resident Per Day |
0.05 (5.44 lower than average)
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vs |
5.49
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Number Therapy Hours Per Resident Per Day |
0.05 (0.05 lower than average)
|
vs |
0.10
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Environmental Deficiencies | |||||
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Deficiency #1 |
Scope: Some level Of Harm: 2 deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading. survey Date: 04/18/2012 date Of Correction: 04/28/2012 |
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Deficiency #2 |
Scope: Some level Of Harm: 1 deficiency: Provide Housekeeping And Maintenance Services. survey Date: 05/06/2011 date Of Correction: 05/31/2011 |
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Deficiency #3 |
Scope: Few level Of Harm: 2 deficiency: Provide Housekeeping And Maintenance Services. survey Date: 04/14/2011 date Of Correction: 05/14/2011 |
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Deficiency #4 |
Scope: Many level Of Harm: 1 deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading. survey Date: 02/17/2011 date Of Correction: 03/07/2011 |
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Deficiency #5 |
Scope: Few 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: 01/18/2011 date Of Correction: 03/07/2011 |
Mistreatment Deficiencies | |||||
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Deficiency #1 |
Scope: Some level Of Harm: 2 deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property. survey Date: 07/09/2011 date Of Correction: 07/22/2011 |
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Deficiency #2 |
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: 05/19/2011 date Of Correction: 05/31/2011 |
Resident Rights Deficiencies | |||||
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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: 01/13/2012 date Of Correction: 02/01/2012 |
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Deficiency #2 |
Scope: Few level Of Harm: 2 deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident. survey Date: 12/16/2011 date Of Correction: 01/11/2012 |
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Deficiency #3 |
Scope: Some level Of Harm: 2 deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident. survey Date: 04/14/2011 date Of Correction: 05/14/2011 |
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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: 05/05/2009 date Of Correction: 05/28/2009 |
Quality Care Deficiencies | |||||
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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: 04/02/2012 date Of Correction: 04/24/2012 |
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Deficiency #2 |
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: 02/17/2011 date Of Correction: 03/07/2011 |
Resident Assessment Deficiencies | |||||
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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: 04/09/2009 date Of Correction: 04/28/2009 |
Administration Deficiencies | |||||
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Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Give Or Get Quality Lab Services/tests In A Timely Manner To Meet The Needs Of Residents. survey Date: 02/17/2011 date Of Correction: 03/07/2011 |
Nutrition and Dietary Deficiencies | |||||
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Deficiency #1 |
Scope: Some level Of Harm: 2 deficiency: Store, Cook, And Serve Food In A Safe And Clean Way. survey Date: 04/18/2012 date Of Correction: 04/28/2012 |
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Deficiency #2 |
Scope: Some level Of Harm: 2 deficiency: Provide Special Eating Equipment And Utensils For Each Resident Who Needs Them. survey Date: 04/14/2011 date Of Correction: 05/14/2011 |
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Deficiency #3 |
Scope: Some level Of Harm: 2 deficiency: Make Sure That Special Or Therapeutic Diets Are Ordered By The Attending Doctor. survey Date: 04/14/2011 date Of Correction: 05/14/2011 |
Quality Measures Q1 | |||||
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Percent of long-stay residents who received an antipsychotic medication |
28.2 % (3.11 % higher than average)
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vs |
25.09 %
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Percent of long-stay residents whose need for help with daily activities has increased |
1.50 % (31.45 % lower than average)
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vs |
32.95 %
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Percent of long-stay residents who self-report moderate to severe pain |
12.5 % (4.16 % lower than average)
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vs |
16.66 %
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Percent of long-stay high-risk residents with pressure ulcers | 16.3:1 % | ||||
Percent of long-stay residents who lose too much weight |
1.3 % (10.53 % lower than average)
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vs |
11.83 %
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Percent of long-stay low-risk residents who lose control of their bowels or bladder |
24.3 % (20.24 % lower than average)
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vs |
44.54 %
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Percent of long-stay residents who have had a catheter inserted and left in their bladder |
1.4 % (14.23 % lower than average)
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vs |
15.63 %
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Percent of long-stay residents with a urinary tract infection |
75.2 % (61.74 % higher than average)
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vs |
13.46 %
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Percent of long-stay residents who have depressive symptoms |
75.2 % (46.82 % higher than average)
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vs |
28.38 %
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Percent of long-stay residents who were physically restrained |
75.2 % (31.52 % higher than average)
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vs |
43.68 %
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Percent of short-stay residents who self-report moderate to severe pain |
20.7 (69.3) % (4.32 % lower than average)
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vs |
25.02 %
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Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
44.1 % (40.54 % lower than average)
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vs |
84.64 %
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Percent of short-stay residents with Pressure ulcers that are new or worsened |
41.1 % (42.84 % lower than average)
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vs |
83.94 %
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Percent of short-stay residents who newly received an antipsychotic medication |
75.2 (29.3 higher than average)
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vs |
45.90
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Percent of long-stay residents experiencing one or more falls with major injury |
2.5 % (13.02 % lower than average)
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vs |
15.52 %
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Quality Measures Q3 | |||||
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Percent of long-stay residents who received an antipsychotic medication |
30.3 % (4.91 % higher than average)
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vs |
25.39 %
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Percent of long-stay residents whose need for help with daily activities has increased |
1.1 % (22.6 % lower than average)
|
vs |
23.70 %
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Percent of long-stay residents who self-report moderate to severe pain |
20.2 (68.4) % (6.1 % higher than average)
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vs |
14.10 %
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Percent of long-stay high-risk residents with pressure ulcers | 13.1:1 % | ||||
Percent of long-stay residents who lose too much weight |
2.1 % (6.4 % lower than average)
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vs |
8.50 %
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Percent of long-stay low-risk residents who lose control of their bowels or bladder |
31.2 % (12.18 % lower than average)
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vs |
43.38 %
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Percent of long-stay residents who have had a catheter inserted and left in their bladder |
1.4 % (9.25 % lower than average)
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vs |
10.65 %
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Percent of long-stay residents with a urinary tract infection |
75.2 % (65.62 % higher than average)
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vs |
9.58 %
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Percent of long-stay residents who have depressive symptoms |
1.3 % (18.56 % lower than average)
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vs |
19.86 %
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Percent of long-stay residents who were physically restrained |
75.2 % (36.67 % higher than average)
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vs |
38.53 %
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Percent of long-stay residents experiencing one or more falls with major injury |
2.5 % (8.23 % lower than average)
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vs |
10.73 %
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Percent of short-stay residents who self-report moderate to severe pain |
36.4 % (11.64 % higher than average)
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vs |
24.76 %
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Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
25 % (56.44 % lower than average)
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vs |
81.44 %
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Percent of short-stay residents with Pressure ulcers that are new or worsened | 17.1:1 % | ||||
Percent of short-stay residents who newly received an antipsychotic medication |
13.4 % (3.94 % lower than average)
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vs |
17.34 %
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