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VILLAS OF GUERIN WOODS

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VILLAS OF GUERIN WOODS VS
All other Nursing Homes USA
General
City GEORGETOWN   vs 0.1% Nursing Homes USA have GEORGETOWN
State attribute explanation IN   vs 3.1% Nursing Homes USA have IN
Street 1002 SISTER BARBARA WAY  
Zip Code 47122  
Phone 8129511878  
Overall Star Rating
(1.89 higher than average)
vs
3.11

Health Inspections Star Rating
(1.17 higher than average)
vs
2.83

Nurse Staffing Star Rating
(1.83 higher than average)
vs
3.17

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

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

Number of Certified Beds
50  (58.94 lower than average)
vs
108.94

Total Number of Residents
30  (61.25 lower than average)
vs
91.25

Percent of Occupied Beds
60 % (23.65 % lower than average)
vs
83.65 %

Health Survey Date 12/1/2011  
Fire Survey Date 12/1/2011  
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 Non Profit - Corporation  vs 18.7% Nursing Homes USA have Non 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 Both  vs 29.8% Nursing Homes USA have Both
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
75.2  (18.89 higher than average)
vs
56.31

# of deficiencies
(0.52 higher than average)
vs
7.48

Staff Information
Number of Residents
30  (61.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.83  (0.06 higher than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
1.48  (0.64 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
2.32  (0.73 higher than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.03  (5.46 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.03  (0.07 lower than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 10/19/2011
date Of Correction: 11/04/2011 

Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 06/03/2011
date Of Correction: 07/03/2011 

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: 06/03/2011
date Of Correction: 07/03/2011 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.
survey Date: 06/03/2011
date Of Correction: 07/03/2011 

Resident Rights Deficiencies
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: 08/29/2011
date Of Correction: 09/12/2011 

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: 10/19/2011
date Of Correction: 11/04/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 10/19/2011
date Of Correction: 11/04/2011 

Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 08/29/2011
date Of Correction: 09/12/2011 

Quality Measures Q1
Percent of short-stay residents who newly received an antipsychotic medication
75.2  (29.3 higher than average)
vs
45.90

Quality Measures Q3
Deficiency #1 32.9 % 
Percent of long-stay residents who received an antipsychotic medication
33.7 % (8.31 % higher than average)
vs
25.39 %

Percent of long-stay residents who self-report moderate to severe pain
2.8 % (11.3 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
6.8 % (2.42 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
1.2 % (7.3 % lower than average)
vs
8.50 %

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
20 % (10.42 % higher than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
3.6 % (16.26 % 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
7.1 % (3.63 % lower than average)
vs
10.73 %



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