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WEATHERWOOD NURSING HOME AND REHAB CTR

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WEATHERWOOD NURSING HOME AND REHAB CTR VS
All other Nursing Homes USA
General
City WEATHERLY   vs 0% Nursing Homes USA have WEATHERLY
State attribute explanation PA   vs 4.5% Nursing Homes USA have PA
Street 1000 EVERGREEN AVENUE  
Zip Code 18255  
Phone 5704278683  
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
(2.17 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
200  (91.06 higher than average)
vs
108.94

Total Number of Residents
172  (80.75 higher than average)
vs
91.25

Percent of Occupied Beds
86 % (2.35 % higher than average)
vs
83.65 %

Health Survey Date 5/17/2012  
Fire Survey Date 5/17/2012  
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? Yes  vs 54.9% Nursing Homes USA 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
(57.16 lower than average)
vs
58.16

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

# of deficiencies
10  (2.52 higher than average)
vs
7.48

Staff Information
Number of Residents
172  (80.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.63  (0.14 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.64  (0.2 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.27  (0.32 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.09  (5.4 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.09  (0.01 lower than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 04/29/2011
date Of Correction: 09/08/2011 

Deficiency #2 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: 01/13/2011
date Of Correction: 02/18/2011 

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: 02/02/2010
date Of Correction: 02/15/2010 

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: 01/13/2011
date Of Correction: 02/18/2011 

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: 12/15/2009
date Of Correction: 02/15/2010 

Quality Care Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 11/22/2010
date Of Correction: 01/13/2011 

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: 12/15/2009
date Of Correction: 02/15/2010 

Administration Deficiencies
Deficiency #1 Scope: Few
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: 04/29/2011
date Of Correction: 09/08/2011 

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: 01/13/2011
date Of Correction: 02/18/2011 

Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Make Sure Menus Meet The Resident's Nutritional Needs And That There Is A Prepared Menu By Which Nutritious Meals Have Been Planned For The Resident And Followed.
survey Date: 04/22/2009
date Of Correction: 06/19/2009 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
18.5 % (6.59 % lower than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
5.3 % (27.65 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
15.8 % (0.86 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
11 % (1.58 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
12.7 % (0.87 % higher than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
32.3 % (12.24 % lower than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.7 % (10.93 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
7.1 % (6.36 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
0.6 % (27.78 % 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
16.7 % (8.32 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
91.5 % (6.86 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
90.7 % (6.76 % higher than average)
vs
83.94 %

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

Percent of long-stay residents experiencing one or more falls with major injury
3.2 % (12.32 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
17.4 % (7.99 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
4.9 % (18.8 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
16 % (1.9 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
10.5 % (1.28 % higher than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
9.7 % (1.2 % higher than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
32.7 (90.9) % (10.68 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.7 % (5.95 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
5.8 % (3.78 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
1.1 % (18.76 % 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
3.1 % (7.63 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
19.8 % (4.96 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
95.1 % (13.66 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
91.1 % (16.35 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
2.20 % (15.14 % lower than average)
vs
17.34 %



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