Compare with other Nursing Homes USA
Compare
Compare
WESTCHESTER CARE CENTER | VS | All other Nursing Homes USA |
Staff Information | |||||
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Number of Residents |
85 (6.38 lower than average)
|
vs |
91.38
|
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Number of RN Hours Per Resident Per Day |
0.44 (0.33 lower than average)
|
vs |
0.77
|
||
Number of LPN/LVN Hours Per Resident Per Day |
0.89 (0.05 higher than average)
|
vs |
0.84
|
||
Total Number of Licensed Staff Hours Per Resident Per Day |
1.33 (0.26 lower than average)
|
vs |
1.59
|
||
Number of CNA Hours Per Resident Per Day |
0.07 (5.42 lower than average)
|
vs |
5.49
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Number Therapy Hours Per Resident Per Day |
0.07 (0.03 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: 11/30/2011 date Of Correction: 01/30/2012 |
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: 06/06/2011 date Of Correction: 07/05/2011 |
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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: 06/06/2011 date Of Correction: 07/05/2011 |
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Deficiency #3 |
Scope: Few level Of Harm: 3 deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property. survey Date: 10/27/2010 date Of Correction: 12/08/2010 |
Resident Rights Deficiencies | |||||
---|---|---|---|---|---|
Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident. survey Date: 06/06/2011 date Of Correction: 07/05/2011 |
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: 10/27/2010 date Of Correction: 12/08/2010 |
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Deficiency #2 |
Scope: Few level Of Harm: 2 deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality. survey Date: 10/27/2010 date Of Correction: 12/08/2010 |
Resident Assessment Deficiencies | |||||
---|---|---|---|---|---|
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: 10/27/2010 date Of Correction: 12/08/2010 |
Administration Deficiencies | |||||
---|---|---|---|---|---|
Deficiency #1 |
Scope: Some level Of Harm: 1 deficiency: Post Nurse Staffing Information/data On A Daily Basis. survey Date: 06/06/2011 date Of Correction: 07/05/2011 |
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Deficiency #2 |
Scope: Some 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: 10/27/2010 date Of Correction: 12/08/2010 |
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Deficiency #3 |
Scope: Few level Of Harm: 2 deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards. survey Date: 10/27/2010 date Of Correction: 12/08/2010 |
Pharmacy Service Deficiencies | |||||
---|---|---|---|---|---|
Deficiency #1 |
Scope: Some level Of Harm: 2 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: 10/27/2010 date Of Correction: 12/08/2010 |
Quality Measures Q1 | |||||
---|---|---|---|---|---|
Percent of long-stay residents who received an antipsychotic medication |
17.2 % (7.89 % lower 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 |
1.8 % (14.86 % lower than average)
|
vs |
16.66 %
|
||
Percent of long-stay high-risk residents with pressure ulcers |
3.4 % (9.18 % lower than average)
|
vs |
12.58 %
|
||
Percent of long-stay residents who lose too much weight |
6 % (5.83 % lower than average)
|
vs |
11.83 %
|
||
Percent of long-stay low-risk residents who lose control of their bowels or bladder |
63.6 % (19.06 % higher than average)
|
vs |
44.54 %
|
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Percent of long-stay residents who have had a catheter inserted and left in their bladder |
7.4 % (8.23 % lower than average)
|
vs |
15.63 %
|
||
Percent of long-stay residents with a urinary tract infection |
4.5 % (8.96 % lower than average)
|
vs |
13.46 %
|
||
Percent of long-stay residents who have depressive symptoms |
1.6 % (26.78 % lower than average)
|
vs |
28.38 %
|
||
Percent of long-stay residents who were physically restrained |
6 % (37.68 % lower than average)
|
vs |
43.68 %
|
||
Percent of short-stay residents who self-report moderate to severe pain |
35.1 % (10.08 % higher than average)
|
vs |
25.02 %
|
||
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
81.8 % (2.84 % lower than average)
|
vs |
84.64 %
|
||
Percent of short-stay residents with Pressure ulcers that are new or worsened |
87.7 % (3.76 % 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 |
1.50 % (14.02 % lower than average)
|
vs |
15.52 %
|
Quality Measures Q3 | |||||
---|---|---|---|---|---|
Percent of long-stay residents who received an antipsychotic medication |
18 % (7.39 % lower than average)
|
vs |
25.39 %
|
||
Percent of long-stay residents whose need for help with daily activities has increased |
0.7 % (23 % lower than average)
|
vs |
23.70 %
|
||
Percent of long-stay residents who self-report moderate to severe pain |
8 % (6.1 % lower than average)
|
vs |
14.10 %
|
||
Percent of long-stay high-risk residents with pressure ulcers |
3.4 % (5.82 % lower than average)
|
vs |
9.22 %
|
||
Percent of long-stay residents who lose too much weight |
7.7 % (0.8 % lower than average)
|
vs |
8.50 %
|
||
Percent of long-stay low-risk residents who lose control of their bowels or bladder |
58.3 % (14.92 % higher than average)
|
vs |
43.38 %
|
||
Percent of long-stay residents who have had a catheter inserted and left in their bladder |
4.8 % (5.85 % lower than average)
|
vs |
10.65 %
|
||
Percent of long-stay residents with a urinary tract infection |
5.2 % (4.38 % lower than average)
|
vs |
9.58 %
|
||
Percent of long-stay residents who have depressive symptoms |
3.4 % (16.46 % lower than average)
|
vs |
19.86 %
|
||
Percent of long-stay residents who were physically restrained |
6.1 % (32.43 % lower than average)
|
vs |
38.53 %
|
||
Percent of long-stay residents experiencing one or more falls with major injury |
1.4 % (9.33 % lower than average)
|
vs |
10.73 %
|
||
Percent of short-stay residents who self-report moderate to severe pain |
34.2 % (9.44 % higher than average)
|
vs |
24.76 %
|
||
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
75.3 % (6.14 % lower than average)
|
vs |
81.44 %
|
||
Percent of short-stay residents with Pressure ulcers that are new or worsened |
85.2 % (10.45 % higher than average)
|
vs |
74.75 %
|
||
Percent of short-stay residents who newly received an antipsychotic medication |
3.1 % (14.24 % lower than average)
|
vs |
17.34 %
|