WESTMINSTER VILLAGE HEALTH

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General
City	Dover	vs	0.1% Nursing Homes USA have Dover
State attribute explanation	DE	vs	0.3% Nursing Homes USA have DE	compare DE Nursing Homes USA
Street	1175 MCKEE ROAD
Zip Code	19904
Phone	3026748030
Overall Star Rating	3 (0.11 lower than average)	vs	3.11	Compare similar Overall Star Rating (3)
Health Inspections Star Rating	2 (0.83 lower than average)	vs	2.83	Compare similar Health Inspections Star Rating (2)
Nurse Staffing Star Rating	5 (1.83 higher than average)	vs	3.17	Compare similar Nurse Staffing Star Rating (5)
Quality Measures Star Rating	3 (0.31 lower than average)	vs	3.31	Compare similar Quality Measures Star Rating (3)
RN Only Star Rating	5 (1.83 higher than average)	vs	3.17	Compare similar RN Only Star Rating (5)
Number of Certified Beds	61 (47.94 lower than average)	vs	108.94	Compare similar Number of Certified Beds (61)
Total Number of Residents	53 (38.25 lower than average)	vs	91.25	Compare similar Total Number of Residents (53)
Percent of Occupied Beds	87 % (3.35 % higher than average)	vs	83.65 %	Compare similar Percent of Occupied Beds (87) %
Health Survey Date	10/6/2011
Fire Survey Date	10/5/2011
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	compare Medicare and Medicaid Nursing Homes USA
Type of Ownership	Non Profit - Corporation	vs	18.7% Nursing Homes USA have Non profit - Corporation	compare Non profit - Corporation Nursing Homes USA
Located Within a Hospital?	No	vs	93.6% Nursing Homes USA don't have Located Within a Hospital?	Compare similar 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?	Yes	vs	9.1% Nursing Homes USA 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	1 (55.31 lower than average)	vs	56.31
# of deficiencies	17

Staff Information
Number of Residents	53 (38.38 lower than average)	vs	91.38
Number of RN Hours Per Resident Per Day	1.63 (0.86 higher than average)	vs	0.77
Number of LPN/LVN Hours Per Resident Per Day	1.47 (0.63 higher than average)	vs	0.84
Total Number of Licensed Staff Hours Per Resident Per Day	3.1 (1.51 higher than average)	vs	1.59
Number of CNA Hours Per Resident Per Day	0.19 (5.3 lower than average)	vs	5.49
Number Therapy Hours Per Resident Per Day	0.19 (0.09 higher than average)	vs	0.10

Environmental Deficiencies
Deficiency #1		Scope: Some level Of Harm: 2 deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading. survey Date: 10/06/2011 date Of Correction: 12/15/2011

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: 02/24/2010 date Of Correction: 03/30/2010

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: 06/14/2012 date Of Correction: 07/09/2012
Deficiency #2		Scope: Few level Of Harm: 2 deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality. survey Date: 10/06/2011 date Of Correction: 12/15/2011
Deficiency #3		Scope: Some level Of Harm: 1 deficiency: Let The Resident Or The Resident's Legal Representative The Right To Access Or Purchase Copies Of All Records. survey Date: 05/26/2009 date Of Correction: 07/10/2009

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: 06/14/2012 date Of Correction: 07/09/2012
Deficiency #2		Scope: Few level Of Harm: 2 deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So. survey Date: 10/06/2011 date Of Correction: 12/15/2011
Deficiency #3		Scope: Few level Of Harm: 2 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 10/06/2011 date Of Correction: 12/15/2011
Deficiency #4		Scope: Few level Of Harm: 2 deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene. survey Date: 02/24/2010 date Of Correction: 03/30/2010
Deficiency #5		Scope: Few level Of Harm: 2 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 02/24/2010 date Of Correction: 03/30/2010

Resident Assessment Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan. survey Date: 10/06/2011 date Of Correction: 12/15/2011
Deficiency #2		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: 10/06/2011 date Of Correction: 12/15/2011

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: 02/24/2010 date Of Correction: 03/30/2010

Pharmacy Service Deficiencies
Deficiency #1		Scope: Some level Of Harm: 2 deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards. survey Date: 10/06/2011 date Of Correction: 12/15/2011
Deficiency #2		Scope: Few level Of Harm: 2 deficiency: At Least Once A Month, Have A Licensed Pharmacist Review Each Resident's Medication(s) And Report Any Irregularities To The Attending Doctor. survey Date: 10/06/2011 date Of Correction: 12/15/2011
Deficiency #3		Scope: Few 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: 10/06/2011 date Of Correction: 12/15/2011

Nutrition and Dietary Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: Store, Cook, And Serve Food In A Safe And Clean Way. survey Date: 10/06/2011 date Of Correction: 12/15/2011

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication	6 % (19.09 % lower than average)	vs	25.09 %
Percent of long-stay residents whose need for help with daily activities has increased	8.1 / 8.8 %
Percent of long-stay residents who self-report moderate to severe pain	7.5 % (9.16 % lower than average)	vs	16.66 %
Percent of long-stay high-risk residents with pressure ulcers	11.9 % (0.68 % lower than average)	vs	12.58 %
Percent of long-stay residents who lose too much weight	4.2 % (7.63 % lower than average)	vs	11.83 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder	4.6 % (11.03 % lower than average)	vs	15.63 %
Percent of long-stay residents with a urinary tract infection	6.3 % (7.16 % lower than average)	vs	13.46 %
Percent of long-stay residents who have depressive symptoms	2 % (26.38 % 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	21.2:1 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine	98.3 % (13.66 % higher than average)	vs	84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened	98.3 % (14.36 % 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	2 % (13.52 % lower than average)	vs	15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication	6.7 % (18.69 % lower than average)	vs	25.39 %
Percent of long-stay residents whose need for help with daily activities has increased	4.6 % (19.1 % lower than average)	vs	23.70 %
Percent of long-stay residents who self-report moderate to severe pain	12.4-2413.6-24 % (1.7 % lower than average)	vs	14.10 %
Percent of long-stay high-risk residents with pressure ulcers	11.1 % (1.88 % higher than average)	vs	9.22 %
Percent of long-stay residents who lose too much weight	7.1 % (1.4 % lower than average)	vs	8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder	43.2 % (0.18 % lower than average)	vs	43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder	6.2 % (4.45 % lower than average)	vs	10.65 %
Percent of long-stay residents with a urinary tract infection	8.3 % (1.28 % lower than average)	vs	9.58 %
Percent of long-stay residents who have depressive symptoms	1.4 % (18.46 % 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	0.7 % (10.03 % lower than average)	vs	10.73 %
Percent of short-stay residents who self-report moderate to severe pain	23.1 % (1.66 % lower than average)	vs	24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine	92.4 % (10.96 % higher than average)	vs	81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened	95 % (20.25 % higher than average)	vs	74.75 %
Percent of short-stay residents who newly received an antipsychotic medication	16.3:1 %