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WESTWOOD MANOR

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WESTWOOD MANOR VS
All other Nursing Homes USA
General
Percent of short-stay residents with Pressure ulcers that are new or worsened 2 % 
City TOPEKA   vs 0.1% Nursing Homes USA have TOPEKA
State attribute explanation KS   vs 2.2% Nursing Homes USA have KS
Street 5015 SW 28TH ST  
Zip Code 66614  
Phone 7852730886  
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
(0.17 lower than average)
vs
3.17

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

RN Only Star Rating
(0.17 lower than average)
vs
3.17

Number of Certified Beds
54  (54.94 lower than average)
vs
108.94

Total Number of Residents
51  (40.25 lower than average)
vs
91.25

Percent of Occupied Beds
94 % (10.35 % higher than average)
vs
83.65 %

Health Survey Date 3/14/2012  
Fire Survey Date 9/22/2011  
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 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 RESIDENT   vs 66% Nursing Homes USA have RESIDENT
Continuing Care Retirement Community? No  vs 90.9% Nursing Homes USA don't 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
(57.16 lower than average)
vs
58.16

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

# of deficiencies
19  (11.52 higher than average)
vs
7.48

Staff Information
Number of Residents
51  (40.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.67  (0.1 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.33  (0.51 lower than average)
vs
0.84

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

Number of CNA Hours Per Resident Per Day
0.04  (5.45 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.04  (0.06 lower than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Keep All Essential Equipment Working Safely.
survey Date: 05/10/2012
date Of Correction: 05/18/2012 

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: 11/17/2011
date Of Correction: 11/17/2011 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 06/23/2011
date Of Correction: 07/22/2011 

Resident Rights Deficiencies
Deficiency #1 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: 11/17/2011
date Of Correction: 12/22/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide Written Records When A Resident Is Transferred Or Discharged.
survey Date: 05/20/2010
date Of Correction: 06/19/2010 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Each Resident Who Enters The Nursing Home Without A Catheter Is Not Given A Catheter, And Receive Proper Services To Prevent Urinary Tract Infections And Restore Normal Bladder Function.
survey Date: 05/10/2012
date Of Correction: 05/18/2012 

Deficiency #2 Scope: Few
level Of Harm: 3
deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So.
survey Date: 01/11/2012
date Of Correction: 02/10/2012 

Deficiency #3 Scope: Few
level Of Harm: 3
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 01/11/2012
date Of Correction: 02/10/2012 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 01/11/2012
date Of Correction: 02/10/2012 

Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Each Resident Who Enters The Nursing Home Without A Catheter Is Not Given A Catheter, And Receive Proper Services To Prevent Urinary Tract Infections And Restore Normal Bladder Function.
survey Date: 11/17/2011
date Of Correction: 12/22/2011 

Deficiency #6 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 11/17/2011
date Of Correction: 12/22/2011 

Deficiency #7 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: 10/03/2011
date Of Correction: 11/02/2011 

Deficiency #8 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Each Residents' Abilities In Activities Of Daily Living Do Not Decline, Unless Unavoidable.
survey Date: 10/03/2011
date Of Correction: 11/02/2011 

Deficiency #9 Scope: Few
level Of Harm: 2
deficiency: Provide Activities To Meet The Interests And Needs Of Each Resident.
survey Date: 11/24/2010
date Of Correction: 01/13/2011 

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: 11/17/2011
date Of Correction: 12/22/2011 

Administration Deficiencies
Deficiency #1 Scope: Many
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: 05/10/2012
date Of Correction: 05/18/2012 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.
survey Date: 01/11/2012
date Of Correction: 02/10/2012 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.
survey Date: 10/03/2011
date Of Correction: 11/02/2011 

Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.
survey Date: 05/10/2012
date Of Correction: 05/18/2012 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
34.1 % (9.01 % higher 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 high-risk residents with pressure ulcers
15.6 % (3.02 % higher than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight 12.8:1 % 
Percent of long-stay residents who have had a catheter inserted and left in their bladder 11.8:1 % 
Percent of long-stay residents with a urinary tract infection
14.9-28 % (1.44 % higher than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
14.9-28 % (13.48 % 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 assessed and given, appropriately, the seasonal influenza vaccine
59.1 % (25.54 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
68.2 % (15.74 % lower than average)
vs
83.94 %

Percent of long-stay residents experiencing one or more falls with major injury
4.3 % (11.22 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
36.4 % (11.01 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
75.2 % (51.5 % higher than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
14.5 % (0.4 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
7 % (2.22 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
16.7 % (8.2 % higher than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
29.4 % (13.98 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
7 % (3.65 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
13.8 % (4.22 % higher than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
15.2 % (4.66 % 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
1.4 % (9.33 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
36 % (11.24 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
58.2 % (23.24 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
27.3 % (47.45 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
10 % (7.34 % lower than average)
vs
17.34 %



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