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WICHITA NURSING CENTER

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WICHITA NURSING CENTER VS
All other Nursing Homes USA
General
City WICHITA   vs 0.1% Nursing Homes USA have WICHITA
State attribute explanation KS   vs 2.2% Nursing Homes USA have KS
Street 2840 S HILLSIDE ST  
Zip Code 67216  
Phone 3166529940  
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
(0.31 lower than average)
vs
3.31

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

Number of Certified Beds
70  (38.94 lower than average)
vs
108.94

Total Number of Residents
58  (33.25 lower than average)
vs
91.25

Percent of Occupied Beds
83 % (0.65 % lower than average)
vs
83.65 %

Health Survey Date 8/31/2011  
Fire Survey Date 3/15/2011  
Sprinkler Status Fully Sprinklered  vs 90.2% Nursing Homes USA have Fully Sprinklered
Program Participation Medicaid  vs 3.5% Nursing Homes USA have Medicaid
Type of Ownership For Profit - Individual  vs 3.5% Nursing Homes USA have For profit - Individual
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
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
63  (55.52 higher than average)
vs
7.48

Staff Information
Number of Residents
58  (33.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.31  (0.46 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.65  (0.19 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
0.97  (0.62 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.01  (5.48 lower than average)
vs
5.49

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

Environmental Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Make Sure That A Working Call System Is Available In Each Resident's Room Or Bathroom And Bathing Area.
survey Date: 08/31/2011
date Of Correction: Not Available 

Deficiency #2 Scope: Many
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 08/31/2011
date Of Correction: Not Available 

Deficiency #3 Scope: Some
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: 08/31/2011
date Of Correction: Not Available 

Deficiency #4 Scope: Some
level Of Harm: 2
deficiency: Maintain Comfortable And Safe Temperature Levels.
survey Date: 08/31/2011
date Of Correction: Not Available 

Deficiency #5 Scope: Many
level Of Harm: 2
deficiency: Provide Clean Bed And Bath Linens That Are In Good Condition.
survey Date: 08/31/2011
date Of Correction: Not Available 

Deficiency #6 Scope: Many
level Of Harm: 2
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 08/31/2011
date Of Correction: Not Available 

Deficiency #7 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: 04/01/2011
date Of Correction: 05/01/2011 

Deficiency #8 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: 03/18/2011
date Of Correction: 04/17/2011 

Deficiency #9 Scope: Few
level Of Harm: 4
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 05/10/2010
date Of Correction: 05/10/2010 

Mistreatment Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 08/31/2011
date Of Correction: Not Available 

Deficiency #2 Scope: Some
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: 08/31/2011
date Of Correction: Not Available 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment.
survey Date: 08/31/2011
date Of Correction: Not Available 

Deficiency #4 Scope: Some
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 04/01/2011
date Of Correction: 05/01/2011 

Deficiency #5 Scope: Many
level Of Harm: 2
deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.
survey Date: 04/01/2011
date Of Correction: 05/01/2011 

Resident Rights Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Make Sure Each Resident Has The Right To Have A Choice Over Activities, Their Schedules And Health Care According To His Or Her Interests, Assessment, And Plan Of Care.
survey Date: 08/31/2011
date Of Correction: Not Available 

Deficiency #2 Scope: Some
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: 08/31/2011
date Of Correction: Not Available 

Deficiency #3 Scope: Many
level Of Harm: 2
deficiency: Send And Promptly Deliver Unopened Mail To Residents.
survey Date: 08/31/2011
date Of Correction: Not Available 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Try To Resolve Each Resident's Complaints Quickly.
survey Date: 08/31/2011
date Of Correction: Not Available 

Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Let Residents Voice A Complaint Or Grievance Without Being Treated Differently Or Badly.
survey Date: 08/31/2011
date Of Correction: Not Available 

Deficiency #6 Scope: Some
level Of Harm: 2
deficiency: Keep Each Resident's Personal And Medical Records Private And Confidential.
survey Date: 08/31/2011
date Of Correction: Not Available 

Deficiency #7 Scope: Some
level Of Harm: 2
deficiency: Provide Proof That All Residents' Personal Money Which Is Deposited With The Nursing Home, Is Secure.
survey Date: 08/31/2011
date Of Correction: Not Available 

Deficiency #8 Scope: Few
level Of Harm: 2
deficiency: Follow Policies And Procedures To Convey The Resident's Personal Funds To The Appropriate Party Responsible After The Resident's Death.
survey Date: 08/31/2011
date Of Correction: Not Available 

Deficiency #9 Scope: Some
level Of Harm: 2
deficiency: Properly Hold, Secure And Manage Each Resident's Personal Money Which Is Deposited With The Nursing Home.
survey Date: 08/31/2011
date Of Correction: Not Available 

Deficiency #10 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: 08/31/2011
date Of Correction: Not Available 

Deficiency #11 Scope: Few
level Of Harm: 2
deficiency: Try To Resolve Each Resident's Complaints Quickly.
survey Date: 05/19/2010
date Of Correction: 06/08/2010 

Deficiency #12 Scope: Few
level Of Harm: 2
deficiency: Properly Hold, Secure And Manage Each Resident's Personal Money Which Is Deposited With The Nursing Home.
survey Date: 09/30/2009
date Of Correction: 11/23/2009 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Give Or Get Specialized Rehabilitative Services Per The Patient's Assessment Or Plan Of Care.
survey Date: 08/31/2011
date Of Correction: Not Available 

Deficiency #2 Scope: Many
level Of Harm: 2
deficiency: Use A Registered Nurse At Least 8 Hours A Day, 7 Days A Week.
survey Date: 08/31/2011
date Of Correction: Not Available 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Develop Policies And Procedures For Influenza And Pneumococcal Immunizations.
survey Date: 08/31/2011
date Of Correction: Not Available 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Properly Care For Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, And Prostheses.
survey Date: 08/31/2011
date Of Correction: Not Available 

Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Give Each Resident Enough Fluids To Keep Them Healthy And Prevent Dehydration.
survey Date: 08/31/2011
date Of Correction: Not Available 

Deficiency #6 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: 08/31/2011
date Of Correction: Not Available 

Deficiency #7 Scope: Some
level Of Harm: 2
deficiency: Give The Right Treatment And Services To Residents Who Have Mental Or Psychosocial Problems Adjusting.
survey Date: 08/31/2011
date Of Correction: Not Available 

Deficiency #8 Scope: Some
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: 08/31/2011
date Of Correction: Not Available 

Deficiency #9 Scope: Few
level Of Harm: 3
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 08/31/2011
date Of Correction: Not Available 

Deficiency #10 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: 08/31/2011
date Of Correction: Not Available 

Deficiency #11 Scope: Some
level Of Harm: 2
deficiency: Provide Medically-related Social Services To Help Each Resident Achieve The Highest Possible Quality Of Life.
survey Date: 08/31/2011
date Of Correction: Not Available 

Deficiency #12 Scope: Some
level Of Harm: 2
deficiency: Provide Activities To Meet The Interests And Needs Of Each Resident.
survey Date: 08/31/2011
date Of Correction: Not Available 

Deficiency #13 Scope: Many
level Of Harm: 2
deficiency: Have Enough Nurses To Care For Every Resident In A Way That Maximizes The Resident's Well Being.
survey Date: 09/30/2009
date Of Correction: 11/23/2009 

Deficiency #14 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: 09/30/2009
date Of Correction: 11/23/2009 

Deficiency #15 Scope: Few
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 09/30/2009
date Of Correction: 11/23/2009 

Deficiency #16 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: 09/30/2009
date Of Correction: 11/23/2009 

Resident Assessment Deficiencies
Deficiency #1 Scope: Some
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: 08/31/2011
date Of Correction: Not Available 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.
survey Date: 08/31/2011
date Of Correction: Not Available 

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: 08/31/2011
date Of Correction: Not Available 

Deficiency #2 Scope: Many
level Of Harm: 2
deficiency: Have An Agreement With At Least One Or More Hospitals Certified By Medicare Or Medicaid To Make Sure Residents Can Be Moved Quickly To The Hospital When They Need Medical Care.
survey Date: 08/31/2011
date Of Correction: Not Available 

Deficiency #3 Scope: Many
level Of Harm: 2
deficiency: Keep Clinical Records For 1) The Length Of Time That Is Required By State Law; Or 2) Five Years From The Date Of Discharge When No Requirement In State Law.
survey Date: 08/31/2011
date Of Correction: Not Available 

Deficiency #4 Scope: Many
level Of Harm: 2
deficiency: Make Sure That Nurse Aides Show They Have The Skills And Techniques To Be Able To Care For Residents' Needs.
survey Date: 08/31/2011
date Of Correction: Not Available 

Deficiency #5 Scope: Many
level Of Harm: 2
deficiency: 1) Review The Work Of Each Nurse Aide Every Year; And 2) Give Regular In-service Training Based Upon These Reviews.
survey Date: 08/31/2011
date Of Correction: Not Available 

Deficiency #6 Scope: Many
level Of Harm: 2
deficiency: 1) Set Up A Group That Is Legally Responsible For Writing And Setting Up Policies For Leading And Running The Nursing Home; Or 2) Hire A Properly Licensed Administrator.
survey Date: 08/31/2011
date Of Correction: Not Available 

Deficiency #7 Scope: Many
level Of Harm: 2
deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .
survey Date: 08/31/2011
date Of Correction: Not Available 

Deficiency #8 Scope: Many
level Of Harm: 2
deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .
survey Date: 08/30/2011
date Of Correction: Not Available 

Deficiency #9 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: 04/01/2011
date Of Correction: 05/01/2011 

Deficiency #10 Scope: Many
level Of Harm: 1
deficiency: 1) Receive Registry Verification That A Nurse Aide Has Met The Required Training And Skills That The State Requires; And 2) Ensure Nurse Aides Receive The Required Retraining After 24 Months If Nursing Related Services Were Not Provided For Monetary Compensation
survey Date: 04/01/2011
date Of Correction: 05/01/2011 

Deficiency #11 Scope: Many
level Of Harm: 2
deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .
survey Date: 04/01/2011
date Of Correction: 05/01/2011 

Pharmacy Service Deficiencies
Deficiency #1 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: 08/31/2011
date Of Correction: Not Available 

Deficiency #2 Scope: Some
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: 08/31/2011
date Of Correction: Not Available 

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: 08/31/2011
date Of Correction: Not Available 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Special Or Therapeutic Diets Are Ordered By The Attending Doctor.
survey Date: 08/31/2011
date Of Correction: Not Available 

Deficiency #3 Scope: Many
level Of Harm: 2
deficiency: Offer Other Nutritional Food To Each Resident Who Will Not Eat The Food Served.
survey Date: 08/31/2011
date Of Correction: Not Available 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Provide Food In A Way That Meets A Resident's Needs.
survey Date: 08/31/2011
date Of Correction: Not Available 

Deficiency #5 Scope: Some
level Of Harm: 2
deficiency: Prepare Food That Is Nutritional, Appetizing, Tasty, Attractive, Well-cooked, And At The Right Temperature.
survey Date: 08/31/2011
date Of Correction: Not Available 

Deficiency #6 Scope: Many
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: 08/31/2011
date Of Correction: Not Available 

Quality Measures Q3
Deficiency #6 4.8 % 
Percent of long-stay residents who self-report moderate to severe pain
28.9 % (14.8 % higher than average)
vs
14.10 %

Percent of long-stay residents who lose too much weight
4.1 % (4.4 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder 9.4 / 10.4 % 
Percent of long-stay residents who have had a catheter inserted and left in their bladder
2.3 % (8.35 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
2 % (7.58 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
6.1 % (13.76 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
4.2 % (34.33 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
12.7 % (1.97 % higher than average)
vs
10.73 %



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