Compare with other Nursing Homes USA
Compare
Compare
| WILLIAM CLOUGH ECU | VS | All other Nursing Homes USA |
| Staff Information | |||||
|---|---|---|---|---|---|
| Number of Residents |
55 (36.38 lower than average)
|
vs |
91.38
|
||
| Number of RN Hours Per Resident Per Day |
0.82 (0.05 higher than average)
|
vs |
0.77
|
||
| Number of LPN/LVN Hours Per Resident Per Day |
0.58 (0.26 lower than average)
|
vs |
0.84
|
||
| Total Number of Licensed Staff Hours Per Resident Per Day |
1.4 (0.19 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: 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: 03/18/2010 date Of Correction: 05/02/2010 |
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| 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: 11/24/2010 date Of Correction: 02/11/2011 |
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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: 11/24/2010 date Of Correction: 02/11/2011 |
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| Deficiency #3 |
Scope: Few level Of Harm: 2 deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property. survey Date: 11/24/2010 date Of Correction: 11/24/2010 |
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| Deficiency #4 |
Scope: Few level Of Harm: 2 deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others. survey Date: 11/24/2010 date Of Correction: 02/11/2011 |
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| Deficiency #5 |
Scope: Few level Of Harm: 2 deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property. survey Date: 03/18/2010 date Of Correction: 05/02/2010 |
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| Deficiency #6 |
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: 03/18/2010 date Of Correction: 05/02/2010 |
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| Deficiency #7 |
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: 03/18/2010 date Of Correction: 05/02/2010 |
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| Resident Rights Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Few level Of Harm: 3 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: 03/18/2010 date Of Correction: 05/02/2010 |
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| Quality Care Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Provide Medically-related Social Services To Help Each Resident Achieve The Highest Possible Quality Of Life. survey Date: 11/24/2010 date Of Correction: 02/11/2011 |
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| 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: 03/18/2010 date Of Correction: 05/02/2010 |
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| Deficiency #3 |
Scope: Few level Of Harm: 2 deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care. survey Date: 03/18/2010 date Of Correction: 05/02/2010 |
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| Deficiency #4 |
Scope: Some level Of Harm: 2 deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality. survey Date: 03/18/2010 date Of Correction: 05/02/2010 |
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| 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: 11/24/2010 date Of Correction: 02/11/2011 |
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| 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: 03/18/2010 date Of Correction: 05/02/2010 |
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| Deficiency #2 |
Scope: Few level Of Harm: 2 deficiency: Choose A Doctor To Serve As The Medical Director To Create Resident Care Policies And Coordinate Medical Care In The Facility. survey Date: 03/18/2010 date Of Correction: 05/02/2010 |
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| Quality Measures Q1 | |||||
|---|---|---|---|---|---|
| Percent of long-stay residents who received an antipsychotic medication |
20.4 % (4.69 % lower than average)
|
vs |
25.09 %
|
||
| Percent of long-stay residents whose need for help with daily activities has increased |
3.8 % (29.15 % lower than average)
|
vs |
32.95 %
|
||
| Percent of long-stay residents who self-report moderate to severe pain |
5.7 % (10.96 % lower than average)
|
vs |
16.66 %
|
||
| Percent of long-stay high-risk residents with pressure ulcers |
75.2 % (62.62 % higher than average)
|
vs |
12.58 %
|
||
| Percent of long-stay residents who lose too much weight |
6.4 % (5.43 % lower than average)
|
vs |
11.83 %
|
||
| Percent of long-stay residents who have had a catheter inserted and left in their bladder | 2.6 / 3 % | ||||
| Percent of long-stay residents with a urinary tract infection |
6.4 % (7.06 % lower than average)
|
vs |
13.46 %
|
||
| Percent of long-stay residents who have depressive symptoms |
2.1 % (26.28 % 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 |
8.7 % (16.32 % lower than average)
|
vs |
25.02 %
|
||
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
86.2 % (1.56 % higher than average)
|
vs |
84.64 %
|
||
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
79.3 % (4.64 % lower 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 |
4.1 % (11.42 % lower than average)
|
vs |
15.52 %
|
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| Quality Measures Q3 | |||||
|---|---|---|---|---|---|
| Percent of long-stay residents who received an antipsychotic medication |
19.2 % (6.19 % lower than average)
|
vs |
25.39 %
|
||
| Percent of long-stay residents whose need for help with daily activities has increased |
3.2 % (20.5 % lower than average)
|
vs |
23.70 %
|
||
| Percent of long-stay residents who self-report moderate to severe pain |
6.5 % (7.6 % lower than average)
|
vs |
14.10 %
|
||
| Percent of long-stay high-risk residents with pressure ulcers |
1.1 % (8.12 % lower than average)
|
vs |
9.22 %
|
||
| Percent of long-stay residents who lose too much weight |
5.5 % (3 % lower than average)
|
vs |
8.50 %
|
||
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
51 % (7.62 % higher than average)
|
vs |
43.38 %
|
||
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
2.4 % (8.25 % lower than average)
|
vs |
10.65 %
|
||
| Percent of long-stay residents with a urinary tract infection |
4.8 % (4.78 % lower than average)
|
vs |
9.58 %
|
||
| Percent of long-stay residents who have depressive symptoms |
6.8 % (13.06 % 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 |
3.3 % (7.43 % lower than average)
|
vs |
10.73 %
|
||
| Percent of short-stay residents who self-report moderate to severe pain |
18.5 % (6.26 % lower than average)
|
vs |
24.76 %
|
||
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
89.7 % (8.26 % higher than average)
|
vs |
81.44 %
|
||
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
80 % (5.25 % higher than average)
|
vs |
74.75 %
|
||
| Percent of short-stay residents who newly received an antipsychotic medication |
75.2 % (57.86 % higher than average)
|
vs |
17.34 %
|
||