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WILLOW CROSSING HEALTH & REHABILITATION CENTER

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WILLOW CROSSING HEALTH & REHABILITATION CENTER VS
All other Nursing Homes USA
General
City Columbus  vs 0.4% Nursing Homes USA have Columbus
State attribute explanation IN   vs 3.1% Nursing Homes USA have IN
Street 3550 CENTRAL AVE  
Zip Code 47203  
Phone 8123799669  
Overall Star Rating
(1.11 lower than average)
vs
3.11

Health Inspections Star Rating
(0.83 lower than average)
vs
2.83

Nurse Staffing Star Rating
(1.17 lower than average)
vs
3.17

Quality Measures Star Rating
(0.69 higher than average)
vs
3.31

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

Number of Certified Beds
80  (28.94 lower than average)
vs
108.94

Total Number of Residents
63  (28.25 lower than average)
vs
91.25

Percent of Occupied Beds
79 % (4.65 % lower than average)
vs
83.65 %

Health Survey Date 10/21/2011  
Fire Survey Date 10/31/2011  
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? No  vs 68.7% Nursing Homes USA don't 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
15  (7.52 higher than average)
vs
7.48

Staff Information
Number of Residents
63  (28.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.6  (0.17 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.8  (0.04 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
0.05  (5.44 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.05  (0.05 lower than average)
vs
0.10

Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.
survey Date: 10/21/2011
date Of Correction: 11/07/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 10/19/2009
date Of Correction: 10/26/2009 

Deficiency #3 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: 10/19/2009
date Of Correction: 10/26/2009 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.
survey Date: 10/19/2009
date Of Correction: 10/26/2009 

Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Allow Married Couples Living In The Same Facility To Share A Room.
survey Date: 12/07/2009
date Of Correction: 12/30/2009 

Quality Care Deficiencies
Deficiency #1 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: 02/22/2011
date Of Correction: 03/07/2011 

Deficiency #2 Scope: Few
level Of Harm: 3
deficiency: Give Each Resident Enough Fluids To Keep Them Healthy And Prevent Dehydration.
survey Date: 04/07/2010
date Of Correction: 05/03/2010 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 04/07/2010
date Of Correction: 05/03/2010 

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: 02/09/2010
date Of Correction: 02/22/2010 

Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 02/09/2010
date Of Correction: 02/22/2010 

Resident Assessment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.
survey Date: 02/09/2010
date Of Correction: 02/22/2010 

Administration Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Keep Clinical Record Information Safe, So That It Will Not Be Lost, Destroyed Or Used By The Wrong Person.
survey Date: 01/22/2010
date Of Correction: 02/22/2010 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 01/22/2010
date Of Correction: 02/22/2010 

Pharmacy Service Deficiencies
Deficiency #1 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: 02/22/2011
date Of Correction: 03/07/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.
survey Date: 01/22/2010
date Of Correction: 02/22/2010 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
35.2 % (10.11 % 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 residents who self-report moderate to severe pain
18.5 % (1.84 % higher than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
15.8 % (3.22 % higher than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
7 % (4.83 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
56.3 % (11.76 % higher than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder 12.8:1 % 
Percent of long-stay residents with a urinary tract infection
3.5 % (9.96 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
10.5 % (17.88 % 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
14.3 % (10.72 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
82.4 % (2.24 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
82.4 % (1.54 % lower than average)
vs
83.94 %

Percent of long-stay residents experiencing one or more falls with major injury
1.8 % (13.72 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
35 % (9.61 % 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
20.8 % (6.7 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
8.3 % (0.92 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
5.4 % (3.1 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
53.1 % (9.72 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
8.5 % (2.15 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
3 % (6.58 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms 9.4 / 10.4 % 
Percent of long-stay residents who were physically restrained
0.6 % (37.93 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
1.8 % (8.93 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain 22.4:1 % 
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
74.7 % (6.74 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
19.9 % (54.85 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
1.9 % (15.44 % lower than average)
vs
17.34 %



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