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WILLOW TREE MANOR

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WILLOW TREE MANOR VS
All other Nursing Homes USA
General
City CHARLES TOWN   vs 0% Nursing Homes USA have CHARLES TOWN
State attribute explanation WV   vs 0.8% Nursing Homes USA have WV
Street 1263 SOUTH GEORGE STREET  
Zip Code 25414  
Phone 3047256575  
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
(1.17 lower than average)
vs
3.17

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

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

Number of Certified Beds
104  (4.94 lower than average)
vs
108.94

Total Number of Residents
102  (10.75 higher than average)
vs
91.25

Percent of Occupied Beds
98 % (14.35 % higher than average)
vs
83.65 %

Health Survey Date 4/27/2012  
Fire Survey Date 4/24/2012  
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? No  vs 45.1% Nursing Homes USA don't 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
(56.16 lower than average)
vs
58.16

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

# of deficiencies
(1.48 lower than average)
vs
7.48

Staff Information
Number of Residents
102  (10.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.71  (0.06 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
1.45  (0.61 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
2.16  (0.57 higher than average)
vs
1.59

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

Environmental Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 07/28/2009
date Of Correction: 09/18/2009 

Mistreatment Deficiencies
Deficiency #1 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: 08/16/2011
date Of Correction: 09/09/2011 

Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Help And Prepare Each Resident For A Safe And Easy Discharge And Transfer From The Nursing Home.
survey Date: 09/16/2010
date Of Correction: 10/26/2010 

Quality Care Deficiencies
Deficiency #1 Scope: Some
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: 05/25/2011
date Of Correction: 07/21/2011 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 05/25/2011
date Of Correction: 07/21/2011 

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: 06/12/2012
date Of Correction: 07/16/2012 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
22.5 % (2.59 % lower than average)
vs
25.09 %

Percent of long-stay residents who self-report moderate to severe pain 8.9 / 9.9 % 
Percent of long-stay high-risk residents with pressure ulcers
3.4 % (9.18 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
2.3 % (9.53 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
34.3 % (10.24 % lower than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.9 % (10.73 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
7.7 % (5.76 % 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
1 % (42.68 % lower than average)
vs
43.68 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
80 % (4.64 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
90.5 % (6.56 % 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
6.1 % (9.42 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
27.4 % (2.01 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased 2.6 / 3 % 
Percent of long-stay residents who self-report moderate to severe pain
7.3 % (6.8 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
4.2 % (5.02 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
4.6 % (3.9 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
33.9 % (9.48 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
4 % (6.65 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
4.4 % (5.18 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
1.6 % (18.26 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
0.5 - 2.0 % (38.03 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
4.6 % (6.13 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
22.9 % (1.86 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
80 % (1.44 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
27.4 % (47.35 % lower 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 %



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