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WILLOWBROOKE COURT AT MAGNOLIA TRACE

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WILLOWBROOKE COURT AT MAGNOLIA TRACE VS
All other Nursing Homes USA
General
City HUNTSVILLE   vs 0.1% Nursing Homes USA have HUNTSVILLE
State attribute explanation AL   vs 1.5% Nursing Homes USA have AL
Street ONE CROWN CIRCLE  
Zip Code 35802  
Phone 2566505700  
Overall Star Rating
(1.11 lower than average)
vs
3.11

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

Nurse Staffing Star Rating
(0.83 higher 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
59  (49.94 lower than average)
vs
108.94

Total Number of Residents
57  (34.25 lower than average)
vs
91.25

Percent of Occupied Beds
97 % (13.35 % higher than average)
vs
83.65 %

Health Survey Date 5/17/2012  
Fire Survey Date 5/24/2012  
Sprinkler Status Fully Sprinklered  vs 90.2% Nursing Homes USA have Fully Sprinklered
Program Participation Medicare  vs 5% Nursing Homes USA have Medicare
Type of Ownership Non Profit - Corporation  vs 18.7% Nursing Homes USA have Non 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? Yes  vs 9.1% Nursing Homes USA 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
(54.16 lower than average)
vs
58.16

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

# of deficiencies 6  
Staff Information
Number of Residents
57  (34.38 lower 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
0.89  (0.05 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.6  (0.01 higher than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.03  (5.46 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.03  (0.07 lower than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Put Firmly Secured Handrails On Each Side Of Hallways.
survey Date: 06/18/2009
date Of Correction: 07/17/2009 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 06/18/2009
date Of Correction: 07/17/2009 

Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 4
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 08/02/2011
date Of Correction: 08/25/2011 

Deficiency #2 Scope: Few
level Of Harm: 4
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: 08/02/2011
date Of Correction: 08/25/2011 

Deficiency #3 Scope: Few
level Of Harm: 4
deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.
survey Date: 08/02/2011
date Of Correction: 08/25/2011 

Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 4
deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .
survey Date: 08/02/2011
date Of Correction: 08/25/2011 

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
0.8 % (32.15 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
3.4 % (13.26 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
5.7 % (6.88 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
5.1 % (6.73 % lower than average)
vs
11.83 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
5.3 % (10.33 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
25.6 (78.1) % (12.14 % higher than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
75.2 % (46.82 % higher 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
23.6 % (1.42 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
92.6 % (7.96 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
95.7 % (11.76 % 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
2.4 % (13.12 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
28.6 % (3.21 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
1.6 % (22.1 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
4 % (10.1 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
5.3 % (3.92 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
8.5 % (equals average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
70 % (26.62 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.6 % (6.05 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
18.9 % (9.32 % higher than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
75.2 % (55.34 % higher 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
2.7 % (8.03 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
17.5 % (7.26 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
93.8 % (12.36 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
93 % (18.25 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
0.5 - 2.0 % (16.84 % lower than average)
vs
17.34 %



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