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WINTER HAVEN HEALTH AND REHABILITATION CENTER

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WINTER HAVEN HEALTH AND REHABILITATION CENTER VS
All other Nursing Homes USA
General
City WINTER HAVEN   vs 0% Nursing Homes USA have WINTER HAVEN
State attribute explanation FL   vs 4.4% Nursing Homes USA have FL
Street 202 AVE O NE  
Zip Code 33880  
Phone 8632933103  
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
(0.69 higher than average)
vs
3.31

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

Number of Certified Beds
144  (35.06 higher than average)
vs
108.94

Total Number of Residents
128  (36.75 higher than average)
vs
91.25

Percent of Occupied Beds
89 % (5.35 % higher than average)
vs
83.65 %

Health Survey Date 4/27/2012  
Fire Survey Date 4/30/2012  
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 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? 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
(56.16 lower than average)
vs
58.16

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

# of deficiencies 7  
Staff Information
Number of Residents
128  (36.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.39  (0.38 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.81  (0.03 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.2  (0.39 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.1  (5.39 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.1  (equals average)
vs
0.10

Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 4
deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.
survey Date: 03/01/2012
date Of Correction: 03/02/2012 

Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 4
deficiency: Give Each Resident A Notice Of Rights, Rules, Services And Charges. Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items And Services Medicaid Covers And Which The Resident Must Pay For.
survey Date: 03/01/2012
date Of Correction: 03/02/2012 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 06/12/2012
date Of Correction: 06/25/2012 

Deficiency #2 Scope: Few
level Of Harm: 4
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 03/01/2012
date Of Correction: 03/02/2012 

Deficiency #3 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: 11/23/2010
date Of Correction: 12/23/2010 

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: 03/01/2012
date Of Correction: 03/02/2012 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.
survey Date: 06/12/2012
date Of Correction: 06/25/2012 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
25.5 % (0.41 % 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
15.5 % (1.16 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
3.6 % (8.98 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
8.5 % (3.33 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
25 % (19.54 % lower than average)
vs
44.54 %

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
75.2 % (61.74 % 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
4.2 % (39.48 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain 17.3:1 % 
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
75.8 % (8.84 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
74.2 % (9.74 % 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
3.3 % (12.22 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
27.9 % (2.51 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
0.7 % (23 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
17.6 % (3.5 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
3.6 % (5.62 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
7 % (1.5 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
28.7 % (14.68 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
3 % (7.65 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
0.6 % (8.98 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
0.3 % (19.56 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
3.4 % (35.13 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
3.4 % (7.33 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
18.7 % (6.06 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
80.8 % (0.64 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
77.3 % (2.55 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication 15.9:1 % 


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