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WOODCREST MANOR CARE CENTER

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WOODCREST MANOR CARE CENTER VS
All other Nursing Homes USA
General
City ELSMERE   vs 0% Nursing Homes USA have ELSMERE
State attribute explanation KY   vs 1.8% Nursing Homes USA have KY
Street 3876 TURKEYFOOT ROAD  
Zip Code 41018  
Phone 8593428775  
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
(2.17 lower than average)
vs
3.17

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

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

Number of Certified Beds
127  (18.06 higher than average)
vs
108.94

Total Number of Residents
119  (27.75 higher than average)
vs
91.25

Percent of Occupied Beds
94 % (10.35 % higher than average)
vs
83.65 %

Health Survey Date 9/29/2011  
Fire Survey Date 9/28/2011  
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
(56.16 lower than average)
vs
58.16

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

# of deficiencies
13  (5.52 higher than average)
vs
7.48

Staff Information
Number of Residents
119  (27.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.47  (0.3 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
1.1  (0.26 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.57  (0.02 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

Environmental Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 4
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 08/14/2009
date Of Correction: 08/27/2009 

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: 01/21/2010
date Of Correction: 02/23/2010 

Deficiency #2 Scope: Some
level Of Harm: 4
deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment.
survey Date: 08/14/2009
date Of Correction: 08/27/2009 

Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Properly Hold, Secure And Manage Each Resident's Personal Money Which Is Deposited With The Nursing Home.
survey Date: 04/15/2009
date Of Correction: 04/22/2009 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 12/08/2011
date Of Correction: 01/20/2012 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 08/14/2009
date Of Correction: 09/01/2009 

Resident Assessment Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Check And Assess Each Resident's Assessment At Least Every 3 Months.
survey Date: 01/21/2010
date Of Correction: 02/23/2010 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Maintain 15 Months Of Resident Assessments In The Resident's Active Clinical Record.
survey Date: 08/14/2009
date Of Correction: 09/01/2009 

Deficiency #3 Scope: Some
level Of Harm: 4
deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan.
survey Date: 08/14/2009
date Of Correction: 08/27/2009 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.
survey Date: 08/14/2009
date Of Correction: 09/01/2009 

Administration Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 4
deficiency: Set Up An Ongoing Quality Assessment And Assurance Group To Review Quality Deficiencies Quarterly, And Develop Corrective Plans Of Action.
survey Date: 08/14/2009
date Of Correction: 08/27/2009 

Deficiency #2 Scope: Many
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 08/14/2009
date Of Correction: 09/01/2009 

Deficiency #3 Scope: Some
level Of Harm: 4
deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .
survey Date: 08/14/2009
date Of Correction: 08/27/2009 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
26.7 % (1.61 % higher than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
0.7 % (32.25 % lower 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
13.6-28 % (1.02 % higher than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
10.6 % (1.23 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
59.2 % (14.66 % higher than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder 8.9 / 9.9 % 
Percent of long-stay residents with a urinary tract infection
5.8 % (7.66 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms 17.8:1 % 
Percent of long-stay residents who were physically restrained
1.9 % (41.78 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
37.9 % (12.88 % higher than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
87.6 % (2.96 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
85 % (1.06 % higher than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication 8.6:1 % 
Percent of long-stay residents experiencing one or more falls with major injury
0.9 % (14.62 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
24.9 % (0.49 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
1.2 % (22.5 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
17.9 (64.2) % (3.8 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers 11.8:1 % 
Percent of long-stay residents who lose too much weight
8.4 % (0.1 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
55.9 % (12.52 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder 8.9 / 9.9 % 
Percent of long-stay residents with a urinary tract infection
3.2 % (6.38 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
14.2 % (5.66 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
3.1 % (35.43 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
0.9 % (9.83 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
34.5 % (9.74 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
84.9 % (3.46 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
78.2 % (3.45 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication 13.9 / 15.3 % 


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