| General |
| City |
| Hannibal |
Clinton |
| State attribute explanation |
| Mo |
Mo |
| Street |
| 2500 Pleasant Street |
1009 East Ohio |
| Zip Code |
| 63,401 |
64,735 |
| Phone |
| 5,732,216,000 |
6,608,855,571 |
|
Overall Star Rating |
| 4 |
3 |
|
Health Inspections Star Rating |
| 3 |
4 |
|
Nurse Staffing Star Rating |
| 4 |
4 |
|
Quality Measures Star Rating |
| 2 |
1 |
|
RN Only Star Rating |
| 2 |
3 |
|
Number of Certified Beds |
| 105 |
120 |
|
Total Number of Residents |
| 99 |
62 |
|
Percent of Occupied Beds |
| 94 % |
52 % |
| Health Survey Date |
| 9/9/2011 |
9/16/2011 |
| Fire Survey Date |
| 9/9/2011 |
9/16/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| Non Profit - Church Related |
For Profit - Individual |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| No |
No |
| Resident and Family Councils |
| Resident |
Resident |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| No |
No |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 75.2 |
75.2 |
| Total Enforcement Actions Count |
| 75.2 |
75.2 |
| # of deficiencies |
| 1 |
1 |
|
| Staff Information |
| Number of Residents |
| 99 |
62 |
| Number of RN Hours Per Resident Per Day |
| 0.33 |
0.4 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 1.1 |
0.95 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.43 |
1.35 |
| Number of CNA Hours Per Resident Per Day |
| 75.2 |
0.01 |
| Number Therapy Hours Per Resident Per Day |
|
0.01 |
| Mistreatment Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: 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: 03/24/2010date Of Correction: 05/04/2010 |
|
| Administration Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 11/12/2009date Of Correction: 12/18/2009 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 45.9 % |
10.2 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
|
6.1 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 27.7 % |
20.9 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 4.7 % |
|
| Percent of long-stay residents who lose too much weight |
| 10.2 % |
7.5 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 41.7 % |
|
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 4.6 % |
7.1 % |
| Percent of long-stay residents with a urinary tract infection |
| 13.3 % |
1.9 % |
| Percent of long-stay residents who have depressive symptoms |
| 2 % |
3.7 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
75.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
|
36.7 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
|
77.8 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
|
80.9 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 |
75.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 3 % |
7.3 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 39.2 % |
14.9-28 |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 5.4 % |
2.1 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 28.5 % |
23.1 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 6.3 % |
7.7 % |
| Percent of long-stay residents who lose too much weight |
| 7.3 % |
3 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 37.7 % |
24.4 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 4.7 % |
5.1 % |
| Percent of long-stay residents with a urinary tract infection |
| 9.4 / 10.4 |
10.2 % |
| Percent of long-stay residents who have depressive symptoms |
| 4.5 % |
4.7 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
75.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 5.2 % |
5.8 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 25.3 % |
37.8 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 92.8 % |
82.2 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 81 % |
83.7 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 4.9 % |
1.2 % |