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CANYON SPRINGS HEALTH AND REHABILITATION, LLC VS BAILEY CREEK HEALTH & REHAB

Overview:

There are 57 differences and 20 similarities between CANYON SPRINGS HEALTH AND REHABILITATION, LLC, BAILEY CREEK HEALTH & REHAB

General
City
Hot Springs Texarkana
State attribute explanation
Ar Ar
Street
1401 Park Avenue 1621 East 42nd St
Zip Code
71,901 71,854
Phone
5,016,233,781 8,707,743,581
Overall Star Rating
1
5
Health Inspections Star Rating
1
4
Nurse Staffing Star Rating
3
5
Quality Measures Star Rating
1
3
RN Only Star Rating
1
5
Number of Certified Beds
140
115
Total Number of Residents
90
86
Percent of Occupied Beds
64 %
75 %
Health Survey Date
7/30/2011 4/20/2012
Fire Survey Date
7/26/2011 4/16/2012
Sprinkler Status
Fully Sprinklered Fully Sprinklered
Program Participation
Medicare And Medicaid Medicare And Medicaid
Type of Ownership
For Profit - Corporation For Profit - Corporation
Located Within a Hospital?
No No
Multi Nursing Home Ownership?
Yes Yes
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
6
75.2
Total Enforcement Actions Count
6
75.2
# of deficiencies
9 12
Staff Information
Number of Residents
90
86
Number of RN Hours Per Resident Per Day
0.22
0.81
Number of LPN/LVN Hours Per Resident Per Day
1.69
1.58
Total Number of Licensed Staff Hours Per Resident Per Day
1.91
2.39
Number of CNA Hours Per Resident Per Day
0.06
0.07
Number Therapy Hours Per Resident Per Day
0.06
0.07
Environmental Deficiencies
Deficiency #1
Scope: Somelevel Of Harm: 1deficiency: Provide A Safe, Clean, Comfortable And Homelike Environment.survey Date: 11/23/2011date Of Correction: 11/23/2011 Scope: Somelevel Of Harm: 2deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 11/19/2009date Of Correction: 12/18/2009
Deficiency #2
Scope: Fewlevel Of Harm: 4deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 01/07/2010date Of Correction: 01/29/2010
Mistreatment Deficiencies
Deficiency #1
Scope: Somelevel Of Harm: 4deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 05/10/2011date Of Correction: 06/08/2011 Scope: Somelevel Of Harm: 2deficiency: Keep Each Resident Free From Drugs That Restrain Them, Unless Needed For Medical Treatment.survey Date: 09/09/2010date Of Correction: 10/08/2010
Deficiency #2
Scope: Somelevel Of Harm: 4deficiency: 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: 05/10/2011date Of Correction: 06/08/2011 Scope: Somelevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 09/03/2009date Of Correction: 10/02/2009
Resident Rights Deficiencies
Deficiency #1
Scope: Somelevel Of Harm: 2deficiency: Immediately Tell The Resident, The Resident's Doctor And A Family Member Of The Resident Of Situations (injury/decline/room, Etc.) That Affect The Resident.survey Date: 01/17/2012date Of Correction: 01/31/2012
Quality Care Deficiencies
Deficiency #1
Scope: Somelevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 09/23/2011date Of Correction: 10/15/2011 Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Each Resident Who Enters The Nursing Home Without A Catheter Is Not Given A Catheter, And Receive Proper Services To Prevent Urinary Tract Infections And Restore Normal Bladder Function.survey Date: 07/20/2011date Of Correction: 08/19/2011
Deficiency #2
Scope: Somelevel Of Harm: 3deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 01/20/2011date Of Correction: 03/10/2011 Scope: Somelevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 09/09/2010date Of Correction: 10/08/2010
Deficiency #3
Scope: Fewlevel Of Harm: 2deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.survey Date: 10/27/2009date Of Correction: 11/26/2009
Deficiency #4
Scope: Somelevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 09/03/2009date Of Correction: 10/02/2009
Administration Deficiencies
Deficiency #1
Scope: Fewlevel Of Harm: 4deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .survey Date: 01/07/2010date Of Correction: 01/29/2010 Scope: Somelevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 09/03/2009date Of Correction: 10/02/2009
Deficiency #2
Scope: Somelevel Of Harm: 2deficiency: 1) Receive Registry Verification That A Nurse Aide Has Met The Required Training And Skills That The State Requires; And 2) Ensure Nurse Aides Receive The Required Retraining After 24 Months If Nursing Related Services Were Not Provided For Monetary Compensationsurvey Date: 09/03/2009date Of Correction: 10/02/2009
Pharmacy Service Deficiencies
Deficiency #1
Scope: Somelevel Of Harm: 2deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.survey Date: 11/23/2011date Of Correction: 12/22/2011 Scope: Somelevel Of Harm: 2deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.survey Date: 09/09/2010date Of Correction: 10/08/2010
Deficiency #2
Scope: Somelevel Of Harm: 2deficiency: 1) Make Sure That Each Resident's Drug Regimen Is Free From Unnecessary Drugs; 2) Each Resident's Entire Drug/medication Is Managed And Monitored To Achieve Highest Well Being.survey Date: 09/09/2010date Of Correction: 10/08/2010
Deficiency #3
Scope: Somelevel Of Harm: 2deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.survey Date: 09/03/2009date Of Correction: 10/02/2009
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
34.8 %
14.6 %
Percent of long-stay residents whose need for help with daily activities has increased
3.8 %
75.2 %
Percent of long-stay residents who self-report moderate to severe pain
15.5 %
11.1 %
Percent of long-stay high-risk residents with pressure ulcers
8.3 %
10 %
Percent of long-stay residents who lose too much weight
8.8 %
3.7 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
27.3 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
2.6 / 3
5.5 %
Percent of long-stay residents with a urinary tract infection
6.2 %
75.2 %
Percent of long-stay residents who have depressive symptoms
13.7 %
6.3 %
Percent of long-stay residents who were physically restrained
4.8 %
75.2 %
Percent of short-stay residents who self-report moderate to severe pain
23.3 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
100 %
100 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
100 %
95.2 %
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
7.1 %
2.3 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
33.3 %
18.4 %
Percent of long-stay residents whose need for help with daily activities has increased
6.5 %
1.6 %
Percent of long-stay residents who self-report moderate to severe pain
18 %
11.5 %
Percent of long-stay high-risk residents with pressure ulcers
10.9 %
11.6:1
Percent of long-stay residents who lose too much weight
7.8 %
4.5 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
20.4 %
23.2 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.2 %
8.3 %
Percent of long-stay residents with a urinary tract infection
8.3 %
75.2 %
Percent of long-stay residents who have depressive symptoms
12.5 %
7 %
Percent of long-stay residents who were physically restrained
5.8 %
75.2 %
Percent of long-stay residents experiencing one or more falls with major injury
4.2 %
1.6 %
Percent of short-stay residents who self-report moderate to severe pain
29 %
22.8 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
100 %
100 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
99.1 %
97.6 %
Percent of short-stay residents who newly received an antipsychotic medication
2.1 %
27.7 %

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