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FAYETTEVILLE CITY HOSPITAL AND GERIATRIC CENTER VS INNISFREE HEALTH AND REHAB, LLC

Overview:

There are 44 differences and 26 similarities between FAYETTEVILLE CITY HOSPITAL AND GERIATRIC CENTER, INNISFREE HEALTH AND REHAB, LLC

General
City
Fayetteville Rogers
State attribute explanation
Ar Ar
Street
221 South School Street 301 South 24th Street
Zip Code
72,701 72,758
Phone
4,794,425,100 4,796,365,545
Overall Star Rating
3
4
Health Inspections Star Rating
3
4
Nurse Staffing Star Rating
3
3
Quality Measures Star Rating
4
4
RN Only Star Rating
1
2
Number of Certified Beds
123
80
Total Number of Residents
80
76
Percent of Occupied Beds
65 %
95 %
Health Survey Date
11/18/2011 12/16/2011
Fire Survey Date
11/14/2011 12/16/2011
Sprinkler Status
Partially Sprinklered Fully Sprinklered
Program Participation
Medicare And Medicaid Medicare And Medicaid
Type of Ownership
Non Profit - Corporation For Profit - Corporation
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
8
Staff Information
Number of Residents
80
76
Number of RN Hours Per Resident Per Day
0.2
0.34
Number of LPN/LVN Hours Per Resident Per Day
1.29
0.9
Total Number of Licensed Staff Hours Per Resident Per Day
1.49
1.24
Number of CNA Hours Per Resident Per Day
0.01
0.01
Number Therapy Hours Per Resident Per Day
0.01
0.01
Environmental Deficiencies
Deficiency #1
Scope: Somelevel Of Harm: 2deficiency: Provide Housekeeping And Maintenance Services.survey Date: 05/31/2012date Of Correction: 06/30/2012
Deficiency #2
Scope: Somelevel Of Harm: 2deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.survey Date: 10/14/2010date Of Correction: 11/13/2010
Deficiency #3
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: 10/14/2010date Of Correction: 11/13/2010
Mistreatment Deficiencies
Deficiency #1
Scope: Somelevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 12/14/2011date Of Correction: 01/13/2012
Deficiency #2
Scope: Somelevel 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: 12/14/2011date Of Correction: 01/13/2012
Deficiency #3
Scope: Somelevel Of Harm: 2deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment.survey Date: 01/14/2010date Of Correction: 02/13/2010
Pharmacy Service Deficiencies
Deficiency #1
Scope: Somelevel Of Harm: 2deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.survey Date: 10/14/2010date Of Correction: 11/13/2010
Deficiency #2
Scope: Somelevel Of Harm: 2deficiency: Keep The Rate Of Medication Errors (wrong Drug, Wrong Dose, Wrong Time) To Less Than 5%.survey Date: 10/14/2010date Of Correction: 11/13/2010
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
23.9 %
12.9 (55.2)
Percent of long-stay residents whose need for help with daily activities has increased
3.1 %
75.2 %
Percent of long-stay residents who self-report moderate to severe pain
18.2:1
Percent of long-stay high-risk residents with pressure ulcers
8.3 %
1.9 %
Percent of long-stay residents who lose too much weight
4.2 %
11.8:1
Percent of long-stay residents who have had a catheter inserted and left in their bladder
2.20 %
75.2 %
Percent of long-stay residents with a urinary tract infection
5.6:1
4.4 %
Percent of long-stay residents who have depressive symptoms
5.6:1
5.6:1
Percent of long-stay residents who were physically restrained
1.4 %
75.2 %
Percent of short-stay residents who self-report moderate to severe pain
14.3 %
25.9 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
93.8 %
90.3 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
93.8 %
90.3 %
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
2.8 %
8.3 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
22.1 (71.8)
9 %
Percent of long-stay residents whose need for help with daily activities has increased
0.9 %
75.2 %
Percent of long-stay residents who self-report moderate to severe pain
4.8 %
23.9 %
Percent of long-stay high-risk residents with pressure ulcers
9.7 %
3.4 %
Percent of long-stay residents who lose too much weight
6.2 %
7.6 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
46.7 %
56.8 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.6 %
75.2 %
Percent of long-stay residents with a urinary tract infection
8.4 %
4 %
Percent of long-stay residents who have depressive symptoms
7.1 %
6.8 %
Percent of long-stay residents who were physically restrained
0.9 %
75.2 %
Percent of long-stay residents experiencing one or more falls with major injury
0.9 %
5.8 %
Percent of short-stay residents who self-report moderate to severe pain
20.2 (68.4)
27.4 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
93.5 %
96.3 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
98.2 %
95.5 %
Percent of short-stay residents who newly received an antipsychotic medication
75.2 %
75.2 %

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