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JEFFERSON DAVIS COMMUNITY HOSPITAL ECF VS AZALEA GARDENS NURSING CENTER

Overview:

There are 52 differences and 20 similarities between JEFFERSON DAVIS COMMUNITY HOSPITAL ECF, AZALEA GARDENS NURSING CENTER

General
City
Prentiss Wiggins
State attribute explanation
Ms Ms
Street
1320 Winfield Street 530 / 550
Zip Code
39,474 39,577
Phone
6,017,921,172 6,019,285,281
Overall Star Rating
2
2
Health Inspections Star Rating
1
1
Nurse Staffing Star Rating
4
4
Quality Measures Star Rating
4
5
RN Only Star Rating
2
5
Number of Certified Beds
60
103
Total Number of Residents
51
84
Percent of Occupied Beds
85 %
82 %
Health Survey Date
1/6/2012 8/17/2011
Fire Survey Date
1/6/2012 8/18/2011
Sprinkler Status
Fully Sprinklered Fully Sprinklered
Program Participation
Medicare And Medicaid Medicare And Medicaid
Type of Ownership
Non Profit - Corporation For Profit - Corporation
Located Within a Hospital?
Yes No
Multi Nursing Home Ownership?
Yes No
Resident and Family Councils
Both Resident
Continuing Care Retirement Community?
No No
Quality Indicator Survey?
No No
Special Focus Facility?
No No
Civil Money Penalty Count
75.2
3
Total Enforcement Actions Count
75.2
3
# of deficiencies
9
11
Staff Information
Number of Residents
51
84
Number of RN Hours Per Resident Per Day
0.48
0.79
Number of LPN/LVN Hours Per Resident Per Day
0.82
0.93
Total Number of Licensed Staff Hours Per Resident Per Day
1.3
1.71
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: Fewlevel 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: 01/21/2010date Of Correction: 03/05/2010 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: 01/07/2011date Of Correction: 01/13/2011
Deficiency #2
Scope: Fewlevel Of Harm: 2deficiency: Make Sure There Is A Pest Control Program To Prevent/deal With Mice, Insects, Or Other Pests.survey Date: 08/11/2009date Of Correction: 09/21/2009 Scope: Somelevel 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: 05/13/2010date Of Correction: 05/31/2010
Deficiency #3
Scope: Fewlevel Of Harm: 3deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 04/09/2009date Of Correction: 05/08/2009
Mistreatment Deficiencies
Deficiency #1
Scope: Fewlevel Of Harm: 2deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.survey Date: 01/21/2010date Of Correction: 03/05/2010 Scope: Fewlevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 01/07/2011date Of Correction: 01/13/2011
Deficiency #2
Scope: Fewlevel Of Harm: 3deficiency: 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: 04/09/2009date Of Correction: 05/08/2009 Scope: Somelevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 05/13/2010date Of Correction: 05/31/2010
Resident Rights Deficiencies
Deficiency #1
Scope: Fewlevel Of Harm: 2deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.survey Date: 06/04/2009date Of Correction: 07/03/2009
Deficiency #2
Scope: Fewlevel 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: 06/04/2009date Of Correction: 06/30/2009
Quality Care Deficiencies
Deficiency #1
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 03/16/2011date Of Correction: 04/29/2011 Scope: Somelevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 05/13/2010date Of Correction: 05/31/2010
Deficiency #2
Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 04/09/2009date Of Correction: 05/08/2009 Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 06/04/2009date Of Correction: 07/07/2009
Deficiency #3
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 04/09/2009date Of Correction: 05/08/2009
Resident Assessment Deficiencies
Deficiency #1
Scope: Somelevel Of Harm: 2deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.survey Date: 05/13/2010date Of Correction: 05/31/2010
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: 04/09/2009date Of Correction: 05/08/2009 Scope: Fewlevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 01/07/2011date Of Correction: 01/13/2011
Deficiency #2
Scope: Fewlevel Of Harm: 4deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .survey Date: 01/07/2011date Of Correction: 01/13/2011
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
31.3 %
40.9 %
Percent of long-stay residents who self-report moderate to severe pain
5.9 %
8.1 / 8.8
Percent of long-stay high-risk residents with pressure ulcers
9.1 %
7.5 %
Percent of long-stay residents who lose too much weight
14 %
4.2 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
38.2 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
75.2 %
6.6 %
Percent of long-stay residents with a urinary tract infection
14 %
4 %
Percent of long-stay residents who have depressive symptoms
2 %
75.2 %
Percent of long-stay residents who were physically restrained
75.2 %
2.7 %
Percent of short-stay residents who newly received an antipsychotic medication
75.2
Percent of long-stay residents experiencing one or more falls with major injury
75.2 %
75.2 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
31.5 %
37.6 %
Percent of long-stay residents whose need for help with daily activities has increased
75.2 %
75.2 %
Percent of long-stay residents who self-report moderate to severe pain
6.5 %
5.9 %
Percent of long-stay high-risk residents with pressure ulcers
10.5 %
5 %
Percent of long-stay residents who lose too much weight
17.5 %
4.1 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
31.1 %
40.9 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.2 %
5.4 %
Percent of long-stay residents with a urinary tract infection
9.1 %
6.7 %
Percent of long-stay residents who have depressive symptoms
1.9 %
0.9 %
Percent of long-stay residents who were physically restrained
75.2 %
1.8 %
Percent of long-stay residents experiencing one or more falls with major injury
75.2 %
75.2 %
Percent of short-stay residents who self-report moderate to severe pain
20 %
3.1 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
97.4 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
100 %
98.2 %
Percent of short-stay residents who newly received an antipsychotic medication
3.3 %

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