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MAJESTY HEALTH & REHAB OF EASLEY, LLC VS TRINITY MISSION HEALTH & REHAB OF EDGEFIELD

Overview:

There are 43 differences and 26 similarities between MAJESTY HEALTH & REHAB OF EASLEY, LLC, TRINITY MISSION HEALTH & REHAB OF EDGEFIELD

General
City
Easley Edgefield
State attribute explanation
Sc Sc
Street
200 Anne Drive 226 Wa Reel Drive
Zip Code
29,640 29,824
Phone
8,648,599,754 8,036,375,312
Overall Star Rating
4
2
Health Inspections Star Rating
3
2
Nurse Staffing Star Rating
4
3
Quality Measures Star Rating
4
2
RN Only Star Rating
3
3
Number of Certified Beds
103
120
Total Number of Residents
94
112
Percent of Occupied Beds
91 %
93 %
Health Survey Date
11/30/2011 5/17/2012
Fire Survey Date
12/1/2011 5/17/2012
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
Both Both
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
3
4
Staff Information
Number of Residents
94
112
Number of RN Hours Per Resident Per Day
0.55
0.52
Number of LPN/LVN Hours Per Resident Per Day
0.93
0.81
Total Number of Licensed Staff Hours Per Resident Per Day
1.48
1.32
Number of CNA Hours Per Resident Per Day
0.06
0.06
Number Therapy Hours Per Resident Per Day
0.06
0.06
Environmental Deficiencies
Deficiency #1
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: 11/04/2010date Of Correction: 12/03/2010
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: 11/04/2010date Of Correction: 12/03/2010
Quality Care Deficiencies
Deficiency #1
Scope: Fewlevel Of Harm: 3deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 11/04/2010date Of Correction: 12/03/2010 Scope: Somelevel Of Harm: 2deficiency: Provide Activities To Meet The Interests And Needs Of Each Resident.survey Date: 03/30/2011date Of Correction: 04/29/2011
Resident Assessment Deficiencies
Deficiency #1
Scope: Fewlevel Of Harm: 2deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan.survey Date: 03/30/2011date Of Correction: 04/29/2011
Pharmacy Service Deficiencies
Deficiency #1
Scope: Fewlevel 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: 03/30/2011date Of Correction: 04/29/2011
Deficiency #2
Scope: Fewlevel Of Harm: 2deficiency: Keep The Rate Of Medication Errors (wrong Drug, Wrong Dose, Wrong Time) To Less Than 5%.survey Date: 03/30/2011date Of Correction: 04/29/2011
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
27.6 %
22.2:1
Percent of long-stay residents whose need for help with daily activities has increased
4.2 %
4.1 %
Percent of long-stay residents who self-report moderate to severe pain
9.3 %
16.4 %
Percent of long-stay high-risk residents with pressure ulcers
4.6 %
6.7 %
Percent of long-stay residents who lose too much weight
11.3 %
10.9 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
51 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.9 %
2.1 %
Percent of long-stay residents with a urinary tract infection
23.8:1
5 %
Percent of long-stay residents who have depressive symptoms
75.2 %
1 %
Percent of long-stay residents who were physically restrained
1.2 %
3.9 %
Percent of short-stay residents who self-report moderate to severe pain
10.2 %
28.1 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
86.3 %
69.6 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
85.8 %
85.4 %
Percent of short-stay residents who newly received an antipsychotic medication
8.6:1
75.2 %
Percent of long-stay residents experiencing one or more falls with major injury
2.4 %
4.9 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
24.5 %
21.9 %
Percent of long-stay residents whose need for help with daily activities has increased
1.4 %
4.9 %
Percent of long-stay residents who self-report moderate to severe pain
9.9:1
14.3 %
Percent of long-stay high-risk residents with pressure ulcers
5.3 %
7.7 %
Percent of long-stay residents who lose too much weight
8.7 %
10 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
50 %
40.5 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
3 %
1.7 %
Percent of long-stay residents with a urinary tract infection
21.5 %
3.6 %
Percent of long-stay residents who have depressive symptoms
75.2 %
0.6 %
Percent of long-stay residents who were physically restrained
1.2 %
3.2 %
Percent of long-stay residents experiencing one or more falls with major injury
3.6 %
4.2 %
Percent of short-stay residents who self-report moderate to severe pain
12.2 %
17 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
84.5 %
70.8 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
82.1 %
66.4 %
Percent of short-stay residents who newly received an antipsychotic medication
16.1 %
75.2 %

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