MANORCARE HEALTH SERVICES-EAST vs KINDRED TRANSITIONAL CARE AND REHAB-MILWAUKEE

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KINDRED TRANSITIONAL CARE AND REHAB-MILWAUKEE

Overview:

There are 130 differences and 20 similarities between MANORCARE HEALTH SERVICES-EAST, KINDRED TRANSITIONAL CARE AND REHAB-MILWAUKEE

General
City
Green Bay	Milwaukee
State attribute explanation
Wi	Wi
Street
600 S Webster Ave	5700 W Layton Ave
Zip Code
54,301	53,220
Phone
9,204,323,213	4,142,817,200
Overall Star Rating
4	2
Health Inspections Star Rating
3	1
Nurse Staffing Star Rating
4	4
Quality Measures Star Rating
4	2
RN Only Star Rating
5	3
Number of Certified Beds
79	473
Total Number of Residents
46	311
Percent of Occupied Beds
58 %	66 %
Health Survey Date
11/15/2011	6/7/2012
Fire Survey Date
11/22/2011	6/5/2012
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	Both
Continuing Care Retirement Community?
No	No
Quality Indicator Survey?
No	No
Special Focus Facility?
No	No
Civil Money Penalty Count
75.2	8
Total Enforcement Actions Count
75.2	8
# of deficiencies
12	87

Staff Information
Number of Residents
46	311
Number of RN Hours Per Resident Per Day
1.65	0.67
Number of LPN/LVN Hours Per Resident Per Day
0.27	1.02
Total Number of Licensed Staff Hours Per Resident Per Day
1.93	1.69
Number of CNA Hours Per Resident Per Day
0.17	0.12
Number Therapy Hours Per Resident Per Day
0.17	0.12
Environmental Deficiencies
Deficiency #1
Scope: Somelevel Of Harm: 2deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.survey Date: 07/29/2010date Of Correction: 08/20/2010	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: 04/04/2012date Of Correction: 04/16/2012
Deficiency #2
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: 07/29/2010date Of Correction: 08/20/2010	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: 07/21/2011date Of Correction: 07/29/2011
Deficiency #3
	Scope: Somelevel Of Harm: 2deficiency: Provide Housekeeping And Maintenance Services.survey Date: 07/21/2011date Of Correction: 07/29/2011
Deficiency #4
	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: 03/24/2011date Of Correction: 04/04/2011
Deficiency #5
	Scope: Somelevel Of Harm: 2deficiency: Make Sure That The Nursing Home Area Is Safe, Easy To Use, Clean And Comfortable For Residents, Staff And The Public.survey Date: 01/20/2011date Of Correction: 02/14/2011
Deficiency #6
	Scope: Fewlevel Of Harm: 2deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.survey Date: 01/20/2011date Of Correction: 02/14/2011
Deficiency #7
	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: 01/20/2011date Of Correction: 02/14/2011
Deficiency #8
	Scope: Fewlevel Of Harm: 2deficiency: Provide Housekeeping And Maintenance Services.survey Date: 01/20/2011date Of Correction: 02/14/2011
Deficiency #9
	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: 07/28/2010date Of Correction: 08/18/2010
Deficiency #10
	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: 06/21/2010date Of Correction: 06/23/2010
Deficiency #11
	Scope: Fewlevel Of Harm: 2deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.survey Date: 05/26/2010date Of Correction: 06/21/2010
Deficiency #12
	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: 05/26/2010date Of Correction: 06/23/2010
Deficiency #13
	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: 01/27/2010date Of Correction: Not Available
Deficiency #14
	Scope: Somelevel Of Harm: 1deficiency: Provide Housekeeping And Maintenance Services.survey Date: 11/03/2009date Of Correction: Not Available
Deficiency #15
	Scope: Fewlevel Of Harm: 2deficiency: Provide A Safe, Clean, Comfortable And Homelike Environment.survey Date: 08/20/2009date Of Correction: 09/28/2009
Deficiency #16
	Scope: Fewlevel Of Harm: 2deficiency: Make Sure That The Nursing Home Area Is Safe, Easy To Use, Clean And Comfortable For Residents, Staff And The Public.survey Date: 07/16/2009date Of Correction: 08/20/2009
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: 04/27/2011date Of Correction: 05/18/2011	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: 10/31/2011date Of Correction: 11/14/2011
Deficiency #2
Scope: Fewlevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 07/29/2010date Of Correction: 08/20/2010	Scope: Fewlevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 01/20/2011date Of Correction: 02/14/2011
Deficiency #3
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: 07/29/2010date Of Correction: 08/20/2010	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: 01/20/2011date Of Correction: 02/14/2011
Deficiency #4
Scope: Fewlevel Of Harm: 2deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment.survey Date: 07/29/2010date Of Correction: 08/20/2010	Scope: Fewlevel Of Harm: 2deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.survey Date: 01/20/2011date Of Correction: 02/14/2011
Deficiency #5
	Scope: Fewlevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 05/26/2010date Of Correction: 06/21/2010
Deficiency #6
	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: 05/26/2010date Of Correction: 06/21/2010
Deficiency #7
	Scope: Fewlevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 01/27/2010date Of Correction: Not Available
Deficiency #8
	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: 01/27/2010date Of Correction: Not Available
Deficiency #9
	Scope: Fewlevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 07/16/2009date Of Correction: 08/20/2009
Deficiency #10
	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: 07/16/2009date Of Correction: Not Available
Resident Rights Deficiencies
Deficiency #1
	Scope: Fewlevel Of Harm: 2deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.survey Date: 02/14/2012date Of Correction: 02/20/2012
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: 02/14/2012date Of Correction: 02/20/2012
Deficiency #3
	Scope: Fewlevel Of Harm: 2deficiency: Tell The Resident Or The Resident's Representative In Writing How Long The Nursing Home Will Hold The Resident's Bed.survey Date: 10/31/2011date Of Correction: 11/14/2011
Deficiency #4
	Scope: Fewlevel Of Harm: 4deficiency: 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: 10/31/2011date Of Correction: 11/14/2011
Deficiency #5
	Scope: Somelevel Of Harm: 2deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.survey Date: 07/21/2011date Of Correction: 07/29/2011
Deficiency #6
	Scope: Fewlevel Of Harm: 2deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.survey Date: 04/12/2011date Of Correction: 04/25/2011
Deficiency #7
	Scope: Fewlevel Of Harm: 2deficiency: Make Sure Each Resident Has The Right To Have A Choice Over Activities, Their Schedules And Health Care According To His Or Her Interests, Assessment, And Plan Of Care.survey Date: 01/20/2011date Of Correction: 02/14/2011
Deficiency #8
	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: 01/20/2011date Of Correction: 02/14/2011
Deficiency #9
	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: 07/28/2010date Of Correction: 08/18/2010
Deficiency #10
	Scope: Fewlevel Of Harm: 2deficiency: Try To Resolve Each Resident's Complaints Quickly.survey Date: 06/21/2010date Of Correction: 06/23/2010
Deficiency #11
	Scope: Somelevel Of Harm: 2deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.survey Date: 03/15/2010date Of Correction: 04/12/2010
Deficiency #12
	Scope: Fewlevel Of Harm: 2deficiency: Tell The Resident Completely About His Or Her Health Status, Care And Treatments.survey Date: 03/15/2010date Of Correction: 04/12/2010
Deficiency #13
	Scope: Fewlevel Of Harm: 2deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.survey Date: 01/27/2010date Of Correction: Not Available
Deficiency #14
	Scope: Fewlevel Of Harm: 2deficiency: Try To Resolve Each Resident's Complaints Quickly.survey Date: 01/27/2010date Of Correction: Not Available
Deficiency #15
	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: 09/28/2009date Of Correction: 09/28/2009
Deficiency #16
	Scope: Somelevel Of Harm: 2deficiency: Try To Resolve Each Resident's Complaints Quickly.survey Date: 08/20/2009date Of Correction: 09/28/2009
Deficiency #17
	Scope: Somelevel Of Harm: 2deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.survey Date: 07/16/2009date Of Correction: 08/20/2009
Quality Care Deficiencies
Deficiency #1
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: 07/29/2010date Of Correction: 08/20/2010	Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 02/14/2012date Of Correction: 02/20/2012
Deficiency #2
Scope: Fewlevel Of Harm: 2deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 07/29/2010date Of Correction: 08/20/2010	Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So.survey Date: 10/31/2011date Of Correction: 11/14/2011
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: 07/29/2010date Of Correction: 08/20/2010	Scope: Fewlevel Of Harm: 2deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.survey Date: 10/31/2011date Of Correction: 11/14/2011
Deficiency #4
Scope: Somelevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 07/29/2010date Of Correction: 08/20/2010	Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 10/31/2011date Of Correction: 11/14/2011
Deficiency #5
	Scope: Fewlevel Of Harm: 4deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 10/31/2011date Of Correction: 09/05/2011
Deficiency #6
	Scope: Somelevel Of Harm: 2deficiency: Have Enough Nurses To Care For Every Resident In A Way That Maximizes The Resident's Well Being.survey Date: 07/21/2011date Of Correction: 07/29/2011
Deficiency #7
	Scope: Fewlevel Of Harm: 2deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 07/21/2011date Of Correction: 07/29/2011
Deficiency #8
	Scope: Somelevel Of Harm: 2deficiency: Make Sure That Residents Receive Treatment/services To Not Only Continue, But Improve The Ability To Care For Themselves.survey Date: 07/21/2011date Of Correction: 07/29/2011
Deficiency #9
	Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 07/21/2011date Of Correction: 07/29/2011
Deficiency #10
	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: 04/12/2011date Of Correction: 04/25/2011
Deficiency #11
	Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 03/03/2011date Of Correction: 03/10/2011
Deficiency #12
	Scope: Fewlevel Of Harm: 2deficiency: Properly Care For Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, And Prostheses.survey Date: 01/20/2011date Of Correction: 02/14/2011
Deficiency #13
	Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 01/20/2011date Of Correction: 02/14/2011
Deficiency #14
	Scope: Somelevel Of Harm: 2deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 07/28/2010date Of Correction: 08/18/2010
Deficiency #15
	Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 07/28/2010date Of Correction: 08/18/2010
Deficiency #16
	Scope: Fewlevel Of Harm: 2deficiency: Provide Medically-related Social Services To Help Each Resident Achieve The Highest Possible Quality Of Life.survey Date: 07/28/2010date Of Correction: 08/18/2010
Deficiency #17
	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: 06/21/2010date Of Correction: 06/23/2010
Deficiency #18
	Scope: Somelevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 06/21/2010date Of Correction: 06/23/2010
Deficiency #19
	Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 05/26/2010date Of Correction: 06/23/2010
Deficiency #20
	Scope: Fewlevel Of Harm: 3deficiency: 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: 03/15/2010date Of Correction: 04/12/2010
Resident Assessment Deficiencies
Deficiency #1
Scope: Fewlevel 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: 07/29/2010date Of Correction: 08/20/2010	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: 02/14/2012date Of Correction: 02/20/2012
Deficiency #2
	Scope: Somelevel Of Harm: 2deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.survey Date: 02/14/2012date Of Correction: 02/20/2012
Deficiency #3
	Scope: Fewlevel 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: 10/31/2011date Of Correction: 11/14/2011
Deficiency #4
	Scope: Fewlevel Of Harm: 2deficiency: Develop A Post-discharge Plan With The Resident And Family For The Resident's Care After Leaving The Nursing Home.survey Date: 07/28/2010date Of Correction: 08/18/2010
Deficiency #5
	Scope: Fewlevel Of Harm: 2deficiency: Provide Doctors Orders For The Resident's Immediate Care, At The Time The Resident Was Admitted.survey Date: 07/28/2010date Of Correction: 08/18/2010
Deficiency #6
	Scope: Fewlevel 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: 01/27/2010date Of Correction: Not Available
Deficiency #7
	Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Doctors Visit Residents Regularly, As Required.survey Date: 07/16/2009date Of Correction: 08/20/2009
Deficiency #8
	Scope: Somelevel Of Harm: 2deficiency: Coordinate Assessments With The Pre-admission Screening And Resident Review Program For Mentally-ill And Mentally-retarded Patients.survey Date: 07/16/2009date Of Correction: 08/20/2009
Administration Deficiencies
Deficiency #1
Scope: Somelevel Of Harm: 2deficiency: Make Sure That Nurse Aides Show They Have The Skills And Techniques To Be Able To Care For Residents' Needs.survey Date: 07/29/2010date Of Correction: 08/20/2010	Scope: Fewlevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 10/31/2011date Of Correction: 11/14/2011
Deficiency #2
	Scope: Fewlevel Of Harm: 2deficiency: Tell The Attending Physician The Results Of X-rays And Other Tests, In A Timely Manner.survey Date: 01/20/2011date Of Correction: 02/14/2011
Deficiency #3
	Scope: Manylevel Of Harm: 1deficiency: 1) Review The Work Of Each Nurse Aide Every Year; And 2) Give Regular In-service Training Based Upon These Reviews.survey Date: 05/26/2010date Of Correction: 06/21/2010
Deficiency #4
	Scope: Somelevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 01/27/2010date Of Correction: Not Available
Deficiency #5
	Scope: Fewlevel Of Harm: 2deficiency: Give Or Get Quality Lab Services/tests In A Timely Manner To Meet The Needs Of Residents.survey Date: 01/27/2010date Of Correction: Not Available
Deficiency #6
	Scope: Somelevel Of Harm: 1deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 11/03/2009date Of Correction: Not Available
Deficiency #7
	Scope: Fewlevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 08/20/2009date Of Correction: 09/28/2009
Pharmacy Service Deficiencies
Deficiency #1
	Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.survey Date: 02/14/2012date Of Correction: 02/20/2012
Deficiency #2
	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: 01/20/2011date Of Correction: 02/14/2011
Deficiency #3
	Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.survey Date: 01/20/2011date Of Correction: 02/14/2011
Deficiency #4
	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: 07/28/2010date Of Correction: 08/18/2010
Deficiency #5
	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: 06/21/2010date Of Correction: 06/23/2010
Deficiency #6
	Scope: Somelevel Of Harm: 2deficiency: Keep The Rate Of Medication Errors (wrong Drug, Wrong Dose, Wrong Time) To Less Than 5%.survey Date: 06/21/2010date Of Correction: 06/23/2010
Deficiency #7
	Scope: Fewlevel 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: 03/15/2010date Of Correction: 04/12/2010
Nutrition and Dietary Deficiencies
Deficiency #1
	Scope: Fewlevel Of Harm: 2deficiency: Provide Food In A Way That Meets A Resident's Needs.survey Date: 10/31/2011date Of Correction: 11/14/2011
Deficiency #2
	Scope: Somelevel Of Harm: 2deficiency: Make Sure That Special Or Therapeutic Diets Are Ordered By The Attending Doctor.survey Date: 03/15/2010date Of Correction: 04/12/2010
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
	16.3:1
Percent of long-stay residents whose need for help with daily activities has increased
0.8 %	1.8 %
Percent of long-stay residents who self-report moderate to severe pain
	26.7 %
Percent of long-stay high-risk residents with pressure ulcers
	13.7 %
Percent of long-stay residents who lose too much weight
75.2 %	7.7 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
	40.3 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
	4.6 %
Percent of long-stay residents with a urinary tract infection
13.3 %	6.8 %
Percent of long-stay residents who have depressive symptoms
12.9 (55.2)	6.1 %
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
22.6 %	45.6 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
87.2 %	87.8 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
89.7 %	93.2 %
Percent of short-stay residents who newly received an antipsychotic medication
4.3 %	75.2
Percent of long-stay residents experiencing one or more falls with major injury
75.2 %	3.4 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
3.4 %	16.9-24
Percent of long-stay residents whose need for help with daily activities has increased
1 %	2 %
Percent of long-stay residents who self-report moderate to severe pain
17.5 %	26.4 %
Percent of long-stay high-risk residents with pressure ulcers
3.4 %	12.1:1
Percent of long-stay residents who lose too much weight
1.1 %	9 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
30.4 %	38.8 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
5.2 %	5.3 %
Percent of long-stay residents with a urinary tract infection
9.1 %	6.3 %
Percent of long-stay residents who have depressive symptoms
7.8 %	5.2 %
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
1.1 %	2.9 %
Percent of short-stay residents who self-report moderate to severe pain
19 %	39.7 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
88.6 %	87.6 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
85.6 %	92.2 %
Percent of short-stay residents who newly received an antipsychotic medication
10.8 %	14.2 %