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THE COTTAGES AT BRUSHY CREEK VS ELLEN SAGAR NURSING HOME

Overview:

There are 58 differences and 19 similarities between THE COTTAGES AT BRUSHY CREEK, ELLEN SAGAR NURSING HOME

General
City
Greer Union
State attribute explanation
Sc Sc
Street
101 Cottage Creek Circle 1817 Jonesville Highway
Zip Code
29,650 29,379
Phone
8,647,978,800 8,644,275,187
Overall Star Rating
2
2
Health Inspections Star Rating
1
1
Nurse Staffing Star Rating
4
4
Quality Measures Star Rating
2
4
RN Only Star Rating
4
3
Number of Certified Beds
144
113
Total Number of Residents
143
112
Percent of Occupied Beds
99 %
99 %
Health Survey Date
5/18/2011 12/14/2011
Fire Survey Date
5/18/2011 12/14/2011
Sprinkler Status
Fully Sprinklered Fully Sprinklered
Program Participation
Medicare And Medicaid Medicare And Medicaid
Type of Ownership
Non Profit - Corporation Government - Hospital District
Located Within a Hospital?
Yes No
Multi Nursing Home Ownership?
No No
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
6
Total Enforcement Actions Count
75.2
7
# of deficiencies
6
13
Staff Information
Number of Residents
143
112
Number of RN Hours Per Resident Per Day
0.82
0.56
Number of LPN/LVN Hours Per Resident Per Day
1.29
0.49
Total Number of Licensed Staff Hours Per Resident Per Day
2.11
1.04
Number of CNA Hours Per Resident Per Day
0.13
0.02
Number Therapy Hours Per Resident Per Day
0.13
0.02
Environmental Deficiencies
Deficiency #1
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: 02/14/2011date Of Correction: 03/16/2011
Mistreatment Deficiencies
Deficiency #1
Scope: Fewlevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 01/17/2012date Of Correction: 02/17/2012 Scope: Fewlevel Of Harm: 2deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment.survey Date: 12/14/2011date Of Correction: 01/26/2012
Deficiency #2
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: 01/17/2012date Of Correction: 02/17/2012 Scope: Fewlevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 09/20/2011date Of Correction: 10/28/2011
Deficiency #3
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: 02/14/2011date Of Correction: 03/16/2011 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: 09/20/2011date Of Correction: 10/28/2011
Deficiency #4
Scope: Fewlevel Of Harm: 3deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.survey Date: 08/13/2009date Of Correction: 09/12/2009
Resident Rights Deficiencies
Deficiency #1
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: 04/07/2011date Of Correction: 05/07/2011
Quality Care Deficiencies
Deficiency #1
Scope: Fewlevel Of Harm: 2deficiency: Have Enough Nurses To Care For Every Resident In A Way That Maximizes The Resident's Well Being.survey Date: 09/20/2011date Of Correction: 10/28/2011
Deficiency #2
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: 05/17/2010date Of Correction: 06/17/2010
Deficiency #3
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 05/17/2010date Of Correction: 06/17/2010
Deficiency #4
Scope: Fewlevel Of Harm: 3deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 08/13/2009date Of Correction: 09/12/2009
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: 01/17/2012date Of Correction: 02/17/2012 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: 12/14/2011date Of Correction: 01/26/2012
Deficiency #2
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Each Resident Receives An Accurate Assessment By A Qualified Health Professional.survey Date: 12/14/2011date Of Correction: 01/26/2012
Deficiency #3
Scope: Fewlevel Of Harm: 3deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan.survey Date: 08/13/2009date Of Correction: 09/12/2009
Administration Deficiencies
Deficiency #1
Scope: Fewlevel Of Harm: 3deficiency: Set Up An Ongoing Quality Assessment And Assurance Group To Review Quality Deficiencies Quarterly, And Develop Corrective Plans Of Action.survey Date: 08/13/2009date Of Correction: 09/12/2009
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: 05/17/2010date Of Correction: 06/17/2010
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
12 %
17.5 %
Percent of long-stay residents whose need for help with daily activities has increased
0.9 %
2 %
Percent of long-stay residents who self-report moderate to severe pain
9.4 / 10.4
1.3 %
Percent of long-stay high-risk residents with pressure ulcers
3.3 %
1.50 %
Percent of long-stay residents who lose too much weight
13.2 %
7.8 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
2.9 %
1.2 %
Percent of long-stay residents with a urinary tract infection
12.3:1
11.8:1
Percent of long-stay residents who have depressive symptoms
4.7 %
3 %
Percent of long-stay residents who were physically restrained
5.5 %
75.2 %
Percent of short-stay residents who self-report moderate to severe pain
16.8 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
99.5 %
96.7 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
99.6 %
93.8 %
Percent of short-stay residents who newly received an antipsychotic medication
75.2 %
13 %
Percent of long-stay residents experiencing one or more falls with major injury
9.2 %
4.9 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
14.2 %
16.2 %
Percent of long-stay residents whose need for help with daily activities has increased
1.3 %
2.3 %
Percent of long-stay residents who self-report moderate to severe pain
11.2-20
6.3 %
Percent of long-stay high-risk residents with pressure ulcers
4.1 %
1.9 %
Percent of long-stay residents who lose too much weight
11 %
9.1 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
44.6 %
38.1 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
2.9 %
1.4 %
Percent of long-stay residents with a urinary tract infection
11.9 %
8.5 %
Percent of long-stay residents who have depressive symptoms
2.4 %
6.5 %
Percent of long-stay residents who were physically restrained
5.3 %
75.2 %
Percent of long-stay residents experiencing one or more falls with major injury
9.8 %
4 %
Percent of short-stay residents who self-report moderate to severe pain
20.5 %
9.4 / 10.4
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
99.6 %
97.9 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
98.7 %
94.9 %
Percent of short-stay residents who newly received an antipsychotic medication
23.7 (74.7)
24.7 %

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