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WILLOW WOOD AT WOLDENBERG VILLAGE VS NOTTINGHAM REGIONAL REHAB CENTER

Overview:

There are 100 differences and 14 similarities between WILLOW WOOD AT WOLDENBERG VILLAGE, NOTTINGHAM REGIONAL REHAB CENTER

General
City
New Orleans Baton Rouge
State attribute explanation
La La
Street
3701 Behrman Place 2828 Westfork
Zip Code
70,114 70,816
Phone
5,043,675,640 2,252,917,049
Overall Star Rating
2
2
Health Inspections Star Rating
2
1
Nurse Staffing Star Rating
2
5
Quality Measures Star Rating
2
3
RN Only Star Rating
2
5
Number of Certified Beds
120
176
Total Number of Residents
118
140
Percent of Occupied Beds
98 %
80 %
Health Survey Date
3/8/2012 2/16/2012
Fire Survey Date
3/7/2012 2/14/2012
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?
No No
Multi Nursing Home Ownership?
No No
Resident and Family Councils
Resident Resident
Continuing Care Retirement Community?
No No
Quality Indicator Survey?
Yes Yes
Special Focus Facility?
No Yes
Civil Money Penalty Count
1
2
Total Enforcement Actions Count
2
5
# of deficiencies
7
51
Staff Information
Number of Residents
118
140
Number of RN Hours Per Resident Per Day
0.52
1.1
Number of LPN/LVN Hours Per Resident Per Day
0.94
0.96
Total Number of Licensed Staff Hours Per Resident Per Day
1.46
2.06
Number of CNA Hours Per Resident Per Day
0.19
0.04
Number Therapy Hours Per Resident Per Day
0.19
0.04
Environmental Deficiencies
Deficiency #1
Scope: Somelevel Of Harm: 2deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.survey Date: 05/21/2010date Of Correction: 06/21/2010
Deficiency #2
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: 04/09/2010date Of Correction: 05/25/2010
Deficiency #3
Scope: Somelevel Of Harm: 2deficiency: Provide Clean Bed And Bath Linens That Are In Good Condition.survey Date: 04/09/2010date Of Correction: 05/25/2010
Deficiency #4
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: 03/24/2010date Of Correction: 05/05/2010
Deficiency #5
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: 08/14/2009date Of Correction: 09/28/2009
Deficiency #6
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: 04/23/2009date Of Correction: 05/25/2009
Mistreatment Deficiencies
Deficiency #1
Scope: Somelevel Of Harm: 4deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.survey Date: 12/22/2011date Of Correction: 02/16/2012
Deficiency #2
Scope: Fewlevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 04/09/2010date Of Correction: 05/25/2010
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: 05/24/2011date Of Correction: 07/05/2011 Scope: Somelevel 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: 12/22/2011date Of Correction: 02/16/2012
Deficiency #2
Scope: Somelevel Of Harm: 1deficiency: Give Each Resident A Notice Of Rights, Rules, Services And Charges. Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items And Services Medicaid Covers And Which The Resident Must Pay For.survey Date: 03/18/2011date Of Correction: 05/02/2011
Deficiency #3
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: 05/03/2010date Of Correction: 05/31/2010
Deficiency #4
Scope: Somelevel Of Harm: 2deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.survey Date: 04/09/2010date Of Correction: 05/25/2010
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: 04/09/2010date Of Correction: 05/25/2010
Deficiency #6
Scope: Somelevel Of Harm: 2deficiency: Try To Resolve Each Resident's Complaints Quickly.survey Date: 04/09/2010date Of Correction: 05/25/2010
Deficiency #7
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: 04/09/2010date Of Correction: 05/25/2010
Deficiency #8
Scope: Somelevel Of Harm: 2deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.survey Date: 11/11/2009date Of Correction: 12/15/2009
Deficiency #9
Scope: Fewlevel Of Harm: 2deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.survey Date: 08/14/2009date Of Correction: 09/28/2009
Deficiency #10
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: 04/23/2009date Of Correction: 05/25/2009
Quality Care Deficiencies
Deficiency #1
Scope: Fewlevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 03/08/2012date Of Correction: Not Available Scope: Somelevel Of Harm: 4deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 12/22/2011date Of Correction: 02/16/2012
Deficiency #2
Scope: Fewlevel Of Harm: 3deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 05/24/2011date Of Correction: 07/05/2011 Scope: Somelevel Of Harm: 4deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 12/22/2011date Of Correction: 02/16/2012
Deficiency #3
Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 05/24/2011date Of Correction: 07/05/2011 Scope: Fewlevel Of Harm: 3deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So.survey Date: 05/21/2010date Of Correction: 06/21/2010
Deficiency #4
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 05/24/2011date Of Correction: 07/05/2011 Scope: Fewlevel Of Harm: 3deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 05/21/2010date Of Correction: 06/21/2010
Deficiency #5
Scope: Fewlevel Of Harm: 3deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 05/21/2010date Of Correction: 06/21/2010
Deficiency #6
Scope: Somelevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 05/21/2010date Of Correction: 06/21/2010
Deficiency #7
Scope: Somelevel Of Harm: 2deficiency: Provide Medically-related Social Services To Help Each Resident Achieve The Highest Possible Quality Of Life.survey Date: 05/21/2010date Of Correction: 06/21/2010
Deficiency #8
Scope: Fewlevel Of Harm: 3deficiency: Give Each Resident Enough Fluids To Keep Them Healthy And Prevent Dehydration.survey Date: 05/03/2010date Of Correction: 05/31/2010
Deficiency #9
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: 05/03/2010date Of Correction: 05/31/2010
Deficiency #10
Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 05/03/2010date Of Correction: 05/31/2010
Deficiency #11
Scope: Fewlevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 05/03/2010date Of Correction: 05/31/2010
Deficiency #12
Scope: Fewlevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 04/09/2010date Of Correction: 05/25/2010
Deficiency #13
Scope: Somelevel Of Harm: 4deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 04/09/2010date Of Correction: 05/25/2010
Deficiency #14
Scope: Fewlevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 03/24/2010date Of Correction: 05/05/2010
Deficiency #15
Scope: Somelevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 01/13/2010date Of Correction: 02/22/2010
Deficiency #16
Scope: Somelevel 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: 08/14/2009date Of Correction: 09/28/2009
Deficiency #17
Scope: Fewlevel Of Harm: 3deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 04/23/2009date Of Correction: 05/25/2009
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: 03/18/2011date Of Correction: 05/02/2011
Deficiency #2
Scope: Somelevel Of Harm: 2deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.survey Date: 03/18/2011date Of Correction: 05/02/2011
Deficiency #3
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: 12/15/2010date Of Correction: 02/04/2011
Deficiency #4
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: 05/03/2010date Of Correction: 05/31/2010
Deficiency #5
Scope: Somelevel Of Harm: 4deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan.survey Date: 04/09/2010date Of Correction: 05/25/2010
Deficiency #6
Scope: Fewlevel Of Harm: 2deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.survey Date: 04/09/2010date Of Correction: 05/25/2010
Deficiency #7
Scope: Fewlevel Of Harm: 3deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.survey Date: 04/23/2009date Of Correction: 05/25/2009
Administration Deficiencies
Deficiency #1
Scope: Somelevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 12/22/2011date Of Correction: 02/16/2012
Deficiency #2
Scope: Somelevel Of Harm: 4deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .survey Date: 12/22/2011date Of Correction: 02/16/2012
Deficiency #3
Scope: Somelevel Of Harm: 2deficiency: Set Up An Ongoing Quality Assessment And Assurance Group To Review Quality Deficiencies Quarterly, And Develop Corrective Plans Of Action.survey Date: 04/09/2010date Of Correction: 05/25/2010
Deficiency #4
Scope: Somelevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 04/09/2010date Of Correction: 05/25/2010
Deficiency #5
Scope: Somelevel Of Harm: 2deficiency: 1) Review The Work Of Each Nurse Aide Every Year; And 2) Give Regular In-service Training Based Upon These Reviews.survey Date: 04/09/2010date Of Correction: 05/25/2010
Deficiency #6
Scope: Somelevel Of Harm: 4deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .survey Date: 04/09/2010date Of Correction: 05/25/2010
Pharmacy Service Deficiencies
Deficiency #1
Scope: Somelevel Of Harm: 2deficiency: Keep The Rate Of Medication Errors (wrong Drug, Wrong Dose, Wrong Time) To Less Than 5%.survey Date: 03/08/2012date Of Correction: Not Available 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: 11/10/2010date Of Correction: 12/17/2010
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: 05/03/2010date Of Correction: 05/31/2010
Nutrition and Dietary Deficiencies
Deficiency #1
Scope: Fewlevel Of Harm: 2deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.survey Date: 03/08/2012date Of Correction: Not Available Scope: Fewlevel Of Harm: 2deficiency: Make Sure Menus Meet The Resident's Nutritional Needs And That There Is A Prepared Menu By Which Nutritious Meals Have Been Planned For The Resident And Followed.survey Date: 12/15/2010date Of Correction: 02/04/2011
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
38.4 %
30.3 %
Percent of long-stay residents whose need for help with daily activities has increased
0.5 - 2.0
75.2 %
Percent of long-stay residents who self-report moderate to severe pain
17.9 (64.2)
8 %
Percent of long-stay high-risk residents with pressure ulcers
9.5 %
10.1:1
Percent of long-stay residents who lose too much weight
9.6 %
6 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
42.9 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.4 %
2.5 %
Percent of long-stay residents with a urinary tract infection
14.4 %
12.6:1
Percent of long-stay residents who have depressive symptoms
0.9 %
2.7 %
Percent of long-stay residents who were physically restrained
75.2 %
6.5 %
Percent of short-stay residents who self-report moderate to severe pain
23 %
9.1 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
94.9 %
47.5 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
95.7 %
44 %
Percent of short-stay residents who newly received an antipsychotic medication
75.2 %
1.9 %
Percent of long-stay residents experiencing one or more falls with major injury
6.2 %
7.3 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
38.5 %
28.9 %
Percent of long-stay residents whose need for help with daily activities has increased
0.5 - 2.0
75.2 %
Percent of long-stay residents who self-report moderate to severe pain
19.1:1
6.2 %
Percent of long-stay high-risk residents with pressure ulcers
9 %
8.5 %
Percent of long-stay residents who lose too much weight
8.7 %
8 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
31.3 %
40.9 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
5.1 %
3 %
Percent of long-stay residents with a urinary tract infection
15.9:1
9.7 %
Percent of long-stay residents who have depressive symptoms
1.7 %
4.7 %
Percent of long-stay residents who were physically restrained
75.2 %
3.6 %
Percent of long-stay residents experiencing one or more falls with major injury
4.5 %
6.1 %
Percent of short-stay residents who self-report moderate to severe pain
18.3 %
20.6 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
90.2 %
51.7 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
93.7 %
42.9 %
Percent of short-stay residents who newly received an antipsychotic medication
42.5 %
0.5 - 2.0

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