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APPLEWOOD CARE AND REHABILITATION CENTER

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APPLEWOOD CARE AND REHABILITATION CENTER VS
Nursing Homes USA
General
City Winchester  0.1% Nursing Homes USA have Winchester
State attribute explanation NH   0.5% Nursing Homes USA have NH
Street 8 SNOW ROAD  
Zip Code 3470  
Phone 6032396355  
Overall Star Rating
3.11
Health Inspections Star Rating
2.83
Nurse Staffing Star Rating
3.17
Quality Measures Star Rating
3.31
RN Only Star Rating
3.17
Number of Certified Beds
72 
108.94
Total Number of Residents
64 
91.25
Percent of Occupied Beds
89 %
83.65 %
Health Survey Date 6/23/2011  
Fire Survey Date 6/23/2011  
Sprinkler Status Fully Sprinklered  90.2% Nursing Homes USA have Fully Sprinklered
Program Participation Medicare And Medicaid  91.5% Nursing Homes USA have Medicare and Medicaid
Type of Ownership For Profit - Corporation  56.7% Nursing Homes USA have For profit - Corporation
Located Within a Hospital? No  93.6% Nursing Homes USA don't have Located Within a Hospital?
Multi Nursing Home Ownership? Yes  54.9% Nursing Homes USA have Multi Nursing Home Ownership?
Resident and Family Councils RESIDENT   66% Nursing Homes USA have RESIDENT
Continuing Care Retirement Community? No  90.9% Nursing Homes USA don't have Continuing Care Retirement Community?
Quality Indicator Survey? No  68.7% Nursing Homes USA don't have Quality Indicator Survey?
Special Focus Facility? No  99% Nursing Homes USA don't have Special Focus Facility?
Civil Money Penalty Count
58.16
Total Enforcement Actions Count
56.31
# of deficiencies
12 
7.48
Staff Information
Number of Residents
57 
91.38
Number of RN Hours Per Resident Per Day
0.93 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.7 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.63 
1.59
Number of CNA Hours Per Resident Per Day
0.06 
5.49
Number Therapy Hours Per Resident Per Day
0.06 
0.10
Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 06/23/2011
date Of Correction: 07/29/2011 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: 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: 06/23/2011
date Of Correction: 07/29/2011 
Deficiency #3 Scope: Few
level Of Harm: 4
deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.
survey Date: 12/13/2010
date Of Correction: 12/29/2010 
Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: 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: 12/13/2010
date Of Correction: 12/29/2010 
Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 4
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 12/13/2010
date Of Correction: 12/29/2010 
Deficiency #2 Scope: Few
level Of Harm: 4
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 12/13/2010
date Of Correction: 12/29/2010 
Deficiency #3 Scope: Few
level Of Harm: 3
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 12/13/2010
date Of Correction: 12/29/2010 
Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 12/13/2010
date Of Correction: 12/29/2010 
Resident Assessment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.
survey Date: 12/13/2010
date Of Correction: 12/29/2010 
Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 12/13/2010
date Of Correction: 12/29/2010 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Choose A Doctor To Serve As The Medical Director To Create Resident Care Policies And Coordinate Medical Care In The Facility.
survey Date: 12/13/2010
date Of Correction: 12/29/2010 
Deficiency #3 Scope: Few
level Of Harm: 3
deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .
survey Date: 12/13/2010
date Of Correction: 12/29/2010 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
20.8 %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased
75.2 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain
30.9 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
4.7 %
12.58 %
Percent of long-stay residents who lose too much weight
3.8 %
11.83 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
2 %
15.63 %
Percent of long-stay residents with a urinary tract infection
3.5 %
13.46 %
Percent of long-stay residents who have depressive symptoms
8.5 %
28.38 %
Percent of long-stay residents who were physically restrained
75.2 %
43.68 %
Percent of short-stay residents who self-report moderate to severe pain
38.9 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
81.4 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
84.1 %
83.94 %
Percent of short-stay residents who newly received an antipsychotic medication
75.2 
45.90
Percent of long-stay residents experiencing one or more falls with major injury
1.7 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication 23.8:1 % 
Percent of long-stay residents whose need for help with daily activities has increased
75.2 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
35.2 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
6.4 %
9.22 %
Percent of long-stay residents who lose too much weight
4.5 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
53.7 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
2.4 %
10.65 %
Percent of long-stay residents with a urinary tract infection
8.8 %
9.58 %
Percent of long-stay residents who have depressive symptoms
12.7 %
19.86 %
Percent of long-stay residents who were physically restrained
75.2 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
4.5 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
31.6 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
74.7 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
60.8 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
2.8 %
17.34 %

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