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General |
| City |
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MILLSBORO |
0% Nursing Homes USA have MILLSBORO |
| State attribute explanation |
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DE |
0.3% Nursing Homes USA have DE
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| Street |
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231 SOUTH WASHINGTON STREET |
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| Zip Code |
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19966 |
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| Phone |
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3029347300 |
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| Overall Star Rating |
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| Health Inspections Star Rating |
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| Nurse Staffing Star Rating |
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| Quality Measures Star Rating |
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| RN Only Star Rating |
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| Number of Certified Beds |
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| Total Number of Residents |
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| Percent of Occupied Beds |
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| Health Survey Date |
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11/22/2011 |
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| Fire Survey Date |
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11/16/2011 |
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| Sprinkler Status |
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Fully Sprinklered |
90.2% Nursing Homes USA have Fully Sprinklered |
| Program Participation |
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Medicare And Medicaid |
91.5% Nursing Homes USA have Medicare and Medicaid
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| Type of Ownership |
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For Profit - Corporation |
56.7% Nursing Homes USA have For profit - Corporation
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| Located Within a Hospital? |
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No |
93.6% Nursing Homes USA don't have Located Within a Hospital?
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| Multi Nursing Home Ownership? |
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No |
45.1% Nursing Homes USA don't have Multi Nursing Home Ownership? |
| Resident and Family Councils |
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RESIDENT |
66% Nursing Homes USA have RESIDENT |
| Continuing Care Retirement Community? |
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No |
90.9% Nursing Homes USA don't have Continuing Care Retirement Community? |
| Quality Indicator Survey? |
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Yes |
31.3% Nursing Homes USA have Quality Indicator Survey? |
| Special Focus Facility? |
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Yes |
1% Nursing Homes USA have Special Focus Facility? |
| Civil Money Penalty Count |
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| Total Enforcement Actions Count |
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| # of deficiencies |
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44 |
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Staff Information |
| Number of Residents |
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| Number of RN Hours Per Resident Per Day |
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| Number of LPN/LVN Hours Per Resident Per Day |
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| Total Number of Licensed Staff Hours Per Resident Per Day |
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| Number of CNA Hours Per Resident Per Day |
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| Number Therapy Hours Per Resident Per Day |
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Environmental Deficiencies |
| Deficiency #1 |
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Scope: Few
level Of Harm: 2
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 05/10/2012
date Of Correction: 06/22/2012 |
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| Deficiency #2 |
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Scope: Few
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 11/22/2011
date Of Correction: 01/31/2012 |
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| Deficiency #3 |
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Scope: Some
level Of Harm: 2
deficiency: Provide Bedrooms That Don't Allow Residents To See Each Other When Privacy Is Needed.
survey Date: 03/11/2011
date Of Correction: 06/07/2011 |
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| Deficiency #4 |
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Scope: Many
level Of Harm: 2
deficiency: Make Sure There Is A Pest Control Program To Prevent/deal With Mice, Insects, Or Other Pests.
survey Date: 07/14/2009
date Of Correction: 09/29/2009 |
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| Deficiency #5 |
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Scope: Few
level Of Harm: 2
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 07/14/2009
date Of Correction: 09/29/2009 |
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Mistreatment Deficiencies |
| Deficiency #1 |
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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: 05/10/2012
date Of Correction: 06/22/2012 |
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| Deficiency #2 |
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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: 03/11/2011
date Of Correction: 06/07/2011 |
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| Deficiency #3 |
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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: 03/22/2010
date Of Correction: 06/16/2010 |
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| Deficiency #4 |
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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: 08/28/2009
date Of Correction: 09/11/2009 |
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| Deficiency #5 |
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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: 07/14/2009
date Of Correction: 09/29/2009 |
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Resident Rights Deficiencies |
| Deficiency #1 |
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Scope: Some
level Of Harm: 2
deficiency: Properly Hold, Secure And Manage Each Resident's Personal Money Which Is Deposited With The Nursing Home.
survey Date: 01/04/2012
date Of Correction: 02/17/2012 |
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| Deficiency #2 |
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Scope: Few
level Of Harm: 2
deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.
survey Date: 11/22/2011
date Of Correction: 01/31/2012 |
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| Deficiency #3 |
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Scope: Few
level Of Harm: 2
deficiency: Determine If It Is Safe For The Resident To Self-administer Drugs.
survey Date: 11/22/2011
date Of Correction: 01/31/2012 |
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| Deficiency #4 |
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Scope: Few
level Of Harm: 2
deficiency: Keep Each Resident's Personal And Medical Records Private And Confidential.
survey Date: 11/22/2011
date Of Correction: 01/31/2012 |
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| Deficiency #5 |
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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: 11/22/2011
date Of Correction: 01/31/2012 |
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| Deficiency #6 |
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Scope: Few
level Of Harm: 2
deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.
survey Date: 03/11/2011
date Of Correction: 06/07/2011 |
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| Deficiency #7 |
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Scope: Few
level Of Harm: 2
deficiency: Try To Resolve Each Resident's Complaints Quickly.
survey Date: 03/11/2011
date Of Correction: 06/07/2011 |
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| Deficiency #8 |
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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: 07/16/2010
date Of Correction: 10/14/2010 |
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| Deficiency #9 |
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Scope: Few
level Of Harm: 2
deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.
survey Date: 03/22/2010
date Of Correction: 06/16/2010 |
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| Deficiency #10 |
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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: 03/22/2010
date Of Correction: 06/16/2010 |
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Quality Care Deficiencies |
| Deficiency #1 |
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Scope: Few
level Of Harm: 2
deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So.
survey Date: 11/22/2011
date Of Correction: 01/31/2012 |
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| Deficiency #2 |
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Scope: Few
level Of Harm: 2
deficiency: 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: 11/22/2011
date Of Correction: 01/31/2012 |
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| Deficiency #3 |
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Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 11/22/2011
date Of Correction: 01/31/2012 |
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| Deficiency #4 |
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Scope: Few
level Of Harm: 3
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 03/11/2011
date Of Correction: 06/07/2011 |
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| Deficiency #5 |
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Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 03/11/2011
date Of Correction: 06/07/2011 |
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| Deficiency #6 |
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Scope: Few
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 03/11/2011
date Of Correction: 06/07/2011 |
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| Deficiency #7 |
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Scope: Few
level Of Harm: 2
deficiency: 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: 07/16/2010
date Of Correction: 10/14/2010 |
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| Deficiency #8 |
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Scope: Few
level Of Harm: 3
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 07/16/2010
date Of Correction: 10/14/2010 |
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| Deficiency #9 |
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Scope: Few
level Of Harm: 3
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 03/22/2010
date Of Correction: 06/16/2010 |
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| Deficiency #10 |
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Scope: Some
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 03/22/2010
date Of Correction: 06/16/2010 |
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| Deficiency #11 |
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Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 08/28/2009
date Of Correction: 09/11/2009 |
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Resident Assessment Deficiencies |
| Deficiency #1 |
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Scope: Few
level Of Harm: 2
deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan.
survey Date: 11/22/2011
date Of Correction: 01/31/2012 |
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| Deficiency #2 |
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Scope: Few
level Of Harm: 2
deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.
survey Date: 11/22/2011
date Of Correction: 01/31/2012 |
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| Deficiency #3 |
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Scope: Few
level Of Harm: 2
deficiency: Make Sure Each Resident Receives An Accurate Assessment By A Qualified Health Professional.
survey Date: 03/11/2011
date Of Correction: 06/07/2011 |
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| Deficiency #4 |
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Scope: Few
level Of Harm: 2
deficiency: Make Sure That Doctors See A Resident's Plan Of Care At Every Visit And Make Notes About Progress And Orders In Writing.
survey Date: 03/22/2010
date Of Correction: 06/16/2010 |
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| Deficiency #5 |
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Scope: Few
level Of Harm: 2
deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan.
survey Date: 03/22/2010
date Of Correction: 06/16/2010 |
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| Deficiency #6 |
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Scope: Few
level Of Harm: 2
deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.
survey Date: 03/22/2010
date Of Correction: 06/16/2010 |
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Administration Deficiencies |
| Deficiency #1 |
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Scope: Few
level Of Harm: 2
deficiency: Make Sure That Nurse Aides Show They Have The Skills And Techniques To Be Able To Care For Residents' Needs.
survey Date: 11/22/2011
date Of Correction: 01/31/2012 |
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Pharmacy Service Deficiencies |
| Deficiency #1 |
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Scope: Few
level Of Harm: 2
deficiency: 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: 11/22/2011
date Of Correction: 01/31/2012 |
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| Deficiency #2 |
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Scope: Some
level Of Harm: 2
deficiency: Keep The Rate Of Medication Errors (wrong Drug, Wrong Dose, Wrong Time) To Less Than 5%.
survey Date: 03/11/2011
date Of Correction: 06/07/2011 |
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| Deficiency #3 |
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Scope: Few
level Of Harm: 2
deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.
survey Date: 07/16/2010
date Of Correction: 10/14/2010 |
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| Deficiency #4 |
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Scope: Few
level Of Harm: 2
deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.
survey Date: 03/22/2010
date Of Correction: 06/16/2010 |
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Nutrition and Dietary Deficiencies |
| Deficiency #1 |
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Scope: Many
level Of Harm: 2
deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.
survey Date: 07/16/2010
date Of Correction: 10/14/2010 |
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| Deficiency #2 |
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Scope: Few
level Of Harm: 2
deficiency: Provide Food In A Way That Meets A Resident's Needs.
survey Date: 03/22/2010
date Of Correction: 06/16/2010 |
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Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
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| Percent of long-stay residents whose need for help with daily activities has increased |
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| Percent of long-stay residents who self-report moderate to severe pain |
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| Percent of long-stay high-risk residents with pressure ulcers |
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| Percent of long-stay residents who lose too much weight |
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10.1:1 % |
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| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
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| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
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| Percent of long-stay residents with a urinary tract infection |
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| Percent of long-stay residents who have depressive symptoms |
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| Percent of long-stay residents who were physically restrained |
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| Percent of short-stay residents who self-report moderate to severe pain |
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17.1:1 % |
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| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
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| Percent of short-stay residents with Pressure ulcers that are new or worsened |
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| Percent of short-stay residents who newly received an antipsychotic medication |
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| Percent of long-stay residents experiencing one or more falls with major injury |
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Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
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| Percent of long-stay residents whose need for help with daily activities has increased |
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| Percent of long-stay residents who self-report moderate to severe pain |
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| Percent of long-stay high-risk residents with pressure ulcers |
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| Percent of long-stay residents who lose too much weight |
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| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
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| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
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| Percent of long-stay residents with a urinary tract infection |
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| Percent of long-stay residents who have depressive symptoms |
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| Percent of long-stay residents who were physically restrained |
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| Percent of long-stay residents experiencing one or more falls with major injury |
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| Percent of short-stay residents who self-report moderate to severe pain |
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| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
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| Percent of short-stay residents with Pressure ulcers that are new or worsened |
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| Percent of short-stay residents who newly received an antipsychotic medication |
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18.2:1 % |
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