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BAYSHORE POINTE NURSING AND REHAB CENTER

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BAYSHORE POINTE NURSING AND REHAB CENTER VS
Nursing Homes USA
General
City TAMPA   0.1% Nursing Homes USA have TAMPA
State attribute explanation FL   4.4% Nursing Homes USA have FL
Street 3117 W GANDY BLVD  
Zip Code 33611  
Phone 8132615500  
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
117 
108.94
Total Number of Residents
107 
91.25
Percent of Occupied Beds
91 %
83.65 %
Health Survey Date 7/13/2012  
Fire Survey Date 7/11/2012  
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
75.2 
58.16
Total Enforcement Actions Count
75.2 
56.31
# of deficiencies 19  
Staff Information
Number of Residents
107 
91.38
Number of RN Hours Per Resident Per Day
0.79 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.89 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.68 
1.59
Number of CNA Hours Per Resident Per Day
0.19 
5.49
Number Therapy Hours Per Resident Per Day
0.19 
0.10
Environmental Deficiencies
Deficiency #1 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: 10/20/2010
date Of Correction: 11/12/2010 
Deficiency #2 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: 01/04/2010
date Of Correction: 01/29/2010 
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: 02/15/2012
date Of Correction: 03/15/2012 
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: 02/15/2012
date Of Correction: 03/15/2012 
Deficiency #3 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: 10/20/2010
date Of Correction: 11/12/2010 
Resident Rights Deficiencies
Deficiency #1 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: 06/24/2011
date Of Correction: 07/22/2011 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Try To Resolve Each Resident's Complaints Quickly.
survey Date: 08/04/2010
date Of Correction: 08/19/2010 
Quality Care Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 02/15/2012
date Of Correction: 03/15/2012 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 06/24/2011
date Of Correction: 07/22/2011 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 06/24/2011
date Of Correction: 07/22/2011 
Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 05/10/2011
date Of Correction: 05/29/2011 
Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 05/10/2011
date Of Correction: 05/29/2011 
Deficiency #6 Scope: Few
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 10/20/2010
date Of Correction: 11/12/2010 
Deficiency #7 Scope: Few
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 01/04/2010
date Of Correction: 01/29/2010 
Deficiency #8 Scope: Few
level Of Harm: 2
deficiency: Give Proper Treatment To Residents With Feeding Tubes To Prevent Problems (such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-pharyngeal Ulcers) And Help Restore Eating Skills, If Possible.
survey Date: 08/25/2009
date Of Correction: 09/25/2009 
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: 05/10/2011
date Of Correction: 05/29/2011 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 01/28/2011
date Of Correction: 02/28/2011 
Pharmacy Service Deficiencies
Deficiency #1 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: 01/04/2010
date Of Correction: 01/29/2010 
Deficiency #2 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: 05/28/2009
date Of Correction: 06/28/2009 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
21.5 %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased
1.2 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain
20.7 (69.3) %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
5.9 %
12.58 %
Percent of long-stay residents who lose too much weight
11.5 %
11.83 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
83 %
44.54 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.3 %
15.63 %
Percent of long-stay residents with a urinary tract infection
16.7 %
13.46 %
Percent of long-stay residents who have depressive symptoms 2.6 / 3 % 
Percent of long-stay residents who were physically restrained
1.3 %
43.68 %
Percent of short-stay residents who self-report moderate to severe pain
31.1 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
93.5 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
95.2 %
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
75.2 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
17.9 (64.2) %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
0.7 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
26.6 (79.9) %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
7.3 %
9.22 %
Percent of long-stay residents who lose too much weight 12.1:1 % 
Percent of long-stay low-risk residents who lose control of their bowels or bladder
79.7 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
4 %
10.65 %
Percent of long-stay residents with a urinary tract infection 13.9 / 15.3 % 
Percent of long-stay residents who have depressive symptoms
4.1 %
19.86 %
Percent of long-stay residents who were physically restrained
0.9 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
0.9 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
33.2 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
93.3 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
94 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
3.7 %
17.34 %

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