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BISHOPS GLEN RETIREMENT CENTER

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BISHOPS GLEN RETIREMENT CENTER VS
Nursing Homes USA
General
City HOLLY HILL   0% Nursing Homes USA have HOLLY HILL
State attribute explanation FL   4.4% Nursing Homes USA have FL
Street 900 LPGA BLVD  
Zip Code 32117  
Phone 3862269000  
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
60 
108.94
Total Number of Residents
54 
91.25
Percent of Occupied Beds
90 %
83.65 %
Health Survey Date 6/30/2011  
Fire Survey Date 7/6/2011  
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 Non Profit - Corporation  18.7% Nursing Homes USA have Non 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 FAMILY   0.3% Nursing Homes USA have FAMILY
Continuing Care Retirement Community? No  90.9% Nursing Homes USA don't have Continuing Care Retirement Community?
Quality Indicator Survey? Yes  31.3% Nursing Homes USA 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 2  
Staff Information
Number of Residents
54 
91.38
Number of RN Hours Per Resident Per Day
2.32 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.56 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
2.88 
1.59
Number of CNA Hours Per Resident Per Day
0.15 
5.49
Number Therapy Hours Per Resident Per Day
0.15 
0.10
Building Service Equipment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Properly Constructed Linen Or Trash Chutes.
survey Date: 11/29/2011
date Of Correction: 12/28/2011 
Smoke Compartmentation and Control Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Walls Or Barriers That Prevent Smoke From Passing Through And Would Resist Fire For At Least One Hour.
survey Date: 11/29/2011
date Of Correction: 12/28/2011 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
13.6-28 %
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
13 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
3 %
12.58 %
Percent of long-stay residents who lose too much weight
75.2 %
11.83 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
6.9 %
15.63 %
Percent of long-stay residents with a urinary tract infection 8.9 / 9.9 % 
Percent of long-stay residents who have depressive symptoms
75.2 %
28.38 %
Percent of long-stay residents who were physically restrained
4.4 %
43.68 %
Percent of short-stay residents who self-report moderate to severe pain
5.9 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
67.4 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
49.2 %
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 8.9 / 9.9 % 
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication 16.3:1 % 
Percent of long-stay residents whose need for help with daily activities has increased
0.4 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
14.8 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
6.3 %
9.22 %
Percent of long-stay residents who lose too much weight
2.4 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
73 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.3 %
10.65 %
Percent of long-stay residents with a urinary tract infection
8.7 %
9.58 %
Percent of long-stay residents who have depressive symptoms
0.8 %
19.86 %
Percent of long-stay residents who were physically restrained
5.5 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
7.1 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
5 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
67 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
42.6 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
3.7 %
17.34 %

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