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BRANDYWINE NURSING & REHABILITATION CENTER

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BRANDYWINE NURSING & REHABILITATION CENTER VS
Nursing Homes USA
General
City WILMINGTON   0.2% Nursing Homes USA have WILMINGTON
State attribute explanation DE   0.3% Nursing Homes USA have DE
Street 505 GREENBANK ROAD  
Zip Code 19808  
Phone 3029980101  
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
169 
108.94
Total Number of Residents
160 
91.25
Percent of Occupied Beds
95 %
83.65 %
Health Survey Date 1/4/2012  
Fire Survey Date 1/4/2012  
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? 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
58.16
Total Enforcement Actions Count
56.31
# of deficiencies 22  
Staff Information
Number of Residents
160 
91.38
Number of RN Hours Per Resident Per Day
0.65 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.93 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.58 
1.59
Number of CNA Hours Per Resident Per Day
0.04 
5.49
Number Therapy Hours Per Resident Per Day
0.04 
0.10
Environmental Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 02/25/2011
date Of Correction: 05/24/2011 
Deficiency #2 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: 07/23/2009
date Of Correction: 08/25/2009 
Mistreatment Deficiencies
Deficiency #1 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: 12/21/2011
date Of Correction: 01/30/2012 
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: 02/25/2011
date Of Correction: 05/24/2011 
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: 05/28/2010
date Of Correction: 07/28/2010 
Deficiency #4 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: 09/09/2009
date Of Correction: 10/15/2009 
Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.
survey Date: 07/23/2009
date Of Correction: 08/25/2009 
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: 12/21/2011
date Of Correction: 01/30/2012 
Deficiency #2 Scope: Some
level Of Harm: 1
deficiency: Limit The Charges Against The Personal Funds Of A Resident For Items Or Services For Which Payment Is Made Under Medicare Or Medicaid.
survey Date: 12/21/2011
date Of Correction: 01/30/2012 
Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 12/21/2011
date Of Correction: 01/30/2012 
Deficiency #2 Scope: Few
level Of Harm: 3
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 12/21/2011
date Of Correction: 01/30/2012 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 12/21/2011
date Of Correction: 01/30/2012 
Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 05/28/2010
date Of Correction: 07/28/2010 
Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 10/15/2009
date Of Correction: 11/24/2009 
Resident Assessment Deficiencies
Deficiency #1 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: 12/21/2011
date Of Correction: 01/30/2012 
Deficiency #2 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: 10/15/2009
date Of Correction: 11/24/2009 
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: 12/21/2011
date Of Correction: 01/30/2012 
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: 12/21/2011
date Of Correction: 01/30/2012 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 02/25/2011
date Of Correction: 05/24/2011 
Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 05/28/2010
date Of Correction: 07/28/2010 
Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Give Or Get Quality Lab Services/tests In A Timely Manner To Meet The Needs Of Residents.
survey Date: 05/28/2010
date Of Correction: 07/28/2010 
Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.
survey Date: 05/28/2010
date Of Correction: 07/28/2010 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
29.9 %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased
3.3 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain
7.2 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
4.4 %
12.58 %
Percent of long-stay residents who lose too much weight 2.6 / 3 % 
Percent of long-stay low-risk residents who lose control of their bowels or bladder
48.4 %
44.54 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
3 %
15.63 %
Percent of long-stay residents with a urinary tract infection
11 %
13.46 %
Percent of long-stay residents who have depressive symptoms
6.4 %
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
4 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
100 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
100 %
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
1.9 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
29.3 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
3.2 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
6.3 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
4.4 %
9.22 %
Percent of long-stay residents who lose too much weight
3.9 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
45.7 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder 2.6 / 3 % 
Percent of long-stay residents with a urinary tract infection
11 %
9.58 %
Percent of long-stay residents who have depressive symptoms
7.8 %
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
3 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
11.3 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
96.2 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
99.3 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
6.8 %
17.34 %

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