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CADBURY AT LEWES

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CADBURY AT LEWES VS
Nursing Homes USA
General
City Lewes  0% Nursing Homes USA have Lewes
State attribute explanation DE   0.3% Nursing Homes USA have DE
Street 17028 CADBURY CIRCLE  
Zip Code 19958  
Phone 3026456400  
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
40 
108.94
Total Number of Residents
33 
91.25
Percent of Occupied Beds
83 %
83.65 %
Health Survey Date 6/15/2011  
Fire Survey Date 6/20/2011  
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? No  45.1% Nursing Homes USA don't have Multi Nursing Home Ownership?
Resident and Family Councils RESIDENT   66% Nursing Homes USA have RESIDENT
Continuing Care Retirement Community? Yes  9.1% Nursing Homes USA 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 7  
Staff Information
Number of Residents
33 
91.38
Number of RN Hours Per Resident Per Day
1.64 
0.77
Number of LPN/LVN Hours Per Resident Per Day
1.29 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
2.94 
1.59
Number of CNA Hours Per Resident Per Day
0.35 
5.49
Number Therapy Hours Per Resident Per Day
0.35 
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: 06/25/2010
date Of Correction: 08/26/2010 
Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 06/25/2010
date Of Correction: 08/26/2010 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 06/25/2010
date Of Correction: 08/26/2010 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 09/02/2009
date Of Correction: 09/17/2009 
Resident Assessment Deficiencies
Deficiency #1 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: 06/25/2010
date Of Correction: 08/26/2010 
Pharmacy Service Deficiencies
Deficiency #1 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: 05/21/2012
date Of Correction: 08/01/2012 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.
survey Date: 09/02/2009
date Of Correction: 09/17/2009 
Quality Measures Q1
Percent of long-stay residents whose need for help with daily activities has increased
75.2 %
32.95 %
Percent of short-stay residents who self-report moderate to severe pain 12.3:1 % 
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
95.1 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
93.8 %
83.94 %
Percent of short-stay residents who newly received an antipsychotic medication
75.2 %
45.90 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
15.1 %
25.39 %
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
11.9 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
1.8 %
9.22 %
Percent of long-stay residents who lose too much weight
4.4 %
8.50 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.8 %
10.65 %
Percent of long-stay residents with a urinary tract infection 19.1:1 % 
Percent of long-stay residents who have depressive symptoms 18.1:1 % 
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
11.1 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
16.5 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
96.9 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
97.4 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
34.5 %
17.34 %

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