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CADIA REHABILITATION CAPITOL

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CADIA REHABILITATION CAPITOL VS
Nursing Homes USA
General
City Dover  0.1% Nursing Homes USA have Dover
State attribute explanation DE   0.3% Nursing Homes USA have DE
Street 1225 WALKER ROAD  
Zip Code 19901  
Phone 3027341199  
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
120 
108.94
Total Number of Residents
109 
91.25
Percent of Occupied Beds
91 %
83.65 %
Health Survey Date 5/18/2011  
Fire Survey Date 5/19/2011  
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 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
75.2 
58.16
Total Enforcement Actions Count
75.2 
56.31
# of deficiencies 37  
Staff Information
Number of Residents
111 
91.38
Number of RN Hours Per Resident Per Day
0.62 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.87 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.50 
1.59
Number of CNA Hours Per Resident Per Day
0.09 
5.49
Number Therapy Hours Per Resident Per Day
0.09 
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: 01/11/2011
date Of Correction: 03/26/2011 
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: 12/02/2009
date Of Correction: 02/01/2010 
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: 11/30/2011
date Of Correction: 01/31/2012 
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: 04/25/2011
date Of Correction: 06/30/2011 
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: 09/30/2010
date Of Correction: 11/30/2010 
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: 12/02/2009
date Of Correction: 02/01/2010 
Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Try To Resolve Each Resident's Complaints Quickly.
survey Date: 09/30/2010
date Of Correction: 11/30/2010 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.
survey Date: 12/02/2009
date Of Correction: 02/01/2010 
Deficiency #3 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: 12/02/2009
date Of Correction: 02/01/2010 
Deficiency #4 Scope: Some
level Of Harm: 1
deficiency: Provide Access To A Telephone For Resident To Use In Private.
survey Date: 12/02/2009
date Of Correction: 02/01/2010 
Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Try To Resolve Each Resident's Complaints Quickly.
survey Date: 12/02/2009
date Of Correction: 02/01/2010 
Deficiency #6 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: 12/02/2009
date Of Correction: 02/01/2010 
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: 11/30/2011
date Of Correction: 01/31/2012 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 07/20/2011
date Of Correction: 09/07/2011 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Provide Medically-related Social Services To Help Each Resident Achieve The Highest Possible Quality Of Life.
survey Date: 04/25/2011
date Of Correction: 06/30/2011 
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: 01/11/2011
date Of Correction: 03/26/2011 
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: 01/11/2011
date Of Correction: 03/26/2011 
Deficiency #6 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 09/30/2010
date Of Correction: 11/30/2010 
Deficiency #7 Scope: Few
level Of Harm: 2
deficiency: Give The Right Treatment And Services To Residents Who Have Mental Or Psychosocial Problems Adjusting.
survey Date: 05/17/2010
date Of Correction: 09/15/2010 
Deficiency #8 Scope: Few
level Of Harm: 2
deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.
survey Date: 05/17/2010
date Of Correction: 07/09/2010 
Deficiency #9 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Residents Receive Treatment/services To Not Only Continue, But Improve The Ability To Care For Themselves.
survey Date: 05/17/2010
date Of Correction: 07/09/2010 
Deficiency #10 Scope: Few
level Of Harm: 3
deficiency: Give Each Resident Enough Fluids To Keep Them Healthy And Prevent Dehydration.
survey Date: 12/02/2009
date Of Correction: 02/01/2010 
Deficiency #11 Scope: Few
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 12/02/2009
date Of Correction: 02/01/2010 
Deficiency #12 Scope: Few
level Of Harm: 2
deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.
survey Date: 12/02/2009
date Of Correction: 02/01/2010 
Deficiency #13 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 12/02/2009
date Of Correction: 02/01/2010 
Deficiency #14 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 12/02/2009
date Of Correction: 02/01/2010 
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: 01/11/2011
date Of Correction: 03/26/2011 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Make Sure Each Resident Receives An Accurate Assessment By A Qualified Health Professional.
survey Date: 01/11/2011
date Of Correction: 03/26/2011 
Deficiency #3 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: 05/17/2010
date Of Correction: 07/09/2010 
Deficiency #4 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: 12/02/2009
date Of Correction: 02/01/2010 
Deficiency #5 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: 12/02/2009
date Of Correction: 02/01/2010 
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: 01/11/2011
date Of Correction: 03/26/2011 
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: 05/17/2010
date Of Correction: 07/09/2010 
Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.
survey Date: 05/17/2010
date Of Correction: 07/09/2010 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: At Least Once A Month, Have A Licensed Pharmacist Review Each Resident's Medication(s) And Report Any Irregularities To The Attending Doctor.
survey Date: 12/02/2009
date Of Correction: 02/01/2010 
Deficiency #3 Scope: Some
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: 12/02/2009
date Of Correction: 02/01/2010 
Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.
survey Date: 12/02/2009
date Of Correction: 02/01/2010 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
23.6 %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased
0.4 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain
1.50 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers 5.6:1 % 
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
2.4 %
15.63 %
Percent of long-stay residents with a urinary tract infection
2.3 %
13.46 %
Percent of long-stay residents who have depressive symptoms
2.20 %
28.38 %
Percent of long-stay residents who were physically restrained
1.1 %
43.68 %
Percent of short-stay residents who self-report moderate to severe pain
7.6 %
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
99.5 %
83.94 %
Percent of short-stay residents who newly received an antipsychotic medication
4.7 %
45.90 %
Percent of long-stay residents experiencing one or more falls with major injury
3.4 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
23.7 (74.7) %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
0.2 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
1.4 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
5.8 %
9.22 %
Percent of long-stay residents who lose too much weight
2.9 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
23.5 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
2.3 %
10.65 %
Percent of long-stay residents with a urinary tract infection
7.5 %
9.58 %
Percent of long-stay residents who have depressive symptoms
2.7 %
19.86 %
Percent of long-stay residents who were physically restrained
1.1 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
4.5 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
8.3 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
98.6 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
98.5 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
28.6 %
17.34 %

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