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CADIA REHABILITATION PIKE CREEK

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CADIA REHABILITATION PIKE CREEK 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 3540 THREE LITTLE BAKERS BLVD  
Zip Code 19808  
Phone 3024550808  
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
130 
108.94
Total Number of Residents
114 
91.25
Percent of Occupied Beds
88 %
83.65 %
Health Survey Date 8/31/2011  
Fire Survey Date 8/30/2011  
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
58.16
Total Enforcement Actions Count
56.31
# of deficiencies 26  
Staff Information
Number of Residents
114 
91.38
Number of RN Hours Per Resident Per Day
0.94 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.85 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.79 
1.59
Number of CNA Hours Per Resident Per Day
0.17 
5.49
Number Therapy Hours Per Resident Per Day
0.17 
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: 03/01/2011
date Of Correction: 05/26/2011 
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: 08/17/2011
date Of Correction: 12/06/2011 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 03/01/2011
date Of Correction: 05/26/2011 
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: 03/01/2011
date Of Correction: 05/26/2011 
Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Keep Each Resident's Personal And Medical Records Private And Confidential.
survey Date: 08/17/2011
date Of Correction: 12/06/2011 
Deficiency #2 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: 08/17/2011
date Of Correction: 12/06/2011 
Deficiency #3 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: 03/01/2011
date Of Correction: 05/26/2011 
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: 02/03/2012
date Of Correction: 05/01/2012 
Deficiency #2 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: 02/03/2012
date Of Correction: 05/01/2012 
Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 02/03/2012
date Of Correction: 05/01/2012 
Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Properly Care For Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, And Prostheses.
survey Date: 08/17/2011
date Of Correction: 12/06/2011 
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: 08/17/2011
date Of Correction: 12/06/2011 
Deficiency #6 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 08/17/2011
date Of Correction: 12/06/2011 
Deficiency #7 Scope: Few
level Of Harm: 3
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 03/01/2011
date Of Correction: 05/26/2011 
Deficiency #8 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So.
survey Date: 07/13/2010
date Of Correction: 09/08/2010 
Deficiency #9 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Each Resident Who Enters The Nursing Home Without A Catheter Is Not Given A Catheter, And Receive Proper Services To Prevent Urinary Tract Infections And Restore Normal Bladder Function.
survey Date: 07/13/2010
date Of Correction: 09/08/2010 
Deficiency #10 Scope: Few
level Of Harm: 3
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 07/13/2010
date Of Correction: 09/08/2010 
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: 07/13/2010
date Of Correction: 09/08/2010 
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: 07/13/2010
date Of Correction: 09/08/2010 
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: 08/17/2011
date Of Correction: 12/06/2011 
Deficiency #2 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: 08/17/2011
date Of Correction: 12/06/2011 
Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 03/01/2011
date Of Correction: 05/26/2011 
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: 07/13/2010
date Of Correction: 09/08/2010 
Pharmacy Service Deficiencies
Deficiency #1 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: 08/17/2011
date Of Correction: 12/06/2011 
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: 08/17/2011
date Of Correction: 12/06/2011 
Deficiency #3 Scope: Few
level Of Harm: 3
deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.
survey Date: 08/17/2011
date Of Correction: 12/06/2011 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
14.9-28 %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased
1 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain
24.3 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
13.3 %
12.58 %
Percent of long-stay residents who lose too much weight
1.4 %
11.83 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
6.3 %
15.63 %
Percent of long-stay residents with a urinary tract infection
8.2 %
13.46 %
Percent of long-stay residents who have depressive symptoms
11.5 %
28.38 %
Percent of long-stay residents who were physically restrained
4.1 %
43.68 %
Percent of short-stay residents who self-report moderate to severe pain
22.7 (72.9) %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
90.9 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
91.8 %
83.94 %
Percent of short-stay residents who newly received an antipsychotic medication
2.1 %
45.90 %
Percent of long-stay residents experiencing one or more falls with major injury
1.4 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
14.9-28 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
0.5 - 2.0 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
28.9 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
15.1 %
9.22 %
Percent of long-stay residents who lose too much weight
1.9 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
34.6 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.5 %
10.65 %
Percent of long-stay residents with a urinary tract infection
5.1 %
9.58 %
Percent of long-stay residents who have depressive symptoms 10.1:1 % 
Percent of long-stay residents who were physically restrained
2.3 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
0.5 - 2.0 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
19.3 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
91.9 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
91.1 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
2.20 %
17.34 %

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