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General |
| City |
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WINTER GARDEN |
0% Nursing Homes USA have WINTER GARDEN |
| State attribute explanation |
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FL |
4.4% Nursing Homes USA have FL
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| Street |
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15204 W COLONIAL DR |
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| Zip Code |
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34787 |
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| Phone |
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4078772394 |
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| Overall Star Rating |
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| Health Inspections Star Rating |
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| Nurse Staffing Star Rating |
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| Quality Measures Star Rating |
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| RN Only Star Rating |
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| Number of Certified Beds |
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| Total Number of Residents |
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| Percent of Occupied Beds |
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| Health Survey Date |
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4/13/2012 |
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| Fire Survey Date |
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4/10/2012 |
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| Sprinkler Status |
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Fully Sprinklered |
90.2% Nursing Homes USA have Fully Sprinklered |
| Program Participation |
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Medicare And Medicaid |
91.5% Nursing Homes USA have Medicare and Medicaid
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| Type of Ownership |
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For Profit - Corporation |
56.7% Nursing Homes USA have For profit - Corporation
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| Located Within a Hospital? |
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No |
93.6% Nursing Homes USA don't have Located Within a Hospital?
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| Multi Nursing Home Ownership? |
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Yes |
54.9% Nursing Homes USA have Multi Nursing Home Ownership? |
| Resident and Family Councils |
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Both |
29.8% Nursing Homes USA have Both |
| Continuing Care Retirement Community? |
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No |
90.9% Nursing Homes USA don't have Continuing Care Retirement Community? |
| Quality Indicator Survey? |
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Yes |
31.3% Nursing Homes USA have Quality Indicator Survey? |
| Special Focus Facility? |
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No |
99% Nursing Homes USA don't have Special Focus Facility? |
| Civil Money Penalty Count |
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| Total Enforcement Actions Count |
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| # of deficiencies |
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24 |
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Staff Information |
| Number of Residents |
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| Number of RN Hours Per Resident Per Day |
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| Number of LPN/LVN Hours Per Resident Per Day |
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| Total Number of Licensed Staff Hours Per Resident Per Day |
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| Number of CNA Hours Per Resident Per Day |
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| Number Therapy Hours Per Resident Per Day |
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Environmental Deficiencies |
| Deficiency #1 |
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Scope: Few
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 04/13/2012
date Of Correction: 05/13/2012 |
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| Deficiency #2 |
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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: 04/13/2012
date Of Correction: 05/13/2012 |
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| Deficiency #3 |
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Scope: Some
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: 01/24/2012
date Of Correction: 02/24/2012 |
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| Deficiency #4 |
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Scope: Some
level Of Harm: 2
deficiency: Keep All Essential Equipment Working Safely.
survey Date: 08/03/2010
date Of Correction: 09/13/2010 |
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| Deficiency #5 |
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Scope: Some
level Of Harm: 2
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 08/03/2010
date Of Correction: 09/13/2010 |
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Resident Rights Deficiencies |
| Deficiency #1 |
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Scope: Few
level Of Harm: 2
deficiency: Provide Enough Notice Before Discharging Or Transferring A Resident.
survey Date: 11/03/2011
date Of Correction: 12/06/2011 |
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| Deficiency #2 |
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Scope: Few
level Of Harm: 2
deficiency: Keep Each Resident's Personal And Medical Records Private And Confidential.
survey Date: 11/15/2010
date Of Correction: 12/27/2010 |
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| Deficiency #3 |
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Scope: Few
level Of Harm: 2
deficiency: Notify The Resident Or Provide Reasons For A Transfer Or Discharge.
survey Date: 06/30/2009
date Of Correction: 08/10/2009 |
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Quality Care Deficiencies |
| Deficiency #1 |
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Scope: Few
level Of Harm: 2
deficiency: Have Enough Nurses To Care For Every Resident In A Way That Maximizes The Resident's Well Being.
survey Date: 04/13/2012
date Of Correction: 05/13/2012 |
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| Deficiency #2 |
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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: 06/21/2011
date Of Correction: 07/18/2011 |
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| Deficiency #3 |
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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: 03/18/2011
date Of Correction: 04/26/2011 |
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| Deficiency #4 |
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Scope: Few
level Of Harm: 2
deficiency: Give Proper Treatment To Residents With Feeding Tubes To Prevent Problems (such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-pharyngeal Ulcers) And Help Restore Eating Skills, If Possible.
survey Date: 03/18/2011
date Of Correction: 04/26/2011 |
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| Deficiency #5 |
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Scope: Few
level Of Harm: 2
deficiency: Give Or Get Emergency Care By A Doctor 24 Hours A Day.
survey Date: 12/02/2010
date Of Correction: 01/02/2011 |
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| Deficiency #6 |
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Scope: Few
level Of Harm: 3
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 12/02/2010
date Of Correction: 01/02/2011 |
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| Deficiency #7 |
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Scope: Few
level Of Harm: 2
deficiency: Give The Right Treatment And Services To Residents Who Have Mental Or Psychosocial Problems Adjusting.
survey Date: 11/15/2010
date Of Correction: 12/27/2010 |
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| Deficiency #8 |
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Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 09/24/2009
date Of Correction: 11/03/2009 |
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Resident Assessment Deficiencies |
| Deficiency #1 |
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Scope: Few
level Of Harm: 2
deficiency: Make Sure Each Resident Receives An Accurate Assessment By A Qualified Health Professional.
survey Date: 04/13/2012
date Of Correction: 05/13/2012 |
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| Deficiency #2 |
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Scope: Few
level Of Harm: 2
deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.
survey Date: 04/13/2012
date Of Correction: 05/13/2012 |
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Administration Deficiencies |
| Deficiency #1 |
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Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 03/18/2011
date Of Correction: 04/26/2011 |
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| Deficiency #2 |
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Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 12/02/2010
date Of Correction: 01/02/2011 |
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Pharmacy Service Deficiencies |
| Deficiency #1 |
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Scope: Few
level Of Harm: 2
deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.
survey Date: 11/15/2010
date Of Correction: 12/27/2010 |
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| Deficiency #2 |
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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: 11/15/2010
date Of Correction: 12/27/2010 |
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| Deficiency #3 |
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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: 09/09/2009
date Of Correction: 10/14/2009 |
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| Deficiency #4 |
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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: 09/09/2009
date Of Correction: 10/14/2009 |
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Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
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| Percent of long-stay residents whose need for help with daily activities has increased |
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| Percent of long-stay residents who self-report moderate to severe pain |
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19.4:1 % |
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| Percent of long-stay high-risk residents with pressure ulcers |
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11.6:1 % |
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| Percent of long-stay residents who lose too much weight |
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| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
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| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
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| Percent of long-stay residents with a urinary tract infection |
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10.7:1 % |
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| Percent of long-stay residents who have depressive symptoms |
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| Percent of long-stay residents who were physically restrained |
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| Percent of short-stay residents who self-report moderate to severe pain |
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| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
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| Percent of short-stay residents with Pressure ulcers that are new or worsened |
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| Percent of short-stay residents who newly received an antipsychotic medication |
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| Percent of long-stay residents experiencing one or more falls with major injury |
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2.6 / 3 % |
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Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
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| Percent of long-stay residents whose need for help with daily activities has increased |
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| Percent of long-stay residents who self-report moderate to severe pain |
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18.1:1 % |
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| Percent of long-stay high-risk residents with pressure ulcers |
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12.6:1 % |
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| Percent of long-stay residents who lose too much weight |
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| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
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| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
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| Percent of long-stay residents with a urinary tract infection |
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| Percent of long-stay residents who have depressive symptoms |
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| Percent of long-stay residents who were physically restrained |
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| Percent of long-stay residents experiencing one or more falls with major injury |
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| Percent of short-stay residents who self-report moderate to severe pain |
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| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
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| Percent of short-stay residents with Pressure ulcers that are new or worsened |
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| Percent of short-stay residents who newly received an antipsychotic medication |
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