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COLUMBUS NURSING & REHAB CTR

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COLUMBUS NURSING & REHAB CTR VS
Nursing Homes USA
General
City Columbus  0.4% Nursing Homes USA have Columbus
State attribute explanation WI   2.5% Nursing Homes USA have WI
Street 825 WESTERN AVE  
Zip Code 53925  
Phone 9206232520  
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
50 
108.94
Total Number of Residents
40 
91.25
Percent of Occupied Beds
80 %
83.65 %
Health Survey Date 12/19/2011  
Fire Survey Date 12/14/2011  
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? No  68.7% Nursing Homes USA don't 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
13 
7.48
Staff Information
Number of Residents
40 
91.38
Number of RN Hours Per Resident Per Day
0.82 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.71 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.53 
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: Some
level Of Harm: 2
deficiency: Make Sure That The Nursing Home Area Is Safe, Easy To Use, Clean And Comfortable For Residents, Staff And The Public.
survey Date: 08/31/2010
date Of Correction: 10/01/2010 
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: 05/24/2010
date Of Correction: 06/24/2010 
Mistreatment Deficiencies
Deficiency #1 Scope: Some
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: 08/31/2010
date Of Correction: 10/01/2010 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.
survey Date: 08/31/2010
date Of Correction: 10/01/2010 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 05/24/2010
date Of Correction: 06/24/2010 
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: 05/24/2010
date Of Correction: 06/24/2010 
Deficiency #5 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: 06/23/2009
date Of Correction: 07/23/2009 
Resident Rights Deficiencies
Deficiency #1 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: 08/31/2010
date Of Correction: 10/01/2010 
Quality Care Deficiencies
Deficiency #1 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: 08/31/2010
date Of Correction: 10/01/2010 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 05/24/2010
date Of Correction: 06/24/2010 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 06/23/2009
date Of Correction: 07/23/2009 
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: 06/23/2009
date Of Correction: 07/23/2009 
Pharmacy Service Deficiencies
Deficiency #1 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: 06/23/2009
date Of Correction: 07/23/2009 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
11.1 %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased
75.2 %
32.95 %
Percent of long-stay residents who lose too much weight 13.9 / 15.3 % 
Percent of long-stay residents who have had a catheter inserted and left in their bladder
75.2 %
15.63 %
Percent of long-stay residents with a urinary tract infection 5.6:1 % 
Percent of long-stay residents who have depressive symptoms
35.1 %
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
3.2 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
96.9 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
96.9 %
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
75.2 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
11.5 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
2 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
5 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
9 %
9.22 %
Percent of long-stay residents who lose too much weight
7.5 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
41.5 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.4 %
10.65 %
Percent of long-stay residents with a urinary tract infection
5.7 %
9.58 %
Percent of long-stay residents who have depressive symptoms
30.6 %
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
0.9 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain 5.6:1 % 
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
94.7 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
92.8 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
28.7 %
17.34 %

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