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COVINGTON MANOR HEALTH AND REHABILITATION CENTER

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COVINGTON MANOR HEALTH AND REHABILITATION CENTER VS
Nursing Homes USA
General
City FORT WAYNE   0.1% Nursing Homes USA have FORT WAYNE
State attribute explanation IN   3.1% Nursing Homes USA have IN
Street 5700 WILKIE DR  
Zip Code 46804  
Phone 2604327556  
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
149 
108.94
Total Number of Residents
134 
91.25
Percent of Occupied Beds
90 %
83.65 %
Health Survey Date 1/13/2012  
Fire Survey Date 1/20/2012  
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
27 
7.48
Staff Information
Number of Residents
134 
91.38
Number of RN Hours Per Resident Per Day
0.55 
0.77
Number of LPN/LVN Hours Per Resident Per Day
1.1 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.64 
1.59
Number of CNA Hours Per Resident Per Day
0.11 
5.49
Number Therapy Hours Per Resident Per Day
0.11 
0.10
Environmental Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 01/13/2012
date Of Correction: 02/29/2012 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 08/05/2011
date Of Correction: 08/30/2011 
Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment.
survey Date: 06/19/2009
date Of Correction: 07/17/2009 
Resident Rights Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Listen To The Resident Or Family Groups Or Act On Their Complaints Or Suggestions.
survey Date: 01/13/2012
date Of Correction: 02/29/2012 
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: 12/21/2011
date Of Correction: 02/29/2012 
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: 06/14/2011
date Of Correction: 07/01/2011 
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: 06/05/2012
date Of Correction: 06/22/2012 
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: 01/13/2012
date Of Correction: 02/29/2012 
Deficiency #3 Scope: Few
level Of Harm: 3
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 12/21/2011
date Of Correction: 02/29/2012 
Deficiency #4 Scope: Few
level Of Harm: 3
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 12/21/2011
date Of Correction: 02/29/2012 
Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 12/21/2011
date Of Correction: 02/29/2012 
Deficiency #6 Scope: Some
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: 08/05/2011
date Of Correction: 08/30/2011 
Deficiency #7 Scope: Some
level Of Harm: 2
deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.
survey Date: 08/05/2011
date Of Correction: 08/30/2011 
Deficiency #8 Scope: Some
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 08/05/2011
date Of Correction: 08/30/2011 
Deficiency #9 Scope: Few
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 06/14/2011
date Of Correction: 07/01/2011 
Deficiency #10 Scope: Few
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 05/09/2011
date Of Correction: 05/23/2011 
Deficiency #11 Scope: Few
level Of Harm: 3
deficiency: Give Each Resident Enough Fluids To Keep Them Healthy And Prevent Dehydration.
survey Date: 01/13/2011
date Of Correction: 02/11/2011 
Deficiency #12 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: 09/15/2010
date Of Correction: 10/01/2010 
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: 06/19/2009
date Of Correction: 07/17/2009 
Deficiency #14 Scope: Few
level Of Harm: 2
deficiency: Provide Activities To Meet The Interests And Needs Of Each Resident.
survey Date: 06/19/2009
date Of Correction: 07/17/2009 
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: 08/05/2011
date Of Correction: 08/30/2011 
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: 06/14/2011
date Of Correction: 07/01/2011 
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: 06/19/2009
date Of Correction: 07/17/2009 
Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.
survey Date: 06/19/2009
date Of Correction: 07/17/2009 
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: 06/05/2012
date Of Correction: 06/22/2012 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Quickly Tell The Resident's Doctor The Results Of Lab Tests.
survey Date: 06/05/2012
date Of Correction: 06/22/2012 
Deficiency #3 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: 06/05/2012
date Of Correction: 06/22/2012 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
32.7 (90.9) %
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 self-report moderate to severe pain
4.2 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
5.9 %
12.58 %
Percent of long-stay residents who lose too much weight
7.4 %
11.83 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
58.2 %
44.54 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
6.4 %
15.63 %
Percent of long-stay residents with a urinary tract infection
75.2 %
13.46 %
Percent of long-stay residents who have depressive symptoms
75.2 %
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
7.3 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
75.1 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
74.3 %
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
2 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
35.5 %
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
4.4 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
3.3 %
9.22 %
Percent of long-stay residents who lose too much weight
5.4 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
58.8 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.2 %
10.65 %
Percent of long-stay residents with a urinary tract infection
3 %
9.58 %
Percent of long-stay residents who have depressive symptoms
1 %
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
1.3 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
7.6 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
80.6 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
81.9 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
18.9 %
17.34 %

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