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CUMBERLAND MEM HSPTL ECU

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CUMBERLAND MEM HSPTL ECU VS
Nursing Homes USA
General
Percent of short-stay residents with Pressure ulcers that are new or worsened 75.2 % 
City CUMBERLAND   0.1% Nursing Homes USA have CUMBERLAND
State attribute explanation WI   2.5% Nursing Homes USA have WI
Street 1110 7TH AVE  
Zip Code 54829  
Phone 7158226113  
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
41 
91.25
Percent of Occupied Beds
82 %
83.65 %
Health Survey Date 4/19/2012  
Fire Survey Date 4/24/2012  
Sprinkler Status Partially Sprinklered  8.5% Nursing Homes USA have Partially Sprinklered
Program Participation Medicare And Medicaid  91.5% Nursing Homes USA have Medicare and Medicaid
Type of Ownership Non Profit - Corporation  18.7% Nursing Homes USA have Non profit - Corporation
Located Within a Hospital? Yes  6.4% Nursing Homes USA have Located Within a Hospital?
Multi Nursing Home Ownership? No  45.1% Nursing Homes USA don't 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
75.2 
58.16
Total Enforcement Actions Count
75.2 
56.31
# of deficiencies
7.48
Staff Information
Number of Residents
41 
91.38
Number of RN Hours Per Resident Per Day
1.2 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.18 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.39 
1.59
Number of CNA Hours Per Resident Per Day
75.2 
5.49
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: 11/10/2011
date Of Correction: 12/10/2011 
Deficiency #2 Scope: Many
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 02/18/2011
date Of Correction: 03/14/2011 
Deficiency #3 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: 06/29/2009
date Of Correction: 07/29/2009 
Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 06/29/2009
date Of Correction: 07/29/2009 
Administration Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 02/18/2011
date Of Correction: 03/14/2011 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
31.6 %
25.09 %
Percent of long-stay high-risk residents with pressure ulcers
10 %
12.58 %
Percent of long-stay residents who lose too much weight
13.5 %
11.83 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.6 %
15.63 %
Percent of long-stay residents with a urinary tract infection
5.3 %
13.46 %
Percent of long-stay residents who have depressive symptoms
13.5 %
28.38 %
Percent of long-stay residents who were physically restrained
75.2 %
43.68 %
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
34.5 %
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
18.7 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
5.9 %
9.22 %
Percent of long-stay residents who lose too much weight
11.5 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
40 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.8 %
10.65 %
Percent of long-stay residents with a urinary tract infection
1.8 %
9.58 %
Percent of long-stay residents who have depressive symptoms
9.6 %
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
25.3 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
27.6 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
84.2 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
75.4 %
74.75 %

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