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DEANWOOD REHABILITATION AND WELLNESS CENTER

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DEANWOOD REHABILITATION AND WELLNESS CENTER VS
Nursing Homes USA
General
City Washington  0.2% Nursing Homes USA have Washington
State attribute explanation DC   0.1% Nursing Homes USA have DC
Street 5000 BURROUGHS AVE. NE  
Zip Code 20019  
Phone 2023997504  
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
296 
108.94
Total Number of Residents
269 
91.25
Percent of Occupied Beds
91 %
83.65 %
Health Survey Date 3/28/2012  
Fire Survey Date 3/29/2012  
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 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 Both  29.8% Nursing Homes USA have Both
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 25  
Staff Information
Number of Residents
269 
91.38
Number of RN Hours Per Resident Per Day
0.36 
0.77
Number of LPN/LVN Hours Per Resident Per Day
1.26 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.63 
1.59
Number of CNA Hours Per Resident Per Day
0.06 
5.49
Number Therapy Hours Per Resident Per Day
0.06 
0.10
Environmental Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 4
deficiency: Keep All Essential Equipment Working Safely.
survey Date: 12/01/2009
date Of Correction: 12/11/2009 
Deficiency #2 Scope: Many
level Of Harm: 4
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 12/01/2009
date Of Correction: 12/11/2009 
Deficiency #3 Scope: Few
level Of Harm: 3
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 07/26/2009
date Of Correction: 08/21/2009 
Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 4
deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.
survey Date: 12/01/2009
date Of Correction: 12/11/2009 
Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Establish And Follow A Written Policy That Permits A Resident To Return To The Nursing Home After Hospitalization.
survey Date: 11/08/2011
date Of Correction: 12/12/2011 
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: 06/14/2010
date Of Correction: 07/07/2010 
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: 09/16/2009
date Of Correction: 10/24/2009 
Deficiency #4 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: 04/15/2009
date Of Correction: 05/07/2009 
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: 01/17/2012
date Of Correction: 03/06/2012 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 01/06/2012
date Of Correction: 01/30/2012 
Deficiency #3 Scope: Some
level Of Harm: 4
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: 07/19/2010
date Of Correction: 08/20/2010 
Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 07/19/2010
date Of Correction: 08/20/2010 
Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 07/09/2010
date Of Correction: 08/20/2010 
Deficiency #6 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 11/16/2009
date Of Correction: 11/20/2009 
Resident Assessment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Doctors See A Resident's Plan Of Care At Every Visit And Make Notes About Progress And Orders In Writing.
survey Date: 11/18/2009
date Of Correction: 11/20/2009 
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: 01/06/2012
date Of Correction: 01/30/2012 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 07/19/2010
date Of Correction: 08/20/2010 
Deficiency #3 Scope: Some
level Of Harm: 4
deficiency: 1) Set Up A Group That Is Legally Responsible For Writing And Setting Up Policies For Leading And Running The Nursing Home; Or 2) Hire A Properly Licensed Administrator.
survey Date: 07/19/2010
date Of Correction: 08/20/2010 
Deficiency #4 Scope: Some
level Of Harm: 4
deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .
survey Date: 07/19/2010
date Of Correction: 08/20/2010 
Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: 1) Set Up A Group That Is Legally Responsible For Writing And Setting Up Policies For Leading And Running The Nursing Home; Or 2) Hire A Properly Licensed Administrator.
survey Date: 12/01/2009
date Of Correction: 12/11/2009 
Deficiency #6 Scope: Many
level Of Harm: 4
deficiency: Operate And Provide Services According To Federal, State, And Local Laws And Professional Standards.
survey Date: 12/01/2009
date Of Correction: 12/11/2009 
Deficiency #7 Scope: Few
level Of Harm: 2
deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .
survey Date: 12/01/2009
date Of Correction: 12/11/2009 
Deficiency #8 Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 11/18/2009
date Of Correction: 11/20/2009 
Deficiency #9 Scope: Few
level Of Harm: 2
deficiency: Operate And Provide Services According To Federal, State, And Local Laws And Professional Standards.
survey Date: 11/18/2009
date Of Correction: 11/20/2009 
Deficiency #10 Scope: Few
level Of Harm: 2
deficiency: Operate And Provide Services According To Federal, State, And Local Laws And Professional Standards.
survey Date: 10/26/2009
date Of Correction: 11/20/2009 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
34.4 %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased
1.8 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain
0.4 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
16 %
12.58 %
Percent of long-stay residents who lose too much weight
4.1 %
11.83 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
51.5 %
44.54 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
2.5 %
15.63 %
Percent of long-stay residents with a urinary tract infection
4.9 %
13.46 %
Percent of long-stay residents who have depressive symptoms
6.1 %
28.38 %
Percent of long-stay residents who were physically restrained
0.4 %
43.68 %
Percent of short-stay residents who self-report moderate to severe pain
4.8 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
40.9 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
39.6 %
83.94 %
Percent of short-stay residents who newly received an antipsychotic medication
13.2 %
45.90 %
Percent of long-stay residents experiencing one or more falls with major injury
3.6 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
32 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
2.5 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
2.9 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
14.2 %
9.22 %
Percent of long-stay residents who lose too much weight
4.8 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
49.5 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.9 %
10.65 %
Percent of long-stay residents with a urinary tract infection
3.4 %
9.58 %
Percent of long-stay residents who have depressive symptoms
4.6 %
19.86 %
Percent of long-stay residents who were physically restrained
0.8 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
2.3 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
10.9 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
41.6 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
35.6 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
12.4-2413.6-24 %
17.34 %

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