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DESERET HEALTHCARE & REHABILITATION AT WICHITA LLC

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DESERET HEALTHCARE & REHABILITATION AT WICHITA LLC VS
Nursing Homes USA
General
City WICHITA   0.1% Nursing Homes USA have WICHITA
State attribute explanation KS   2.2% Nursing Homes USA have KS
Street 1600 S. WOODLAWN  
Zip Code 67218  
Phone 3166919999  
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
93 
108.94
Total Number of Residents
87 
91.25
Percent of Occupied Beds
94 %
83.65 %
Health Survey Date 7/9/2012  
Fire Survey Date 1/10/2012  
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? 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
75.2 
58.16
Total Enforcement Actions Count
56.31
# of deficiencies
49 
7.48
Staff Information
Number of Residents
87 
91.38
Number of RN Hours Per Resident Per Day
0.4 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.48 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
0.88 
1.59
Number of CNA Hours Per Resident Per Day
0.02 
5.49
Number Therapy Hours Per Resident Per Day
0.02 
0.10
Environmental Deficiencies
Deficiency #1 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: 04/06/2011
date Of Correction: 05/06/2011 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 04/06/2011
date Of Correction: 05/06/2011 
Deficiency #3 Scope: Many
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: 05/26/2010
date Of Correction: 09/13/2010 
Deficiency #4 Scope: Some
level Of Harm: 2
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 12/10/2009
date Of Correction: 01/10/2010 
Mistreatment Deficiencies
Deficiency #1 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: 12/10/2009
date Of Correction: 01/10/2010 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment.
survey Date: 05/04/2009
date Of Correction: 06/03/2009 
Resident Rights Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Provide Proof That All Residents' Personal Money Which Is Deposited With The Nursing Home, Is Secure.
survey Date: 04/06/2011
date Of Correction: 05/06/2011 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Follow Policies And Procedures To Convey The Resident's Personal Funds To The Appropriate Party Responsible After The Resident's Death.
survey Date: 04/06/2011
date Of Correction: 05/06/2011 
Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Properly Hold, Secure And Manage Each Resident's Personal Money Which Is Deposited With The Nursing Home.
survey Date: 04/06/2011
date Of Correction: 05/06/2011 
Deficiency #4 Scope: Many
level Of Harm: 1
deficiency: Give Each Resident A Notice Of Rights, Rules, Services And Charges. Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items And Services Medicaid Covers And Which The Resident Must Pay For.
survey Date: 04/06/2011
date Of Correction: 04/15/2011 
Deficiency #5 Scope: Many
level Of Harm: 1
deficiency: Send And Promptly Deliver Unopened Mail To Residents.
survey Date: 12/10/2009
date Of Correction: 01/10/2010 
Deficiency #6 Scope: Some
level Of Harm: 2
deficiency: Properly Hold, Secure And Manage Each Resident's Personal Money Which Is Deposited With The Nursing Home.
survey Date: 12/10/2009
date Of Correction: 01/10/2010 
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: 05/16/2011
date Of Correction: Not Available 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Each Resident Who Enters The Nursing Home Without A Catheter Is Not Given A Catheter, And Receive Proper Services To Prevent Urinary Tract Infections And Restore Normal Bladder Function.
survey Date: 04/06/2011
date Of Correction: 05/06/2011 
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: 04/06/2011
date Of Correction: 05/06/2011 
Deficiency #4 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: 04/06/2011
date Of Correction: 05/06/2011 
Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Each Resident Who Enters The Nursing Home Without A Catheter Is Not Given A Catheter, And Receive Proper Services To Prevent Urinary Tract Infections And Restore Normal Bladder Function.
survey Date: 02/16/2011
date Of Correction: 03/17/2011 
Deficiency #6 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: 02/16/2011
date Of Correction: 03/17/2011 
Deficiency #7 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 02/16/2011
date Of Correction: 03/17/2011 
Deficiency #8 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: 12/10/2009
date Of Correction: 01/10/2010 
Deficiency #9 Scope: Few
level Of Harm: 2
deficiency: Develop Policies And Procedures For Influenza And Pneumococcal Immunizations.
survey Date: 12/10/2009
date Of Correction: 01/10/2010 
Deficiency #10 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So.
survey Date: 12/10/2009
date Of Correction: 01/10/2010 
Deficiency #11 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Each Resident Who Enters The Nursing Home Without A Catheter Is Not Given A Catheter, And Receive Proper Services To Prevent Urinary Tract Infections And Restore Normal Bladder Function.
survey Date: 12/10/2009
date Of Correction: 01/10/2010 
Deficiency #12 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: 12/10/2009
date Of Correction: 01/10/2010 
Deficiency #13 Scope: Few
level Of Harm: 2
deficiency: Provide Activities To Meet The Interests And Needs Of Each Resident.
survey Date: 12/10/2009
date Of Correction: 01/10/2010 
Deficiency #14 Scope: Few
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 08/19/2009
date Of Correction: 09/17/2009 
Deficiency #15 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: 08/19/2009
date Of Correction: 09/17/2009 
Deficiency #16 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 08/19/2009
date Of Correction: 09/17/2009 
Deficiency #17 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 08/19/2009
date Of Correction: 09/17/2009 
Deficiency #18 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Each Resident Who Enters The Nursing Home Without A Catheter Is Not Given A Catheter, And Receive Proper Services To Prevent Urinary Tract Infections And Restore Normal Bladder Function.
survey Date: 06/12/2009
date Of Correction: 07/12/2009 
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: 05/16/2011
date Of Correction: Not Available 
Deficiency #2 Scope: Some
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: 04/06/2011
date Of Correction: 05/06/2011 
Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.
survey Date: 04/06/2011
date Of Correction: 05/06/2011 
Deficiency #4 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: 02/16/2011
date Of Correction: 03/17/2011 
Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Check And Assess Each Resident's Assessment At Least Every 3 Months.
survey Date: 02/16/2011
date Of Correction: 03/17/2011 
Deficiency #6 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: 12/10/2009
date Of Correction: 01/10/2010 
Deficiency #7 Scope: Few
level Of Harm: 2
deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.
survey Date: 12/10/2009
date Of Correction: 01/10/2010 
Administration Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 1
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 12/10/2009
date Of Correction: 01/10/2010 
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: 08/19/2009
date Of Correction: 09/17/2009 
Deficiency #3 Scope: Many
level Of Harm: 1
deficiency: Post Nurse Staffing Information/data On A Daily Basis.
survey Date: 08/19/2009
date Of Correction: 09/17/2009 
Pharmacy Service Deficiencies
Deficiency #1 Scope: Some
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: 05/16/2011
date Of Correction: Not Available 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.
survey Date: 04/06/2011
date Of Correction: 05/06/2011 
Deficiency #3 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: 04/06/2011
date Of Correction: 05/06/2011 
Deficiency #4 Scope: Some
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: 12/10/2009
date Of Correction: 01/10/2010 
Deficiency #5 Scope: Some
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: 12/10/2009
date Of Correction: 01/10/2010 
Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.
survey Date: 04/06/2011
date Of Correction: 05/06/2011 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Prepare Food That Is Nutritional, Appetizing, Tasty, Attractive, Well-cooked, And At The Right Temperature.
survey Date: 04/06/2011
date Of Correction: 05/06/2011 
Deficiency #3 Scope: Many
level Of Harm: 2
deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.
survey Date: 02/16/2011
date Of Correction: 03/17/2011 
Deficiency #4 Scope: Many
level Of Harm: 2
deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.
survey Date: 12/10/2009
date Of Correction: 01/10/2010 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
36.8 %
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
8.8 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
8.8 %
12.58 %
Percent of long-stay residents who lose too much weight
4.7 %
11.83 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
4.9 %
44.54 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
7.8 %
15.63 %
Percent of long-stay residents with a urinary tract infection
20 %
13.46 %
Percent of long-stay residents who have depressive symptoms
76.8 %
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
24.3 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
63.4 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
60 %
83.94 %
Percent of short-stay residents who newly received an antipsychotic medication
45.90
Percent of long-stay residents experiencing one or more falls with major injury
2.4 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
33.5 %
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
10.6 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
6.2 %
9.22 %
Percent of long-stay residents who lose too much weight
6.7 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
9.7 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
6.7 %
10.65 %
Percent of long-stay residents with a urinary tract infection
18.7 %
9.58 %
Percent of long-stay residents who have depressive symptoms
79.1 %
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
4.6 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
25.4 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
56.2 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
34.4 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
4.8 %
17.34 %

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