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EAST TROY MANOR

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EAST TROY MANOR VS
Nursing Homes USA
General
City EAST TROY   0% Nursing Homes USA have EAST TROY
State attribute explanation WI   2.5% Nursing Homes USA have WI
Street 3271 NORTH ST  
Zip Code 53120  
Phone 2626423995  
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
36 
91.25
Percent of Occupied Beds
72 %
83.65 %
Health Survey Date 6/1/2012  
Fire Survey Date 5/31/2012  
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 Non Profit - Other  1.9% Nursing Homes USA have Non profit - Other
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
75.2 
58.16
Total Enforcement Actions Count
75.2 
56.31
# of deficiencies
7.48
Staff Information
Number of Residents
36 
91.38
Number of RN Hours Per Resident Per Day
1.11 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.52 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.63 
1.59
Number of CNA Hours Per Resident Per Day
0.03 
5.49
Number Therapy Hours Per Resident Per Day
0.03 
0.10
Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 11/06/2009
date Of Correction: 12/06/2009 
Deficiency #2 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: 11/06/2009
date Of Correction: 12/06/2009 
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: 06/02/2011
date Of Correction: 06/22/2011 
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: 06/02/2011
date Of Correction: 06/22/2011 
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: 08/13/2009
date Of Correction: 09/13/2009 
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: 06/02/2011
date Of Correction: 06/10/2011 
Deficiency #2 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: 06/02/2011
date Of Correction: 06/10/2011 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.
survey Date: 11/06/2009
date Of Correction: 12/06/2009 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
25 %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased
7.7 %
32.95 %
Percent of long-stay residents who lose too much weight
9.7 %
11.83 %
Percent of long-stay residents with a urinary tract infection
3.2 %
13.46 %
Percent of long-stay residents who have depressive symptoms
2.8 %
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
24.2 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
100 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
97.3 %
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
75.2 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
23.3 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
4.2 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
3.7 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
4.2 %
9.22 %
Percent of long-stay residents who lose too much weight
4.2 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
53.5 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
7.6 %
10.65 %
Percent of long-stay residents with a urinary tract infection
11.5 %
9.58 %
Percent of long-stay residents who have depressive symptoms
4.9 %
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
1.9 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
16.5 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
100 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
99 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
75.2 %
17.34 %

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