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FAYETTEVILLE CITY HOSPITAL AND GERIATRIC CENTER

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FAYETTEVILLE CITY HOSPITAL AND GERIATRIC CENTER VS
Nursing Homes USA
General
City FAYETTEVILLE   0.1% Nursing Homes USA have FAYETTEVILLE
State attribute explanation AR   1.5% Nursing Homes USA have AR
Street 221 SOUTH SCHOOL STREET  
Zip Code 72701  
Phone 4794425100  
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
123 
108.94
Total Number of Residents
80 
91.25
Percent of Occupied Beds
65 %
83.65 %
Health Survey Date 11/18/2011  
Fire Survey Date 11/14/2011  
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? No  93.6% Nursing Homes USA don't 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 8  
Staff Information
Number of Residents
80 
91.38
Number of RN Hours Per Resident Per Day
0.2 
0.77
Number of LPN/LVN Hours Per Resident Per Day
1.29 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.49 
1.59
Number of CNA Hours Per Resident Per Day
0.01 
5.49
Number Therapy Hours Per Resident Per Day
0.01 
0.10
Environmental Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 05/31/2012
date Of Correction: 06/30/2012 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 10/14/2010
date Of Correction: 11/13/2010 
Deficiency #3 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: 10/14/2010
date Of Correction: 11/13/2010 
Mistreatment Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 12/14/2011
date Of Correction: 01/13/2012 
Deficiency #2 Scope: Some
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: 12/14/2011
date Of Correction: 01/13/2012 
Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment.
survey Date: 01/14/2010
date Of Correction: 02/13/2010 
Pharmacy Service Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.
survey Date: 10/14/2010
date Of Correction: 11/13/2010 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Keep The Rate Of Medication Errors (wrong Drug, Wrong Dose, Wrong Time) To Less Than 5%.
survey Date: 10/14/2010
date Of Correction: 11/13/2010 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
23.9 %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased
3.1 %
32.95 %
Percent of long-stay high-risk residents with pressure ulcers
8.3 %
12.58 %
Percent of long-stay residents who lose too much weight
4.2 %
11.83 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
2.20 %
15.63 %
Percent of long-stay residents with a urinary tract infection 5.6:1 % 
Percent of long-stay residents who have depressive symptoms 5.6:1 % 
Percent of long-stay residents who were physically restrained
1.4 %
43.68 %
Percent of short-stay residents who self-report moderate to severe pain
14.3 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
93.8 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
93.8 %
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
2.8 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
22.1 (71.8) %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
0.9 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
4.8 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
9.7 %
9.22 %
Percent of long-stay residents who lose too much weight
6.2 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
46.7 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.6 %
10.65 %
Percent of long-stay residents with a urinary tract infection
8.4 %
9.58 %
Percent of long-stay residents who have depressive symptoms
7.1 %
19.86 %
Percent of long-stay residents who were physically restrained
0.9 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
0.9 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
20.2 (68.4) %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
93.5 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
98.2 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
75.2 %
17.34 %

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