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GRAND COVE NURSING & REHABILITATION CENTER

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GRAND COVE NURSING & REHABILITATION CENTER VS
Nursing Homes USA
General
City LAKE CHARLES   0% Nursing Homes USA have LAKE CHARLES
State attribute explanation LA   1.8% Nursing Homes USA have LA
Street 1525 W MCNEESE ST.  
Zip Code 70605  
Phone 3374746000  
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
109 
108.94
Total Number of Residents
94 
91.25
Percent of Occupied Beds
86 %
83.65 %
Health Survey Date 5/20/2011  
Fire Survey Date 5/17/2011  
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 - Partnership  7.9% Nursing Homes USA have For profit - Partnership
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? 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
75.2 
56.31
# of deficiencies
36 
7.48
Staff Information
Number of Residents
100 
91.38
Number of RN Hours Per Resident Per Day
0.34 
0.77
Number of LPN/LVN Hours Per Resident Per Day
1.04 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.38 
1.59
Number of CNA Hours Per Resident Per Day
0.07 
5.49
Number Therapy Hours Per Resident Per Day
0.07 
0.10
Environmental Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 11/03/2009
date Of Correction: 11/30/2009 
Deficiency #2 Scope: Few
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: 11/03/2009
date Of Correction: 11/30/2009 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 07/07/2009
date Of Correction: 07/30/2009 
Deficiency #4 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: 07/07/2009
date Of Correction: 07/30/2009 
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: 08/26/2011
date Of Correction: 10/10/2011 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 05/20/2011
date Of Correction: 07/01/2011 
Deficiency #3 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: 05/20/2011
date Of Correction: 07/01/2011 
Deficiency #4 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: 11/03/2010
date Of Correction: 12/17/2010 
Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Keep Each Resident Free From Drugs That Restrain Them, Unless Needed For Medical Treatment.
survey Date: 11/03/2009
date Of Correction: 11/30/2009 
Deficiency #6 Scope: Few
level Of Harm: 4
deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment.
survey Date: 11/03/2009
date Of Correction: 11/30/2009 
Resident Rights Deficiencies
Deficiency #1 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: 08/26/2011
date Of Correction: 10/10/2011 
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: 05/20/2011
date Of Correction: 07/01/2011 
Quality Care Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 08/26/2011
date Of Correction: 10/10/2011 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 08/26/2011
date Of Correction: 10/10/2011 
Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 05/20/2011
date Of Correction: 07/01/2011 
Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Provide Medically-related Social Services To Help Each Resident Achieve The Highest Possible Quality Of Life.
survey Date: 05/20/2011
date Of Correction: 07/01/2011 
Deficiency #5 Scope: Few
level Of Harm: 3
deficiency: Have Enough Nurses To Care For Every Resident In A Way That Maximizes The Resident's Well Being.
survey Date: 11/03/2009
date Of Correction: 11/30/2009 
Deficiency #6 Scope: Few
level Of Harm: 3
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: 11/03/2009
date Of Correction: 11/30/2009 
Deficiency #7 Scope: Few
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 11/03/2009
date Of Correction: 11/30/2009 
Deficiency #8 Scope: Few
level Of Harm: 3
deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.
survey Date: 11/03/2009
date Of Correction: 11/30/2009 
Deficiency #9 Scope: Few
level Of Harm: 3
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 11/03/2009
date Of Correction: 11/30/2009 
Deficiency #10 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 11/03/2009
date Of Correction: 11/30/2009 
Deficiency #11 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: 07/07/2009
date Of Correction: 07/30/2009 
Deficiency #12 Scope: Few
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 07/07/2009
date Of Correction: 09/01/2009 
Resident Assessment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan.
survey Date: 08/26/2011
date Of Correction: 10/10/2011 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.
survey Date: 08/26/2011
date Of Correction: 10/10/2011 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.
survey Date: 05/20/2011
date Of Correction: 07/01/2011 
Deficiency #4 Scope: Few
level Of Harm: 4
deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan.
survey Date: 11/03/2009
date Of Correction: 11/30/2009 
Deficiency #5 Scope: Few
level Of Harm: 4
deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.
survey Date: 11/03/2009
date Of Correction: 11/30/2009 
Deficiency #6 Scope: Few
level Of Harm: 2
deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.
survey Date: 07/07/2009
date Of Correction: 09/01/2009 
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: 05/20/2011
date Of Correction: 07/01/2011 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Operate And Provide Services According To Federal, State, And Local Laws And Professional Standards.
survey Date: 11/03/2010
date Of Correction: 12/17/2010 
Deficiency #3 Scope: Few
level Of Harm: 4
deficiency: Set Up An Ongoing Quality Assessment And Assurance Group To Review Quality Deficiencies Quarterly, And Develop Corrective Plans Of Action.
survey Date: 11/03/2009
date Of Correction: 11/30/2009 
Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Set Up An Ongoing Quality Assessment And Assurance Group To Review Quality Deficiencies Quarterly, And Develop Corrective Plans Of Action.
survey Date: 07/07/2009
date Of Correction: 07/30/2009 
Pharmacy Service Deficiencies
Deficiency #1 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: 08/26/2011
date Of Correction: 10/10/2011 
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: 07/07/2009
date Of Correction: 07/30/2009 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
14.3 %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased
2 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain
21.6 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
3.3 %
12.58 %
Percent of long-stay residents who lose too much weight
26.5 %
11.83 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
29 %
44.54 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.3 %
15.63 %
Percent of long-stay residents with a urinary tract infection
22.9 %
13.46 %
Percent of long-stay residents who have depressive symptoms
2.3 %
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
24.4 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
92.7 %
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
2.3 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication 12.6:1 % 
Percent of long-stay residents whose need for help with daily activities has increased
2.20 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
20.6 %
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
21 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
33.3 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.4 %
10.65 %
Percent of long-stay residents with a urinary tract infection 17.3:1 % 
Percent of long-stay residents who have depressive symptoms
2.3 %
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
1.50 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
35.8 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
95.2 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
96.7 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
13.2 %
17.34 %

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