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HOLLY MANOR CENTER

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HOLLY MANOR CENTER VS
Nursing Homes USA
General
City MENDHAM   0% Nursing Homes USA have MENDHAM
State attribute explanation NJ   2.4% Nursing Homes USA have NJ
Street 84 COLD HILL ROAD  
Zip Code 7945  
Phone 9735432500  
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
124 
108.94
Total Number of Residents
120 
91.25
Percent of Occupied Beds
97 %
83.65 %
Health Survey Date 6/21/2011  
Fire Survey Date 6/21/2011  
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 - 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? 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
114 
91.38
Number of RN Hours Per Resident Per Day
0.88 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.4 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.29 
1.59
Number of CNA Hours Per Resident Per Day
0.08 
5.49
Number Therapy Hours Per Resident Per Day
0.08 
0.10
Environmental Deficiencies
Deficiency #1 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: 03/26/2012
date Of Correction: 04/04/2012 
Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Each Residents' Abilities In Activities Of Daily Living Do Not Decline, Unless Unavoidable.
survey Date: 05/02/2012
date Of Correction: 06/16/2012 
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: 10/20/2009
date Of Correction: 12/11/2009 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 10/20/2009
date Of Correction: 12/11/2009 
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: 03/26/2012
date Of Correction: 04/04/2012 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
17.2 %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased
1 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain
10 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
6.8 %
12.58 %
Percent of long-stay residents who lose too much weight
2.9 %
11.83 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
34.4 %
44.54 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.9 %
15.63 %
Percent of long-stay residents with a urinary tract infection
2.4 %
13.46 %
Percent of long-stay residents who have depressive symptoms
2.4 %
28.38 %
Percent of long-stay residents who were physically restrained
5.8 %
43.68 %
Percent of short-stay residents who self-report moderate to severe pain 19.4:1 % 
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
86.9 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
84.7 %
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
15.7 %
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
5.9 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
5.2 %
9.22 %
Percent of long-stay residents who lose too much weight 5.6:1 % 
Percent of long-stay low-risk residents who lose control of their bowels or bladder
35.3 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
2.8 %
10.65 %
Percent of long-stay residents with a urinary tract infection
0.8 %
9.58 %
Percent of long-stay residents who have depressive symptoms
2.3 %
19.86 %
Percent of long-stay residents who were physically restrained 7.9:1 % 
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
22.1 (71.8) %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
85.7 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
83.5 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
19 %
17.34 %

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