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LANCASHIRE CONVALESCENT AND REHABILITATION CENTER

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LANCASHIRE CONVALESCENT AND REHABILITATION CENTER VS
Nursing Homes USA
General
City KILMARNOCK   0% Nursing Homes USA have KILMARNOCK
State attribute explanation VA   1.8% Nursing Homes USA have VA
Street 287 SCHOOL STREET  
Zip Code 22482  
Phone 8044351684  
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
120 
108.94
Total Number of Residents
107 
91.25
Percent of Occupied Beds
89 %
83.65 %
Health Survey Date 8/12/2011  
Fire Survey Date 8/16/2011  
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 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
107 
91.38
Number of RN Hours Per Resident Per Day
0.59 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.71 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.3 
1.59
Number of CNA Hours Per Resident Per Day
0.04 
5.49
Number Therapy Hours Per Resident Per Day
0.04 
0.10
Environmental Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 08/12/2011
date Of Correction: Not Available 
Deficiency #2 Scope: Few
level Of Harm: 3
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 08/12/2011
date Of Correction: Not Available 
Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Determine If It Is Safe For The Resident To Self-administer Drugs.
survey Date: 08/12/2011
date Of Correction: Not Available 
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: 08/12/2011
date Of Correction: Not Available 
Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 08/12/2011
date Of Correction: Not Available 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Properly Care For Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, And Prostheses.
survey Date: 08/26/2010
date Of Correction: Not Available 
Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 08/26/2010
date Of Correction: Not Available 
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: 08/12/2011
date Of Correction: Not Available 
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: 08/12/2011
date Of Correction: 04/08/2009 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
30.4 %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased
1.1 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain
4.5 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
11.4 %
12.58 %
Percent of long-stay residents who lose too much weight
6.1 %
11.83 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
56.7 %
44.54 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.3 %
15.63 %
Percent of long-stay residents with a urinary tract infection
9.2 %
13.46 %
Percent of long-stay residents who have depressive symptoms 13.1:1 % 
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
18.9 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
65.6 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
64 %
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
4 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
29.2 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
0.8 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
5.4 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
10.4 %
9.22 %
Percent of long-stay residents who lose too much weight
7.8 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
61.2 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.1 %
10.65 %
Percent of long-stay residents with a urinary tract infection
12.2 %
9.58 %
Percent of long-stay residents who have depressive symptoms
6.7 %
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 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
11.4 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
64.9 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
54.3 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
8.5 %
17.34 %

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