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MANORCARE HEALTH SERVICES - PIKE CREEK

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MANORCARE HEALTH SERVICES - PIKE CREEK VS
Nursing Homes USA
General
City WILMINGTON   0.2% Nursing Homes USA have WILMINGTON
State attribute explanation DE   0.3% Nursing Homes USA have DE
Street 5651 LIMESTONE ROAD  
Zip Code 19808  
Phone 3022398583  
Overall Star Rating
3 
3.11
Health Inspections Star Rating
3 
2.83
Nurse Staffing Star Rating
2 
3.17
Quality Measures Star Rating
4 
3.31
RN Only Star Rating
2 
3.17
Number of Certified Beds
167 
108.94
Total Number of Residents
159 
91.25
Percent of Occupied Beds
95 %
83.65 %
Health Survey Date 4/5/2012  
Fire Survey Date 4/5/2012  
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 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? 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 13  
Staff Information
Number of Residents
159 
91.38
Number of RN Hours Per Resident Per Day
0.61 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.94 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.55 
1.59
Number of CNA Hours Per Resident Per Day
0.29 
5.49
Number Therapy Hours Per Resident Per Day
0.29 
0.10
Environmental Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 02/06/2012
date Of Correction: 03/16/2012 
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: 01/28/2011
date Of Correction: 03/10/2011 
Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 02/06/2012
date Of Correction: 03/16/2012 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 11/04/2010
date Of Correction: 11/20/2010 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Give Each Resident Enough Fluids To Keep Them Healthy And Prevent Dehydration.
survey Date: 07/23/2010
date Of Correction: 08/20/2010 
Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 07/23/2010
date Of Correction: 08/20/2010 
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: 02/06/2012
date Of Correction: 03/16/2012 
Deficiency #2 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: 07/23/2010
date Of Correction: 08/20/2010 
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: 02/06/2012
date Of Correction: 03/16/2012 
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: 04/12/2011
date Of Correction: 04/26/2011 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 07/23/2010
date Of Correction: 08/20/2010 
Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.
survey Date: 10/05/2011
date Of Correction: 11/28/2011 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.
survey Date: 07/23/2010
date Of Correction: 08/20/2010 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
13.8 %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased
2.20 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain
10.5 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers 2.6 / 3 % 
Percent of long-stay residents who lose too much weight
1.1 %
11.83 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
59.3 %
44.54 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
2.1 %
15.63 %
Percent of long-stay residents with a urinary tract infection
2.20 %
13.46 %
Percent of long-stay residents who have depressive symptoms
3.2 %
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
34.1 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
98.8 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
98.8 %
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
5.4 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication 13.9 / 15.3 % 
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
14.4 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
4.9 %
9.22 %
Percent of long-stay residents who lose too much weight
1.2 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
53.4 %
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
2.3 %
9.58 %
Percent of long-stay residents who have depressive symptoms
1.50 %
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
4.6 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
33.8 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
98.4 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
98.1 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication 2.6 / 3 % 

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