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MARGARET ANNA CUSACK CARE CENTER

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MARGARET ANNA CUSACK CARE CENTER VS
Nursing Homes USA
General
City JERSEY CITY   0% Nursing Homes USA have JERSEY CITY
State attribute explanation NJ   2.4% Nursing Homes USA have NJ
Street 537 PAVONIA AVENUE  
Zip Code 7306  
Phone 2016538300  
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
139 
108.94
Total Number of Residents
127 
91.25
Percent of Occupied Beds
91 %
83.65 %
Health Survey Date 1/9/2012  
Fire Survey Date 1/9/2012  
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 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
7.48
Staff Information
Number of Residents
127 
91.38
Number of RN Hours Per Resident Per Day
0.67 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.64 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.31 
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: 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: 03/12/2010
date Of Correction: 04/16/2010 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 01/06/2010
date Of Correction: 02/05/2010 
Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.
survey Date: 03/12/2010
date Of Correction: 04/16/2010 
Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 01/06/2010
date Of Correction: 02/05/2010 
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
2.7 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain
4.9 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
4.3 %
12.58 %
Percent of long-stay residents who lose too much weight
3.8 %
11.83 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
11.4 %
44.54 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.6 %
15.63 %
Percent of long-stay residents with a urinary tract infection
6.7 %
13.46 %
Percent of long-stay residents who have depressive symptoms
75.2 %
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
14.1 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
85.2 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
75 %
83.94 %
Percent of short-stay residents who newly received an antipsychotic medication
1.1 %
45.90 %
Percent of long-stay residents experiencing one or more falls with major injury
4.5 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
13.7 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased 2.6 / 3 % 
Percent of long-stay residents who self-report moderate to severe pain
2.8 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
17.6 %
9.22 %
Percent of long-stay residents who lose too much weight
6.3 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
14 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.9 %
10.65 %
Percent of long-stay residents with a urinary tract infection
6.3 %
9.58 %
Percent of long-stay residents who have depressive symptoms
75.2 %
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
4.9 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
16.5 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
86.2 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
69.7 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
1.9 %
17.34 %

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