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METRO WEST NURSING AND REHAB CENTER

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METRO WEST NURSING AND REHAB CENTER VS
Nursing Homes USA
General
City ORLANDO   0.1% Nursing Homes USA have ORLANDO
State attribute explanation FL   4.4% Nursing Homes USA have FL
Street 5900 WESTGATE DRIVE  
Zip Code 32825  
Phone 4072968164  
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
103 
91.25
Percent of Occupied Beds
86 %
83.65 %
Health Survey Date 1/13/2012  
Fire Survey Date 1/10/2012  
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 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? 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 12  
Staff Information
Number of Residents
103 
91.38
Number of RN Hours Per Resident Per Day
0.79 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.79 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.58 
1.59
Number of CNA Hours Per Resident Per Day
0.12 
5.49
Number Therapy Hours Per Resident Per Day
0.12 
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: 05/27/2011
date Of Correction: 06/26/2011 
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: 09/23/2011
date Of Correction: 10/19/2011 
Deficiency #2 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: 05/27/2011
date Of Correction: 06/26/2011 
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: 05/27/2011
date Of Correction: 06/26/2011 
Quality Care Deficiencies
Deficiency #1 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: 04/02/2010
date Of Correction: 05/11/2010 
Resident Assessment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Doctors See A Resident's Plan Of Care At Every Visit And Make Notes About Progress And Orders In Writing.
survey Date: 02/11/2011
date Of Correction: 03/23/2011 
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: 05/27/2011
date Of Correction: 06/26/2011 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Make Sure Medically Necessary Lab Services/tests Are Ordered By The Attending Physician.
survey Date: 05/27/2011
date Of Correction: 06/26/2011 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Give Or Get Quality Lab Services/tests In A Timely Manner To Meet The Needs Of Residents.
survey Date: 05/27/2011
date Of Correction: 06/26/2011 
Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 02/11/2011
date Of Correction: 03/23/2011 
Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.
survey Date: 05/27/2011
date Of Correction: 06/26/2011 
Deficiency #2 Scope: Some
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: 05/27/2011
date Of Correction: 06/26/2011 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
8 %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased
0.6 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain
13 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
7.7 %
12.58 %
Percent of long-stay residents who lose too much weight
3.4 %
11.83 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
5 %
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
2.20 %
43.68 %
Percent of short-stay residents who self-report moderate to severe pain
21.3 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
71.4 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
57.5 %
83.94 %
Percent of short-stay residents who newly received an antipsychotic medication
3.8 %
45.90 %
Percent of long-stay residents experiencing one or more falls with major injury
1.1 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
13 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
0.7 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
15.7 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
6.5 %
9.22 %
Percent of long-stay residents who lose too much weight
4.4 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
68.6 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
6.7 %
10.65 %
Percent of long-stay residents with a urinary tract infection
6.1 %
9.58 %
Percent of long-stay residents who have depressive symptoms
0.4 %
19.86 %
Percent of long-stay residents who were physically restrained
2.1 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
1.1 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
27.3 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
63.9 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
42.3 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
23.4 %
17.34 %

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