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MILFORD SENIOR CARE AND REHAB

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MILFORD SENIOR CARE AND REHAB VS
Nursing Homes USA
General
City MILFORD   0.1% Nursing Homes USA have MILFORD
State attribute explanation PA   4.5% Nursing Homes USA have PA
Street 264 ROUTE 6 & 209  
Zip Code 18337  
Phone 5704914121  
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
80 
108.94
Total Number of Residents
74 
91.25
Percent of Occupied Beds
93 %
83.65 %
Health Survey Date 9/9/2011  
Fire Survey Date 9/28/2011  
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
56.31
# of deficiencies
12 
7.48
Staff Information
Number of Residents
74 
91.38
Number of RN Hours Per Resident Per Day
0.58 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.97 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.55 
1.59
Number of CNA Hours Per Resident Per Day
0.1 
5.49
Number Therapy Hours Per Resident Per Day
0.1 
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: 07/01/2011
date Of Correction: 08/12/2011 
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: 06/23/2009
date Of Correction: 09/25/2009 
Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 01/04/2010
date Of Correction: 02/22/2010 
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: 01/04/2010
date Of Correction: 02/22/2010 
Deficiency #3 Scope: Some
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: 07/23/2009
date Of Correction: 08/18/2009 
Resident Rights Deficiencies
Deficiency #1 Scope: Some
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: 10/18/2011
date Of Correction: 11/09/2011 
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: 03/08/2011
date Of Correction: 04/20/2011 
Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Give Each Resident Enough Fluids To Keep Them Healthy And Prevent Dehydration.
survey Date: 11/09/2011
date Of Correction: 12/21/2011 
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: 12/21/2011
date Of Correction: 01/30/2012 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Set Up An Ongoing Quality Assessment And Assurance Group To Review Quality Deficiencies Quarterly, And Develop Corrective Plans Of Action.
survey Date: 06/23/2009
date Of Correction: 09/25/2009 
Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
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: 10/18/2011
date Of Correction: 11/09/2011 
Deficiency #2 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: 01/04/2010
date Of Correction: 02/22/2010 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
31.1 %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased
75.2 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain
2.5 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
2.1 %
12.58 %
Percent of long-stay residents who lose too much weight 8.1 / 8.8 % 
Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.4 %
15.63 %
Percent of long-stay residents with a urinary tract infection
1.6 %
13.46 %
Percent of long-stay residents who have depressive symptoms
3.2 %
28.38 %
Percent of long-stay residents who were physically restrained
6.3 %
43.68 %
Percent of short-stay residents who self-report moderate to severe pain
1.50 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
92.6 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
97.4 %
83.94 %
Percent of short-stay residents who newly received an antipsychotic medication
2 %
45.90 %
Percent of long-stay residents experiencing one or more falls with major injury
1.6 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
28.6 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
2 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
0.7 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
7.1 %
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
24.4 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.5 %
10.65 %
Percent of long-stay residents with a urinary tract infection
0.5 - 2.0 %
9.58 %
Percent of long-stay residents who have depressive symptoms 5.6:1 % 
Percent of long-stay residents who were physically restrained
4.1 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury 2.6 / 3 % 
Percent of short-stay residents who self-report moderate to severe pain
1.6 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
89.1 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
87.6 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
28.3 %
17.34 %

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