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PAVILION , THE

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PAVILION , THE VS
Nursing Homes USA
General
City HYANNIS   0% Nursing Homes USA have HYANNIS
State attribute explanation MA   2.8% Nursing Homes USA have MA
Street 876 FALMOUTH ROAD  
Zip Code 2601  
Phone 5087756663  
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
82 
108.94
Total Number of Residents
76 
91.25
Percent of Occupied Beds
93 %
83.65 %
Health Survey Date 4/5/2012  
Fire Survey Date 4/13/2012  
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 - Partnership  7.9% Nursing Homes USA have For profit - Partnership
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 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? Yes  1% Nursing Homes USA have Special Focus Facility?
Civil Money Penalty Count
58.16
Total Enforcement Actions Count
56.31
# of deficiencies
7.48
Staff Information
Number of Residents
76 
91.38
Number of RN Hours Per Resident Per Day
0.99 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.87 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.86 
1.59
Number of CNA Hours Per Resident Per Day
0.11 
5.49
Number Therapy Hours Per Resident Per Day
0.11 
0.10
Quality Care Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 10/07/2010
date Of Correction: 11/19/2010 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
22.6 %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased
1.50 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain
9.1 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
5.5 %
12.58 %
Percent of long-stay residents who lose too much weight
75.2 %
11.83 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.6 %
15.63 %
Percent of long-stay residents with a urinary tract infection
10.5 %
13.46 %
Percent of long-stay residents who have depressive symptoms
19.6 %
28.38 %
Percent of long-stay residents who were physically restrained 8.6:1 % 
Percent of short-stay residents who self-report moderate to severe pain
23.2 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
96.7 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
91.7 %
83.94 %
Percent of short-stay residents who newly received an antipsychotic medication
4.9 %
45.90 %
Percent of long-stay residents experiencing one or more falls with major injury
6.9 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
20.6 %
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
9.1 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
7.4 %
9.22 %
Percent of long-stay residents who lose too much weight
3.5 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
63.6 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.6 %
10.65 %
Percent of long-stay residents with a urinary tract infection
11 %
9.58 %
Percent of long-stay residents who have depressive symptoms
22.8 %
19.86 %
Percent of long-stay residents who were physically restrained
10.2 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
7.4 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain 23.8:1 % 
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
91.5 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
94.7 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
4.3 %
17.34 %

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