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PEABODY CARE CENTER LLC

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PEABODY CARE CENTER LLC VS
Nursing Homes USA
General
City PEABODY   0% Nursing Homes USA have PEABODY
State attribute explanation KS   2.2% Nursing Homes USA have KS
Street 407 N LOCUST ST  
Zip Code 66866  
Phone 6209832152  
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
55 
108.94
Total Number of Residents
38 
91.25
Percent of Occupied Beds
69 %
83.65 %
Health Survey Date 12/9/2011  
Fire Survey Date 5/3/2011  
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? 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? 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
39 
7.48
Staff Information
Number of Residents
38 
91.38
Number of RN Hours Per Resident Per Day
0.72 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.58 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.29 
1.59
Number of CNA Hours Per Resident Per Day
0.02 
5.49
Number Therapy Hours Per Resident Per Day
0.02 
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: 03/05/2012
date Of Correction: 03/28/2012 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Make Sure That A Working Call System Is Available In Each Resident's Room Or Bathroom And Bathing Area.
survey Date: 09/21/2010
date Of Correction: 10/20/2010 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Provide Adequate And Comfortable Lighting Levels In All Areas.
survey Date: 09/21/2010
date Of Correction: 10/20/2010 
Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 09/21/2010
date Of Correction: 10/20/2010 
Deficiency #5 Scope: Some
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 06/02/2009
date Of Correction: 07/01/2009 
Deficiency #6 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: 06/02/2009
date Of Correction: 07/01/2009 
Mistreatment Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 09/21/2010
date Of Correction: 10/20/2010 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment.
survey Date: 09/21/2010
date Of Correction: 10/20/2010 
Deficiency #3 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: 06/02/2009
date Of Correction: 06/04/2009 
Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.
survey Date: 10/27/2011
date Of Correction: 11/26/2011 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.
survey Date: 09/21/2010
date Of Correction: 10/20/2010 
Deficiency #3 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: 09/21/2010
date Of Correction: 10/20/2010 
Deficiency #4 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: 06/02/2009
date Of Correction: 07/01/2009 
Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So.
survey Date: 03/05/2012
date Of Correction: 03/28/2012 
Deficiency #2 Scope: Many
level Of Harm: 2
deficiency: Have Enough Nurses To Care For Every Resident In A Way That Maximizes The Resident's Well Being.
survey Date: 10/27/2011
date Of Correction: 11/26/2011 
Deficiency #3 Scope: Few
level Of Harm: 3
deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So.
survey Date: 10/27/2011
date Of Correction: 11/26/2011 
Deficiency #4 Scope: Few
level Of Harm: 3
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 10/27/2011
date Of Correction: 11/26/2011 
Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 10/27/2011
date Of Correction: 11/26/2011 
Deficiency #6 Scope: Few
level Of Harm: 3
deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So.
survey Date: 09/21/2010
date Of Correction: 10/20/2010 
Deficiency #7 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 09/21/2010
date Of Correction: 10/20/2010 
Deficiency #8 Scope: Few
level Of Harm: 2
deficiency: Give Each Resident Enough Fluids To Keep Them Healthy And Prevent Dehydration.
survey Date: 06/02/2009
date Of Correction: 07/01/2009 
Deficiency #9 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Each Resident Who Enters The Nursing Home Without A Catheter Is Not Given A Catheter, And Receive Proper Services To Prevent Urinary Tract Infections And Restore Normal Bladder Function.
survey Date: 06/02/2009
date Of Correction: 07/01/2009 
Deficiency #10 Scope: Few
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 06/02/2009
date Of Correction: 06/22/2009 
Deficiency #11 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: 06/02/2009
date Of Correction: 06/22/2009 
Deficiency #12 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 06/02/2009
date Of Correction: 07/01/2009 
Deficiency #13 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 06/02/2009
date Of Correction: 07/01/2009 
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: 10/27/2011
date Of Correction: 11/26/2011 
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: 09/21/2010
date Of Correction: 10/20/2010 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Make Sure Each Resident Receives An Accurate Assessment By A Qualified Health Professional.
survey Date: 09/21/2010
date Of Correction: 10/20/2010 
Deficiency #4 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: 06/02/2009
date Of Correction: 07/01/2009 
Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Check And Assess Each Resident's Assessment At Least Every 3 Months.
survey Date: 06/02/2009
date Of Correction: 07/01/2009 
Deficiency #6 Scope: Few
level Of Harm: 2
deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.
survey Date: 06/02/2009
date Of Correction: 07/01/2009 
Administration Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 1
deficiency: Post Nurse Staffing Information/data On A Daily Basis.
survey Date: 09/21/2010
date Of Correction: 10/20/2010 
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: 06/02/2009
date Of Correction: 07/01/2009 
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: 03/05/2012
date Of Correction: 03/28/2012 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: At Least Once A Month, Have A Licensed Pharmacist Review Each Resident's Medication(s) And Report Any Irregularities To The Attending Doctor.
survey Date: 09/21/2010
date Of Correction: 10/20/2010 
Deficiency #3 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: 09/21/2010
date Of Correction: 10/20/2010 
Deficiency #4 Scope: Many
level Of Harm: 2
deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.
survey Date: 06/02/2009
date Of Correction: 06/09/2009 
Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.
survey Date: 10/27/2011
date Of Correction: 11/26/2011 
Quality Measures Q1
Percent of long-stay residents who lose too much weight
14.3 %
11.83 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
75.2 %
15.63 %
Percent of long-stay residents with a urinary tract infection
11.4 %
13.46 %
Percent of long-stay residents who have depressive symptoms
60 %
28.38 %
Percent of long-stay residents who were physically restrained
2.9 %
43.68 %
Percent of long-stay residents experiencing one or more falls with major injury
5.7 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
40 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
7 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
20.3 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers 10.3:1 % 
Percent of long-stay residents who lose too much weight
20.8 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
37.5 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
75.2 %
10.65 %
Percent of long-stay residents with a urinary tract infection
9.2 %
9.58 %
Percent of long-stay residents who have depressive symptoms
37.1 %
19.86 %
Percent of long-stay residents who were physically restrained
1 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury 13.9 / 15.3 % 
Percent of short-stay residents who self-report moderate to severe pain
24.3 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
60.9 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
45.7 %
74.75 %

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