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PLEASANT VALLEY NURSING CENTER

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PLEASANT VALLEY NURSING CENTER VS
Nursing Homes USA
General
City DERRY   0% Nursing Homes USA have DERRY
State attribute explanation NH   0.5% Nursing Homes USA have NH
Street 8 PEABODY ROAD  
Zip Code 3038  
Phone 6034341566  
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
112 
108.94
Total Number of Residents
111 
91.25
Percent of Occupied Beds
99 %
83.65 %
Health Survey Date 5/22/2012  
Fire Survey Date 5/22/2012  
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? 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
58.16
Total Enforcement Actions Count
56.31
# of deficiencies
29 
7.48
Staff Information
Number of Residents
111 
91.38
Number of RN Hours Per Resident Per Day
0.86 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.53 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.39 
1.59
Number of CNA Hours Per Resident Per Day
0.08 
5.49
Number Therapy Hours Per Resident Per Day
0.08 
0.10
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: 06/04/2010
date Of Correction: 07/30/2010 
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: 06/04/2010
date Of Correction: 07/30/2010 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.
survey Date: 06/04/2010
date Of Correction: 07/30/2010 
Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 06/04/2009
date Of Correction: 07/10/2009 
Deficiency #5 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: 06/04/2009
date Of Correction: 07/10/2009 
Resident Rights Deficiencies
Deficiency #1 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: 06/04/2010
date Of Correction: 07/30/2010 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide Enough Notice Before Discharging Or Transferring A Resident.
survey Date: 06/04/2010
date Of Correction: 07/30/2010 
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: 06/04/2010
date Of Correction: 07/30/2010 
Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Let The Resident Refuse Treatment Or Refuse To Take Part In An Experiment And Formulate Advance Directives.
survey Date: 06/04/2010
date Of Correction: 07/30/2010 
Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Give The Resident's Representative The Ability To Exercise The Resident's Rights.
survey Date: 06/04/2010
date Of Correction: 07/30/2010 
Deficiency #6 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: 10/14/2009
date Of Correction: 11/25/2009 
Deficiency #7 Scope: Few
level Of Harm: 2
deficiency: Give The Resident's Representative The Ability To Exercise The Resident's Rights.
survey Date: 10/14/2009
date Of Correction: 01/07/2010 
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: 06/17/2011
date Of Correction: 07/16/2011 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 01/13/2011
date Of Correction: 02/08/2011 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 01/13/2011
date Of Correction: 02/08/2011 
Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 06/04/2010
date Of Correction: 07/30/2010 
Resident Assessment Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.
survey Date: 06/17/2011
date Of Correction: 07/16/2011 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Make Sure Each Resident Receives An Accurate Assessment By A Qualified Health Professional.
survey Date: 06/04/2010
date Of Correction: 07/30/2010 
Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Encode And Automate The Resident's Assessment Data.
survey Date: 10/14/2009
date Of Correction: 11/25/2009 
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: 10/14/2009
date Of Correction: 11/25/2009 
Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Make Sure Each Resident Receives An Accurate Assessment By A Qualified Health Professional.
survey Date: 10/14/2009
date Of Correction: 11/25/2009 
Deficiency #6 Scope: Few
level Of Harm: 2
deficiency: Review Or Revise The Resident's Care Plan After Any Major Change In A Resident's Physical Or Mental Health.
survey Date: 10/14/2009
date Of Correction: 11/25/2009 
Deficiency #7 Scope: Some
level Of Harm: 2
deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.
survey Date: 10/14/2009
date Of Correction: 01/07/2010 
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: 06/17/2011
date Of Correction: 07/16/2011 
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: 01/13/2011
date Of Correction: 02/08/2011 
Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 06/04/2010
date Of Correction: 07/30/2010 
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: 10/14/2009
date Of Correction: 01/07/2010 
Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.
survey Date: 01/13/2011
date Of Correction: 02/08/2011 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.
survey Date: 06/04/2010
date Of Correction: 07/30/2010 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
24.2 %
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
25.4 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
5.1 %
12.58 %
Percent of long-stay residents who lose too much weight
10.9 %
11.83 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
38.3 %
44.54 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
7.2 %
15.63 %
Percent of long-stay residents with a urinary tract infection
15.2 %
13.46 %
Percent of long-stay residents who have depressive symptoms
19.8 %
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
18.8 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
97.3 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
96.6 %
83.94 %
Percent of short-stay residents who newly received an antipsychotic medication
75.2 
45.90
Percent of long-stay residents experiencing one or more falls with major injury
6.3 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
22.3 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
1 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
27.7 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
3.7 %
9.22 %
Percent of long-stay residents who lose too much weight
9.2 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
30.5 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
6.6 %
10.65 %
Percent of long-stay residents with a urinary tract infection
15.4 %
9.58 %
Percent of long-stay residents who have depressive symptoms 19.4:1 % 
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
5.4 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
21.7 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
91.8 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
90.6 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
31.6 %
17.34 %

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