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PROTECTION VALLEY MANOR

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PROTECTION VALLEY MANOR VS
Nursing Homes USA
General
Percent of short-stay residents with Pressure ulcers that are new or worsened 75.2 % 
City PROTECTION   0% Nursing Homes USA have PROTECTION
State attribute explanation KS   2.2% Nursing Homes USA have KS
Street 600 S BROADWAY PO BOX 448  
Zip Code 67127  
Phone 6206224261  
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
42 
108.94
Total Number of Residents
39 
91.25
Percent of Occupied Beds
93 %
83.65 %
Health Survey Date 10/31/2011  
Fire Survey Date 9/12/2011  
Sprinkler Status Fully Sprinklered  90.2% Nursing Homes USA have Fully Sprinklered
Program Participation Medicaid  3.5% Nursing Homes USA have Medicaid
Type of Ownership Non Profit - Corporation  18.7% Nursing Homes USA have Non 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 RESIDENT   66% Nursing Homes USA have RESIDENT
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
17 
7.48
Staff Information
Number of Residents
39 
91.38
Number of RN Hours Per Resident Per Day
0.63 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.35 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
0.97 
1.59
Number of CNA Hours Per Resident Per Day
0.01 
5.49
Number Therapy Hours Per Resident Per Day
0.01 
0.10
Environmental Deficiencies
Deficiency #1 Scope: Some
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: 12/09/2010
date Of Correction: 01/09/2011 
Mistreatment Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 12/09/2010
date Of Correction: 01/09/2011 
Deficiency #2 Scope: Many
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: 12/09/2010
date Of Correction: 01/09/2011 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment.
survey Date: 12/09/2010
date Of Correction: 01/09/2011 
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: 06/15/2011
date Of Correction: 07/13/2011 
Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 06/15/2011
date Of Correction: 07/13/2011 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 06/15/2011
date Of Correction: 07/13/2011 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Give Each Resident Enough Fluids To Keep Them Healthy And Prevent Dehydration.
survey Date: 12/09/2010
date Of Correction: 01/09/2011 
Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Give Proper Treatment To Residents With Feeding Tubes To Prevent Problems (such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-pharyngeal Ulcers) And Help Restore Eating Skills, If Possible.
survey Date: 12/09/2010
date Of Correction: 01/09/2011 
Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Residents With Reduced Range Of Motion Get Proper Treatment And Services To Increase Range Of Motion.
survey Date: 12/09/2010
date Of Correction: 01/09/2011 
Deficiency #6 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: 12/09/2010
date Of Correction: 01/09/2011 
Resident Assessment Deficiencies
Deficiency #1 Scope: Some
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: 12/09/2010
date Of Correction: 01/09/2011 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.
survey Date: 12/09/2010
date Of Correction: 01/09/2011 
Administration Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: 1) Review The Work Of Each Nurse Aide Every Year; And 2) Give Regular In-service Training Based Upon These Reviews.
survey Date: 12/09/2010
date Of Correction: 01/09/2011 
Pharmacy Service Deficiencies
Deficiency #1 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: 12/09/2010
date Of Correction: 01/09/2011 
Deficiency #2 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: 12/09/2010
date Of Correction: 01/09/2011 
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: 12/09/2010
date Of Correction: 01/09/2011 
Quality Measures Q1
Percent of long-stay residents who self-report moderate to severe pain
9.8 %
16.66 %
Percent of long-stay residents who lose too much weight
13.2 %
11.83 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.5 %
15.63 %
Percent of long-stay residents with a urinary tract infection 2.6 / 3 % 
Percent of long-stay residents who have depressive symptoms
13.2 %
28.38 %
Percent of long-stay residents who were physically restrained
75.2 %
43.68 %
Percent of long-stay residents experiencing one or more falls with major injury 2.6 / 3 % 
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
46.7 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
75.2 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
8.5 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
2 %
9.22 %
Percent of long-stay residents who lose too much weight
12.9 (55.2) %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
13 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
7.6 %
10.65 %
Percent of long-stay residents with a urinary tract infection
4.3 %
9.58 %
Percent of long-stay residents who have depressive symptoms
12.5 %
19.86 %
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 2.6 / 3 % 
Percent of short-stay residents who self-report moderate to severe pain
45 %
24.76 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
8.7 %
74.75 %

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