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PROVO REHABILITATION AND NURSING

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PROVO REHABILITATION AND NURSING VS
Nursing Homes USA
General
City PROVO   0% Nursing Homes USA have PROVO
State attribute explanation UT   0.6% Nursing Homes USA have UT
Street 1001 NORTH 500 WEST  
Zip Code 84604  
Phone 8013779661  
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
220 
108.94
Total Number of Residents
117 
91.25
Percent of Occupied Beds
53 %
83.65 %
Health Survey Date 2/2/2012  
Fire Survey Date 1/31/2012  
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 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
58.16
Total Enforcement Actions Count
56.31
# of deficiencies
29 
7.48
Staff Information
Number of Residents
117 
91.38
Number of RN Hours Per Resident Per Day
1.37 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.3 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.67 
1.59
Number of CNA Hours Per Resident Per Day
0.09 
5.49
Number Therapy Hours Per Resident Per Day
0.09 
0.10
Environmental Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Have Enough Outside Ventilation Via A Window Or Mechanical Ventilation, Or Both.
survey Date: 02/02/2012
date Of Correction: 03/15/2012 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Make Sure That The Nursing Home Area Is Safe, Easy To Use, Clean And Comfortable For Residents, Staff And The Public.
survey Date: 02/02/2012
date Of Correction: 03/15/2012 
Deficiency #3 Scope: Many
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 02/02/2012
date Of Correction: 03/15/2012 
Deficiency #4 Scope: Some
level Of Harm: 2
deficiency: Dispose Of Garbage And Refuse Properly.
survey Date: 02/02/2012
date Of Correction: 03/15/2012 
Deficiency #5 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: 02/02/2012
date Of Correction: 03/15/2012 
Deficiency #6 Scope: Some
level Of Harm: 2
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 02/02/2012
date Of Correction: 03/15/2012 
Deficiency #7 Scope: Some
level Of Harm: 2
deficiency: Provide A Safe, Clean, Comfortable And Homelike Environment.
survey Date: 02/02/2012
date Of Correction: 03/15/2012 
Deficiency #8 Scope: Few
level Of Harm: 2
deficiency: Provide A Safe, Clean, Comfortable And Homelike Environment.
survey Date: 12/29/2010
date Of Correction: 02/04/2011 
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: 02/02/2012
date Of Correction: 03/15/2012 
Resident Rights Deficiencies
Deficiency #1 Scope: Many
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: 02/02/2012
date Of Correction: 03/15/2012 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Make Sure Each Resident Has The Right To Have A Choice Over Activities, Their Schedules And Health Care According To His Or Her Interests, Assessment, And Plan Of Care.
survey Date: 03/25/2010
date Of Correction: 05/23/2010 
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: 02/02/2012
date Of Correction: 03/15/2012 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Residents Receive Treatment/services To Not Only Continue, But Improve The Ability To Care For Themselves.
survey Date: 02/02/2012
date Of Correction: 03/15/2012 
Deficiency #3 Scope: Few
level Of Harm: 3
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 02/02/2012
date Of Correction: 03/15/2012 
Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Provide Medically-related Social Services To Help Each Resident Achieve The Highest Possible Quality Of Life.
survey Date: 02/02/2012
date Of Correction: 03/15/2012 
Administration Deficiencies
Deficiency #1 Scope: Many
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: 02/02/2012
date Of Correction: 03/15/2012 
Deficiency #2 Scope: Many
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 02/02/2012
date Of Correction: 03/15/2012 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Give Or Get X-rays And Other Tests In A Timely Manner To Meet The Needs Of Residents.
survey Date: 02/02/2012
date Of Correction: 03/15/2012 
Deficiency #4 Scope: Many
level Of Harm: 2
deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .
survey Date: 02/02/2012
date Of Correction: 03/15/2012 
Pharmacy Service Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.
survey Date: 02/02/2012
date Of Correction: 03/15/2012 
Deficiency #2 Scope: Many
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: 02/02/2012
date Of Correction: 03/15/2012 
Deficiency #3 Scope: Some
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: 02/02/2012
date Of Correction: 03/15/2012 
Deficiency #4 Scope: Some
level Of Harm: 4
deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.
survey Date: 02/02/2012
date Of Correction: 03/15/2012 
Deficiency #5 Scope: Some
level Of Harm: 2
deficiency: Keep The Rate Of Medication Errors (wrong Drug, Wrong Dose, Wrong Time) To Less Than 5%.
survey Date: 02/02/2012
date Of Correction: 03/15/2012 
Deficiency #6 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: 12/29/2010
date Of Correction: 02/04/2011 
Deficiency #7 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.
survey Date: 12/29/2010
date Of Correction: 02/04/2011 
Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.
survey Date: 02/02/2012
date Of Correction: 03/15/2012 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Make Sure That Special Or Therapeutic Diets Are Ordered By The Attending Doctor.
survey Date: 02/02/2012
date Of Correction: 03/15/2012 
Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Prepare Food That Is Nutritional, Appetizing, Tasty, Attractive, Well-cooked, And At The Right Temperature.
survey Date: 02/02/2012
date Of Correction: 03/15/2012 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
36.8 %
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
20.5 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
10.4 %
12.58 %
Percent of long-stay residents who lose too much weight
5.1 %
11.83 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
40.6 %
44.54 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
8.2 %
15.63 %
Percent of long-stay residents with a urinary tract infection
5.1 %
13.46 %
Percent of long-stay residents who have depressive symptoms
2.20 %
28.38 %
Percent of long-stay residents who were physically restrained
2.5 %
43.68 %
Percent of short-stay residents who self-report moderate to severe pain
52.7 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
95.5 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
94.1 %
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
1.3 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
33.5 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
0.9 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
22.5 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
5 %
9.22 %
Percent of long-stay residents who lose too much weight
9.3 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
35.7 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
8.8 %
10.65 %
Percent of long-stay residents with a urinary tract infection
4.4 %
9.58 %
Percent of long-stay residents who have depressive symptoms
6.3 %
19.86 %
Percent of long-stay residents who were physically restrained
3.5 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
1.6 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
42.3 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
88.8 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
94.5 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
10.5 %
17.34 %

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