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SAINT ANN REHABILITATION AND NURSING CENTER

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SAINT ANN REHABILITATION AND NURSING CENTER VS
Nursing Homes USA
General
City Dover  0.1% Nursing Homes USA have Dover
State attribute explanation NH   0.5% Nursing Homes USA have NH
Street 195 DOVER POINT ROAD  
Zip Code 3820  
Phone 6037422612  
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
54 
108.94
Total Number of Residents
50 
91.25
Percent of Occupied Beds
93 %
83.65 %
Health Survey Date 3/28/2012  
Fire Survey Date 3/28/2012  
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 Non Profit - Church Related  4.4% Nursing Homes USA have Non profit - Church related
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? 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
7.48
Staff Information
Number of Residents
50 
91.38
Number of RN Hours Per Resident Per Day
1.19 
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
1.72 
1.59
Number of CNA Hours Per Resident Per Day
0.19 
5.49
Number Therapy Hours Per Resident Per Day
0.19 
0.10
Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.
survey Date: 09/01/2011
date Of Correction: 10/16/2011 
Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 09/01/2011
date Of Correction: 10/16/2011 
Deficiency #2 Scope: Some
level Of Harm: 1
deficiency: Develop Policies And Procedures For Influenza And Pneumococcal Immunizations.
survey Date: 03/11/2011
date Of Correction: Not Available 
Resident Assessment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Doctors Visit Residents Regularly, As Required.
survey Date: 03/11/2011
date Of Correction: Not Available 
Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 09/01/2011
date Of Correction: 10/16/2011 
Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.
survey Date: 09/01/2011
date Of Correction: 10/16/2011 
Deficiency #2 Scope: Few
level Of Harm: 3
deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.
survey Date: 09/01/2011
date Of Correction: 10/16/2011 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
27.3 %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased
4.3 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain
4.8 %
16.66 %
Percent of long-stay residents who lose too much weight
9.5 %
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
7.1 %
13.46 %
Percent of long-stay residents who have depressive symptoms
4.7 %
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
18.9 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
94 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
89.7 %
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
7 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
30.2 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
1.2 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
4.6 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
7.6 %
9.22 %
Percent of long-stay residents who lose too much weight
7.6 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
54.4 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
1 %
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
4.1 %
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
5.7 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
18.6 (65.5) %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
92.9 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
87 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication 8.1 / 8.8 % 

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