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SALEM HOME

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SALEM HOME VS
Nursing Homes USA
General
Percent of short-stay residents with Pressure ulcers that are new or worsened 75.2 % 
City HILLSBORO   0.1% Nursing Homes USA have HILLSBORO
State attribute explanation KS   2.2% Nursing Homes USA have KS
Street 704  
Zip Code 67063  
Phone 6209471429  
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
50 
108.94
Total Number of Residents
37 
91.25
Percent of Occupied Beds
74 %
83.65 %
Health Survey Date 5/31/2012  
Fire Survey Date 1/9/2012  
Sprinkler Status Partially Sprinklered  8.5% Nursing Homes USA have Partially Sprinklered
Program Participation Medicare And Medicaid  91.5% Nursing Homes USA have Medicare and 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
21 
7.48
Staff Information
Number of Residents
37 
91.38
Number of RN Hours Per Resident Per Day
0.8 
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
1.09 
1.59
Number of CNA Hours Per Resident Per Day
0.1 
5.49
Number Therapy Hours Per Resident Per Day
0.1 
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: 10/21/2010
date Of Correction: 11/21/2010 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 02/02/2010
date Of Correction: 03/01/2010 
Deficiency #3 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: 02/02/2010
date Of Correction: 03/01/2010 
Deficiency #4 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: 07/01/2009
date Of Correction: 07/06/2009 
Mistreatment Deficiencies
Deficiency #1 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: 08/17/2011
date Of Correction: 08/26/2011 
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: 07/01/2009
date Of Correction: 07/06/2009 
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: 10/21/2010
date Of Correction: 11/21/2010 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Give Notice To The Resident Before A Room Or Roommate Change.
survey Date: 02/02/2010
date Of Correction: 03/01/2010 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Keep Each Resident's Personal And Medical Records Private And Confidential.
survey Date: 02/02/2010
date Of Correction: 03/01/2010 
Quality Care Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 1
deficiency: Develop Policies And Procedures For Influenza And Pneumococcal Immunizations.
survey Date: 02/02/2010
date Of Correction: 03/01/2010 
Deficiency #2 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: 02/02/2010
date Of Correction: 03/01/2010 
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: 02/02/2010
date Of Correction: 03/01/2010 
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: 02/02/2010
date Of Correction: 03/01/2010 
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: 05/31/2012
date Of Correction: 06/10/2012 
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: 02/02/2010
date Of Correction: 03/01/2010 
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: 02/02/2010
date Of Correction: 03/01/2010 
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: 05/31/2012
date Of Correction: 06/10/2012 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.
survey Date: 10/21/2010
date Of Correction: 11/21/2010 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Make Sure Menus Meet The Resident's Nutritional Needs And That There Is A Prepared Menu By Which Nutritious Meals Have Been Planned For The Resident And Followed.
survey Date: 10/21/2010
date Of Correction: 11/21/2010 
Deficiency #4 Scope: Some
level Of Harm: 2
deficiency: Hire A Qualified Dietician.
survey Date: 10/21/2010
date Of Correction: 11/21/2010 
Deficiency #5 Scope: Some
level Of Harm: 2
deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.
survey Date: 02/02/2010
date Of Correction: 03/01/2010 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
25 %
25.09 %
Percent of long-stay residents who lose too much weight
2.7 %
11.83 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
11.3 %
15.63 %
Percent of long-stay residents with a urinary tract infection
29.7 %
13.46 %
Percent of long-stay residents who have depressive symptoms 7.9:1 % 
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
24.6 %
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
7.2 %
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
4.3 %
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
3.6 %
10.65 %
Percent of long-stay residents with a urinary tract infection 22.4:1 % 
Percent of long-stay residents who have depressive symptoms
5.1 %
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
16.7 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
25 %
24.76 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
51.6 %
74.75 %

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