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General |
| City |
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SAN JOSE |
0.1% Nursing Homes USA have SAN JOSE |
| State attribute explanation |
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CA |
7.8% Nursing Homes USA have CA |
| Street |
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180 NORTH JACKSON AVENUE |
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| Zip Code |
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95116 |
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| Phone |
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4082598700 |
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| Overall Star Rating |
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| Health Inspections Star Rating |
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| Nurse Staffing Star Rating |
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| Quality Measures Star Rating |
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| RN Only Star Rating |
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| Number of Certified Beds |
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| Total Number of Residents |
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| Percent of Occupied Beds |
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| Health Survey Date |
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10/20/2011 |
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| Fire Survey Date |
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10/26/2011 |
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| Sprinkler Status |
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Fully Sprinklered |
90.2% Nursing Homes USA have Fully Sprinklered |
| Program Participation |
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Medicare And Medicaid |
91.5% Nursing Homes USA have Medicare and Medicaid
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| Type of Ownership |
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For Profit - Corporation |
56.7% Nursing Homes USA have For profit - Corporation
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| Located Within a Hospital? |
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No |
93.6% Nursing Homes USA don't have Located Within a Hospital?
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| Multi Nursing Home Ownership? |
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Yes |
54.9% Nursing Homes USA have Multi Nursing Home Ownership? |
| Resident and Family Councils |
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RESIDENT |
66% Nursing Homes USA have RESIDENT |
| Continuing Care Retirement Community? |
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No |
90.9% Nursing Homes USA don't have Continuing Care Retirement Community? |
| Quality Indicator Survey? |
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No |
68.7% Nursing Homes USA don't have Quality Indicator Survey? |
| Special Focus Facility? |
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No |
99% Nursing Homes USA don't have Special Focus Facility? |
| Civil Money Penalty Count |
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| Total Enforcement Actions Count |
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| # of deficiencies |
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30 |
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Staff Information |
| Number of Residents |
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| Number of RN Hours Per Resident Per Day |
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| Number of LPN/LVN Hours Per Resident Per Day |
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| Total Number of Licensed Staff Hours Per Resident Per Day |
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| Number of CNA Hours Per Resident Per Day |
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| Number Therapy Hours Per Resident Per Day |
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Mistreatment Deficiencies |
| Deficiency #1 |
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Scope: Few
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 11/12/2009
date Of Correction: 12/17/2009 |
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| Deficiency #2 |
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Scope: Few
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 11/12/2009
date Of Correction: 12/17/2009 |
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| Deficiency #3 |
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Scope: Few
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 11/12/2009
date Of Correction: 12/17/2009 |
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| Deficiency #4 |
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Scope: Few
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 11/12/2009
date Of Correction: 12/17/2009 |
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| Deficiency #5 |
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Scope: Few
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 11/12/2009
date Of Correction: 12/17/2009 |
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Resident Rights Deficiencies |
| Deficiency #1 |
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Scope: Few
level Of Harm: 2
deficiency: Tell The Resident Or The Resident's Representative In Writing How Long The Nursing Home Will Hold The Resident's Bed.
survey Date: 11/09/2010
date Of Correction: 12/14/2010 |
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| Deficiency #2 |
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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: 11/12/2009
date Of Correction: 12/17/2009 |
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| Deficiency #3 |
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Scope: Few
level Of Harm: 2
deficiency: Tell The Resident Or The Resident's Representative In Writing How Long The Nursing Home Will Hold The Resident's Bed.
survey Date: 11/09/2010
date Of Correction: 12/14/2010 |
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| Deficiency #4 |
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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: 11/12/2009
date Of Correction: 12/17/2009 |
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| Deficiency #5 |
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Scope: Few
level Of Harm: 2
deficiency: Tell The Resident Or The Resident's Representative In Writing How Long The Nursing Home Will Hold The Resident's Bed.
survey Date: 11/09/2010
date Of Correction: 12/14/2010 |
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| Deficiency #6 |
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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: 11/12/2009
date Of Correction: 12/17/2009 |
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| Deficiency #7 |
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Scope: Few
level Of Harm: 2
deficiency: Tell The Resident Or The Resident's Representative In Writing How Long The Nursing Home Will Hold The Resident's Bed.
survey Date: 11/09/2010
date Of Correction: 12/14/2010 |
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| Deficiency #8 |
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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: 11/12/2009
date Of Correction: 12/17/2009 |
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| Deficiency #9 |
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Scope: Few
level Of Harm: 2
deficiency: Tell The Resident Or The Resident's Representative In Writing How Long The Nursing Home Will Hold The Resident's Bed.
survey Date: 11/09/2010
date Of Correction: 12/14/2010 |
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| Deficiency #10 |
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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: 11/12/2009
date Of Correction: 12/17/2009 |
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Quality Care Deficiencies |
| Deficiency #1 |
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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: 11/12/2009
date Of Correction: 12/17/2009 |
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| Deficiency #2 |
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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: 11/12/2009
date Of Correction: 12/17/2009 |
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| Deficiency #3 |
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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: 11/12/2009
date Of Correction: 12/17/2009 |
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| Deficiency #4 |
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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: 11/12/2009
date Of Correction: 12/17/2009 |
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| Deficiency #5 |
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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: 11/12/2009
date Of Correction: 12/17/2009 |
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Resident Assessment Deficiencies |
| Deficiency #1 |
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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: 11/12/2009
date Of Correction: 12/17/2009 |
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| Deficiency #2 |
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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: 11/12/2009
date Of Correction: 12/17/2009 |
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| Deficiency #3 |
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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: 11/12/2009
date Of Correction: 12/17/2009 |
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| Deficiency #4 |
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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: 11/12/2009
date Of Correction: 12/17/2009 |
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| Deficiency #5 |
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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: 11/12/2009
date Of Correction: 12/17/2009 |
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Administration Deficiencies |
| Deficiency #1 |
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Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 11/12/2009
date Of Correction: 12/17/2009 |
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| Deficiency #2 |
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Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 11/12/2009
date Of Correction: 12/17/2009 |
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| Deficiency #3 |
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Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 11/12/2009
date Of Correction: 12/17/2009 |
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| Deficiency #4 |
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Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 11/12/2009
date Of Correction: 12/17/2009 |
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| Deficiency #5 |
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Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 11/12/2009
date Of Correction: 12/17/2009 |
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Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
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| Percent of long-stay residents whose need for help with daily activities has increased |
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| Percent of long-stay residents who self-report moderate to severe pain |
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| Percent of long-stay high-risk residents with pressure ulcers |
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| Percent of long-stay residents who lose too much weight |
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| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
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| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
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| Percent of long-stay residents with a urinary tract infection |
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| Percent of long-stay residents who have depressive symptoms |
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| Percent of long-stay residents who were physically restrained |
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| Percent of short-stay residents who self-report moderate to severe pain |
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22.4:1 % |
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| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
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| Percent of short-stay residents with Pressure ulcers that are new or worsened |
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| Percent of short-stay residents who newly received an antipsychotic medication |
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| Percent of long-stay residents experiencing one or more falls with major injury |
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Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
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| Percent of long-stay residents whose need for help with daily activities has increased |
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| Percent of long-stay residents who self-report moderate to severe pain |
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| Percent of long-stay high-risk residents with pressure ulcers |
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| Percent of long-stay residents who lose too much weight |
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| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
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| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
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| Percent of long-stay residents with a urinary tract infection |
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| Percent of long-stay residents who have depressive symptoms |
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| Percent of long-stay residents who were physically restrained |
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| Percent of long-stay residents experiencing one or more falls with major injury |
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2.6 / 3 % |
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| Percent of short-stay residents who self-report moderate to severe pain |
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| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
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| Percent of short-stay residents with Pressure ulcers that are new or worsened |
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| Percent of short-stay residents who newly received an antipsychotic medication |
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