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ST CLARE MANOR

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ST CLARE MANOR VS
Nursing Homes USA
General
City BATON ROUGE   0.1% Nursing Homes USA have BATON ROUGE
State attribute explanation LA   1.8% Nursing Homes USA have LA
Street 7435 BISHOP OTT DRIVE  
Zip Code 70806  
Phone 2252163604  
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
216 
108.94
Total Number of Residents
173 
91.25
Percent of Occupied Beds
80 %
83.65 %
Health Survey Date 12/15/2011  
Fire Survey Date 12/15/2011  
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? 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
58.16
Total Enforcement Actions Count
56.31
# of deficiencies
28 
7.48
Staff Information
Number of Residents
173 
91.38
Number of RN Hours Per Resident Per Day
0.2 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.97 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.17 
1.59
Number of CNA Hours Per Resident Per Day
0.03 
5.49
Number Therapy Hours Per Resident Per Day
0.03 
0.10
Environmental Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 06/22/2010
date Of Correction: 07/16/2010 
Deficiency #2 Scope: Few
level Of Harm: 3
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 08/28/2009
date Of Correction: 10/12/2009 
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: 06/06/2012
date Of Correction: 06/28/2012 
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: 06/06/2012
date Of Correction: 06/28/2012 
Deficiency #3 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: 09/19/2011
date Of Correction: 11/03/2011 
Deficiency #4 Scope: Some
level Of Harm: 1
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: 08/14/2009
date Of Correction: Not Available 
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: 04/28/2011
date Of Correction: 06/10/2011 
Deficiency #2 Scope: Some
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: 12/30/2010
date Of Correction: 02/14/2011 
Deficiency #3 Scope: Few
level Of Harm: 3
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: 02/03/2010
date Of Correction: 03/04/2010 
Quality Care Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 04/03/2012
date Of Correction: 04/30/2012 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 04/03/2012
date Of Correction: 04/30/2012 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 01/06/2012
date Of Correction: 01/29/2012 
Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 04/28/2011
date Of Correction: 06/10/2011 
Deficiency #5 Scope: Few
level Of Harm: 3
deficiency: Give Each Resident Enough Fluids To Keep Them Healthy And Prevent Dehydration.
survey Date: 12/30/2010
date Of Correction: 02/14/2011 
Deficiency #6 Scope: Few
level Of Harm: 3
deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So.
survey Date: 12/30/2010
date Of Correction: 02/14/2011 
Deficiency #7 Scope: Some
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 12/30/2010
date Of Correction: 02/14/2011 
Deficiency #8 Scope: Few
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 10/21/2010
date Of Correction: 11/24/2010 
Deficiency #9 Scope: Some
level Of Harm: 3
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 02/03/2010
date Of Correction: 03/04/2010 
Resident Assessment Deficiencies
Deficiency #1 Scope: Some
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: 12/15/2011
date Of Correction: 01/29/2012 
Deficiency #2 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: 09/19/2011
date Of Correction: 11/03/2011 
Deficiency #3 Scope: Few
level Of Harm: 3
deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.
survey Date: 12/30/2010
date Of Correction: 02/14/2011 
Deficiency #4 Scope: Few
level Of Harm: 3
deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.
survey Date: 12/30/2010
date Of Correction: 02/14/2011 
Deficiency #5 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: 02/03/2010
date Of Correction: 03/04/2010 
Deficiency #6 Scope: Some
level Of Harm: 3
deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.
survey Date: 02/03/2010
date Of Correction: 03/04/2010 
Deficiency #7 Scope: Some
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: 08/28/2009
date Of Correction: 10/12/2009 
Deficiency #8 Scope: Few
level Of Harm: 3
deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.
survey Date: 08/28/2009
date Of Correction: 10/12/2009 
Administration Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 1
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 04/03/2012
date Of Correction: Not Available 
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: 12/30/2010
date Of Correction: 02/14/2011 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication 19.1:1 % 
Percent of long-stay residents whose need for help with daily activities has increased
3.3 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain
7.6 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
4.4 %
12.58 %
Percent of long-stay residents who lose too much weight
15.7 %
11.83 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
49.1 %
44.54 %
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
12.7 %
13.46 %
Percent of long-stay residents who have depressive symptoms
75.2 %
28.38 %
Percent of long-stay residents who were physically restrained
18.5 %
43.68 %
Percent of short-stay residents who self-report moderate to severe pain
30.3 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
63.9 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
52.6 %
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
5.4 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
20.8 %
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 10.1:1 % 
Percent of long-stay high-risk residents with pressure ulcers 8.6:1 % 
Percent of long-stay residents who lose too much weight
16 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
53.1 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
0.5 - 2.0 %
10.65 %
Percent of long-stay residents with a urinary tract infection
9.1 %
9.58 %
Percent of long-stay residents who have depressive symptoms
0.6 %
19.86 %
Percent of long-stay residents who were physically restrained
18.7 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
5 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
30.2 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
68.8 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
54.4 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
4.5 %
17.34 %

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