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SUBURBAN WOODS HEALTH AND REHA

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SUBURBAN WOODS HEALTH AND REHA VS
Nursing Homes USA
General
City NORRISTOWN   0% Nursing Homes USA have NORRISTOWN
State attribute explanation PA   4.5% Nursing Homes USA have PA
Street 2751 DEKALB PIKE  
Zip Code 19401  
Phone 6102782700  
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
120 
108.94
Total Number of Residents
117 
91.25
Percent of Occupied Beds
98 %
83.65 %
Health Survey Date 11/17/2011  
Fire Survey Date 11/2/2011  
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? 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
75.2 
58.16
Total Enforcement Actions Count
75.2 
56.31
# of deficiencies
19 
7.48
Staff Information
Number of Residents
117 
91.38
Number of RN Hours Per Resident Per Day
0.48 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.79 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.27 
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: 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: 04/02/2012
date Of Correction: 05/25/2012 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 06/21/2011
date Of Correction: 07/15/2011 
Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 02/17/2011
date Of Correction: 03/21/2011 
Deficiency #4 Scope: Some
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 08/31/2010
date Of Correction: 10/19/2010 
Deficiency #5 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: 12/08/2009
date Of Correction: 01/05/2010 
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: 11/17/2011
date Of Correction: 01/06/2012 
Deficiency #2 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: 02/17/2011
date Of Correction: 03/21/2011 
Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 03/06/2012
date Of Correction: 04/09/2012 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 11/17/2011
date Of Correction: 01/06/2012 
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: 11/03/2011
date Of Correction: 12/03/2011 
Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 06/21/2011
date Of Correction: 07/15/2011 
Deficiency #5 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: 10/29/2010
date Of Correction: 11/17/2010 
Deficiency #6 Scope: Few
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 03/31/2010
date Of Correction: 05/04/2010 
Deficiency #7 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 03/19/2010
date Of Correction: 05/04/2010 
Resident Assessment Deficiencies
Deficiency #1 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: 05/17/2011
date Of Correction: 06/30/2011 
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: 12/08/2009
date Of Correction: 01/05/2010 
Administration Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .
survey Date: 03/27/2012
date Of Correction: 04/24/2012 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 06/21/2011
date Of Correction: 07/15/2011 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Operate And Provide Services According To Federal, State, And Local Laws And Professional Standards.
survey Date: 03/24/2011
date Of Correction: 05/06/2011 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
19.5-24 %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased
1.3 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain
9.3 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
6.6 %
12.58 %
Percent of long-stay residents who lose too much weight
13.6-28 %
11.83 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
43.2 %
44.54 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.9 %
15.63 %
Percent of long-stay residents with a urinary tract infection
3.3 %
13.46 %
Percent of long-stay residents who have depressive symptoms
14 %
28.38 %
Percent of long-stay residents who were physically restrained
1.1 %
43.68 %
Percent of short-stay residents who self-report moderate to severe pain 10.7:1 % 
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
57.1 %
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
6.5 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
19.3 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
1.4 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
10 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
8.7 %
9.22 %
Percent of long-stay residents who lose too much weight
12.9 (55.2) %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
44 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.3 %
10.65 %
Percent of long-stay residents with a urinary tract infection
4.9 %
9.58 %
Percent of long-stay residents who have depressive symptoms
10.4 %
19.86 %
Percent of long-stay residents who were physically restrained
0.4 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
6.3 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
16.9-24 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
62.1 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
57.7 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
1.8 %
17.34 %

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