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TERRA VISTA REHAB AND HEALTH CENTER

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TERRA VISTA REHAB AND HEALTH CENTER VS
Nursing Homes USA
General
City ORLANDO   0.1% Nursing Homes USA have ORLANDO
State attribute explanation FL   4.4% Nursing Homes USA have FL
Street 1730 LUCERNE TERRACE  
Zip Code 32806  
Phone 4074231612  
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
115 
108.94
Total Number of Residents
93 
91.25
Percent of Occupied Beds
81 %
83.65 %
Health Survey Date 10/14/2011  
Fire Survey Date 10/11/2011  
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
75.2 
58.16
Total Enforcement Actions Count
75.2 
56.31
# of deficiencies 16  
Staff Information
Number of Residents
93 
91.38
Number of RN Hours Per Resident Per Day
0.51 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.82 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.32 
1.59
Number of CNA Hours Per Resident Per Day
0.12 
5.49
Number Therapy Hours Per Resident Per Day
0.12 
0.10
Mistreatment Deficiencies
Deficiency #1 Scope: Some
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: 03/25/2011
date Of Correction: 04/26/2011 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 03/18/2011
date Of Correction: 04/26/2011 
Resident Rights Deficiencies
Deficiency #1 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: 01/25/2011
date Of Correction: 03/02/2011 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide Enough Notice Before Discharging Or Transferring A Resident.
survey Date: 01/25/2011
date Of Correction: 03/02/2011 
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: 04/25/2012
date Of Correction: 05/25/2012 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Have Enough Nurses To Care For Every Resident In A Way That Maximizes The Resident's Well Being.
survey Date: 10/13/2011
date Of Correction: 11/14/2011 
Deficiency #3 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: 08/10/2011
date Of Correction: 09/13/2011 
Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Each Resident Who Enters The Nursing Home Without A Catheter Is Not Given A Catheter, And Receive Proper Services To Prevent Urinary Tract Infections And Restore Normal Bladder Function.
survey Date: 06/28/2011
date Of Correction: 07/28/2011 
Deficiency #5 Scope: Few
level Of Harm: 3
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 09/01/2009
date Of Correction: 10/09/2009 
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: 05/11/2011
date Of Correction: 06/20/2011 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.
survey Date: 05/11/2011
date Of Correction: 06/20/2011 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.
survey Date: 03/18/2011
date Of Correction: 04/26/2011 
Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Choose A Doctor To Serve As The Medical Director To Create Resident Care Policies And Coordinate Medical Care In The Facility.
survey Date: 04/25/2012
date Of Correction: 05/25/2012 
Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
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: 04/25/2012
date Of Correction: 05/25/2012 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.
survey Date: 04/25/2012
date Of Correction: 05/25/2012 
Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Prepare Food That Is Nutritional, Appetizing, Tasty, Attractive, Well-cooked, And At The Right Temperature.
survey Date: 10/13/2011
date Of Correction: 11/14/2011 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
15.7 %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased
1.7 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain
14.6 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
11.1 %
12.58 %
Percent of long-stay residents who lose too much weight 9.9:1 % 
Percent of long-stay low-risk residents who lose control of their bowels or bladder
16.1 %
44.54 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
6.1 %
15.63 %
Percent of long-stay residents with a urinary tract infection 9.9:1 % 
Percent of long-stay residents who have depressive symptoms
7.4 %
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
50 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
87.9 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
85.5 %
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
1.1 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
18.3 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
2.20 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
13.5 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
13 %
9.22 %
Percent of long-stay residents who lose too much weight
7.2 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
15.5 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.2 %
10.65 %
Percent of long-stay residents with a urinary tract infection 9.4 / 10.4 % 
Percent of long-stay residents who have depressive symptoms
7.7 %
19.86 %
Percent of long-stay residents who were physically restrained
1.1 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
0.7 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
49.6 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
60.8 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
81.2 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
16.6 %
17.34 %

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