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WEST MELBOURNE HEALTH & REHABILITATION CENTER

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WEST MELBOURNE HEALTH & REHABILITATION CENTER VS
Nursing Homes USA
General
City WEST MELBOURNE   0% Nursing Homes USA have WEST MELBOURNE
State attribute explanation FL   4.4% Nursing Homes USA have FL
Street 2125 W NEW HAVEN AVE  
Zip Code 32904  
Phone 3217257360  
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
180 
108.94
Total Number of Residents
148 
91.25
Percent of Occupied Beds
82 %
83.65 %
Health Survey Date 5/18/2012  
Fire Survey Date 5/15/2012  
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 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 Both  29.8% Nursing Homes USA have Both
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 12  
Staff Information
Number of Residents
148 
91.38
Number of RN Hours Per Resident Per Day
0.43 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.86 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.29 
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: Some
level Of Harm: 2
deficiency: Make Sure That The Nursing Home Area Is Safe, Easy To Use, Clean And Comfortable For Residents, Staff And The Public.
survey Date: 10/11/2011
date Of Correction: 11/23/2011 
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: 03/27/2012
date Of Correction: 04/26/2012 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Help And Prepare Each Resident For A Safe And Easy Discharge And Transfer From The Nursing Home.
survey Date: 03/27/2012
date Of Correction: 04/26/2012 
Deficiency #3 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: 02/08/2012
date Of Correction: 03/21/2012 
Deficiency #4 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: 01/27/2010
date Of Correction: 03/01/2010 
Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Provide Enough Notice Before Discharging Or Transferring A Resident.
survey Date: 10/20/2009
date Of Correction: 11/20/2009 
Quality Care Deficiencies
Deficiency #1 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: 03/27/2012
date Of Correction: 04/26/2012 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 01/27/2010
date Of Correction: 03/01/2010 
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: 02/08/2012
date Of Correction: 03/21/2012 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.
survey Date: 02/08/2012
date Of Correction: 03/21/2012 
Deficiency #3 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: 10/11/2011
date Of Correction: 11/23/2011 
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: 10/11/2011
date Of Correction: 11/23/2011 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
37.7 %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased
3 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain
13.2 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
7.5 %
12.58 %
Percent of long-stay residents who lose too much weight
2.1 %
11.83 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
39.6 %
44.54 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
5.3 %
15.63 %
Percent of long-stay residents with a urinary tract infection
7.1 %
13.46 %
Percent of long-stay residents who have depressive symptoms
1.50 %
28.38 %
Percent of long-stay residents who were physically restrained
0.7 %
43.68 %
Percent of short-stay residents who self-report moderate to severe pain
20.2 (68.4) %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
79.7 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
80.9 %
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 5.6:1 % 
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
35.4 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
3.1 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
10.2 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
8 %
9.22 %
Percent of long-stay residents who lose too much weight
2.1 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
38.1 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.8 %
10.65 %
Percent of long-stay residents with a urinary tract infection
8.8 %
9.58 %
Percent of long-stay residents who have depressive symptoms
2.20 %
19.86 %
Percent of long-stay residents who were physically restrained
0.5 - 2.0 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
5.1 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
23.9 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
84 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
83.9 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
4.4 %
17.34 %

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