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WESTCHESTER GARDENS REHABILITATION AND CARE CENTER

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WESTCHESTER GARDENS REHABILITATION AND CARE CENTER VS
Nursing Homes USA
General
City CLEARWATER   0.1% Nursing Homes USA have CLEARWATER
State attribute explanation FL   4.4% Nursing Homes USA have FL
Street 3301 MCMULLEN BOOTH RD  
Zip Code 33761  
Phone 7277858335  
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
105 
91.25
Percent of Occupied Beds
88 %
83.65 %
Health Survey Date 5/27/2011  
Fire Survey Date 5/27/2011  
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 - Partnership  7.9% Nursing Homes USA have For profit - Partnership
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 6  
Staff Information
Number of Residents
105 
91.38
Number of RN Hours Per Resident Per Day
0.87 
0.77
Number of LPN/LVN Hours Per Resident Per Day
1.08 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.95 
1.59
Number of CNA Hours Per Resident Per Day
0.17 
5.49
Number Therapy Hours Per Resident Per Day
0.17 
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: 03/14/2011
date Of Correction: 04/14/2011 
Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 03/14/2011
date Of Correction: 04/14/2011 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Give Proper Treatment To Residents With Feeding Tubes To Prevent Problems (such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-pharyngeal Ulcers) And Help Restore Eating Skills, If Possible.
survey Date: 01/25/2010
date Of Correction: 02/25/2010 
Resident Assessment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan.
survey Date: 03/14/2011
date Of Correction: 04/14/2011 
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: 01/25/2010
date Of Correction: 02/25/2010 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Make Sure Each Resident Receives An Accurate Assessment By A Qualified Health Professional.
survey Date: 01/25/2010
date Of Correction: 02/25/2010 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
13 %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased
1.50 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain 19.4:1 % 
Percent of long-stay high-risk residents with pressure ulcers
1.6 %
12.58 %
Percent of long-stay residents who lose too much weight
11.9 %
11.83 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.1 %
15.63 %
Percent of long-stay residents with a urinary tract infection
9 %
13.46 %
Percent of long-stay residents who have depressive symptoms
4.3 %
28.38 %
Percent of long-stay residents who were physically restrained
4.3 %
43.68 %
Percent of short-stay residents who self-report moderate to severe pain 21.2:1 % 
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
93.5 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
95 %
83.94 %
Percent of short-stay residents who newly received an antipsychotic medication
3.1 %
45.90 %
Percent of long-stay residents experiencing one or more falls with major injury
2.9 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication 11.6:1 % 
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
22.3 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
6.4 %
9.22 %
Percent of long-stay residents who lose too much weight 10.7:1 % 
Percent of long-stay low-risk residents who lose control of their bowels or bladder
55.9 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.6 %
10.65 %
Percent of long-stay residents with a urinary tract infection
15.6 %
9.58 %
Percent of long-stay residents who have depressive symptoms
3.8 %
19.86 %
Percent of long-stay residents who were physically restrained
7.2 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
2.9 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
26.4 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
91.9 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
93.9 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
13 %
17.34 %

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