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WESTMINSTER VILLAGE HEALTH

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WESTMINSTER VILLAGE HEALTH VS
Nursing Homes USA
General
City Dover  0.1% Nursing Homes USA have Dover
State attribute explanation DE   0.3% Nursing Homes USA have DE
Street 1175 MCKEE ROAD  
Zip Code 19904  
Phone 3026748030  
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
61 
108.94
Total Number of Residents
53 
91.25
Percent of Occupied Beds
87 %
83.65 %
Health Survey Date 10/6/2011  
Fire Survey Date 10/5/2011  
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 Non Profit - Corporation  18.7% Nursing Homes USA have Non 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? Yes  9.1% Nursing Homes USA 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
56.31
# of deficiencies 17  
Staff Information
Number of Residents
53 
91.38
Number of RN Hours Per Resident Per Day
1.63 
0.77
Number of LPN/LVN Hours Per Resident Per Day
1.47 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
3.1 
1.59
Number of CNA Hours Per Resident Per Day
0.19 
5.49
Number Therapy Hours Per Resident Per Day
0.19 
0.10
Environmental Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 10/06/2011
date Of Correction: 12/15/2011 
Mistreatment Deficiencies
Deficiency #1 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: 02/24/2010
date Of Correction: 03/30/2010 
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: 06/14/2012
date Of Correction: 07/09/2012 
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: 10/06/2011
date Of Correction: 12/15/2011 
Deficiency #3 Scope: Some
level Of Harm: 1
deficiency: Let The Resident Or The Resident's Legal Representative The Right To Access Or Purchase Copies Of All Records.
survey Date: 05/26/2009
date Of Correction: 07/10/2009 
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: 06/14/2012
date Of Correction: 07/09/2012 
Deficiency #2 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: 10/06/2011
date Of Correction: 12/15/2011 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 10/06/2011
date Of Correction: 12/15/2011 
Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.
survey Date: 02/24/2010
date Of Correction: 03/30/2010 
Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 02/24/2010
date Of Correction: 03/30/2010 
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: 10/06/2011
date Of Correction: 12/15/2011 
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: 10/06/2011
date Of Correction: 12/15/2011 
Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 02/24/2010
date Of Correction: 03/30/2010 
Pharmacy Service Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.
survey Date: 10/06/2011
date Of Correction: 12/15/2011 
Deficiency #2 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: 10/06/2011
date Of Correction: 12/15/2011 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: 1) Make Sure That Each Resident's Drug Regimen Is Free From Unnecessary Drugs; 2) Each Resident's Entire Drug/medication Is Managed And Monitored To Achieve Highest Well Being.
survey Date: 10/06/2011
date Of Correction: 12/15/2011 
Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.
survey Date: 10/06/2011
date Of Correction: 12/15/2011 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
6 %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased 8.1 / 8.8 % 
Percent of long-stay residents who self-report moderate to severe pain
7.5 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
11.9 %
12.58 %
Percent of long-stay residents who lose too much weight
4.2 %
11.83 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.6 %
15.63 %
Percent of long-stay residents with a urinary tract infection
6.3 %
13.46 %
Percent of long-stay residents who have depressive symptoms
2 %
28.38 %
Percent of long-stay residents who were physically restrained
75.2 %
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
98.3 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
98.3 %
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
2 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
6.7 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
4.6 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
12.4-2413.6-24 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
11.1 %
9.22 %
Percent of long-stay residents who lose too much weight
7.1 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
43.2 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
6.2 %
10.65 %
Percent of long-stay residents with a urinary tract infection
8.3 %
9.58 %
Percent of long-stay residents who have depressive symptoms
1.4 %
19.86 %
Percent of long-stay residents who were physically restrained
75.2 %
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
23.1 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
92.4 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
95 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication 16.3:1 % 

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