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ZEPHYR HAVEN HEALTH & REHAB CENTER, INC

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ZEPHYR HAVEN HEALTH & REHAB CENTER, INC VS
Nursing Homes USA
General
City ZEPHYRHILLS   0% Nursing Homes USA have ZEPHYRHILLS
State attribute explanation FL   4.4% Nursing Homes USA have FL
Street 38250  
Zip Code 33542  
Phone 8137825508  
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
116 
91.25
Percent of Occupied Beds
97 %
83.65 %
Health Survey Date 1/25/2012  
Fire Survey Date 1/23/2012  
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 - Church Related  4.4% Nursing Homes USA have Non profit - Church related
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 4  
Staff Information
Number of Residents
116 
91.38
Number of RN Hours Per Resident Per Day
0.56 
0.77
Number of LPN/LVN Hours Per Resident Per Day
1.03 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.59 
1.59
Number of CNA Hours Per Resident Per Day
0.11 
5.49
Number Therapy Hours Per Resident Per Day
0.11 
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: 12/09/2009
date Of Correction: 12/22/2009 
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: 12/09/2009
date Of Correction: 12/22/2009 
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: 12/09/2009
date Of Correction: 12/22/2009 
Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Give Or Get X-rays And Other Tests In A Timely Manner To Meet The Needs Of Residents.
survey Date: 12/09/2009
date Of Correction: 12/22/2009 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
26.7 %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased
75.2 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain
15.6 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
2.4 %
12.58 %
Percent of long-stay residents who lose too much weight
10 %
11.83 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
76.7 %
44.54 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
75.2 %
15.63 %
Percent of long-stay residents with a urinary tract infection
11.1 %
13.46 %
Percent of long-stay residents who have depressive symptoms
1.1 %
28.38 %
Percent of long-stay residents who were physically restrained
20.4 %
43.68 %
Percent of short-stay residents who self-report moderate to severe pain
43.2 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
88.5 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
92.9 %
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
1.1 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
27.3 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
75.2 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain 13.1:1 % 
Percent of long-stay high-risk residents with pressure ulcers
2.20 %
9.22 %
Percent of long-stay residents who lose too much weight
9.8 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
67.4 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
0.7 %
10.65 %
Percent of long-stay residents with a urinary tract infection 11.8:1 % 
Percent of long-stay residents who have depressive symptoms
2.4 %
19.86 %
Percent of long-stay residents who were physically restrained
16.8 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
3.8 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
37 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
89.3 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
95.5 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication 10.7:1 % 

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