Medicare.gov is pleased to provide information about Quality Measures, Inspection Results and Nursing Home Staffing for the nursing home you have selected.
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Quality Measures
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Percentage for CEDAR VALLEY NSG & REHAB CTR
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Average in
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National Average
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Percent of Residents Whose Need for Help With Daily Activities Has Increased
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24%
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16%
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Percent of Residents Who Have Moderate to Severe Pain
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11%
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6%
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Percent of High-Risk Residents Who Have Pressure Sores
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16%
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14%
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Percent of Low-Risk Residents Who Have Pressure Sores
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3%
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3%
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Percent of Residents Who Were Physically Restrained
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12%
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8%
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Percent of Residents Who are More Depressed or Anxious
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10%
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15%
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Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder
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35%
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47%
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Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder
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6%
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6%
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Percent of Residents Who Spend Most of Their Time in Bed or in a Chair
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2%
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4%
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Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse
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10%
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13%
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Percent of Residents With a Urinary Tract Infection
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0%
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8%
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Percent of Short-Stay Residents With Delirium
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0%
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3%
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Percent of Short-Stay Residents Who Had Moderate to Severe Pain
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11%
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22%
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Percent of Short-Stay Residents With Pressure Sores
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11%
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21%
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Date of this inspection: 10/01/2003
Complaint Investigations During: 04/01/2003 - 06/30/2004
Total number of health deficiencies for this nursing home: 14
Average number of Health Deficiencies in : 5
Average number of Health Deficiencies in the United States: 7
Range of Health Deficiencies in : 1 - 12
View Previous Inspection Results
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Mistreatment Deficiencies
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Inspectors determined that the nursing home failed to:
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Date of Correction
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Level of Harm
(Least -> Most)
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Residents Affected
(Few -> Some -> Many)
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1. Keep each resident free from physical restraints, unless needed for medical treatment.
(10/01/2003)
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11/14/2003
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2 = Minimal harm or potential for actual harm
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Few
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Quality Care Deficiencies
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Inspectors determined that the nursing home failed to:
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Date of Correction
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Level of Harm
(Least -> Most)
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Residents Affected
(Few -> Some -> Many)
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2. Give each resident care and services to get or keep the highest quality of life possible.
(10/01/2003)
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11/14/2003
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2 = Minimal harm or potential for actual harm
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Few
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3. Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.
(10/01/2003)
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11/14/2003
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1 = Potential for minimal harm
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Some
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4. Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion.
(10/01/2003)
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11/14/2003
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2 = Minimal harm or potential for actual harm
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Few
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5. Provide activities to meet the needs of each resident.
(10/01/2003)
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11/14/2003
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2 = Minimal harm or potential for actual harm
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Few
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Resident Assessment Deficiencies
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Inspectors determined that the nursing home failed to:
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Date of Correction
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Level of Harm
(Least -> Most)
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Residents Affected
(Few -> Some -> Many)
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6. 1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan.
(10/01/2003)
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11/14/2003
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1 = Potential for minimal harm
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Some
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7. Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them.
(10/01/2003)
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11/14/2003
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2 = Minimal harm or potential for actual harm
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Few
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Resident Rights Deficiencies
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Inspectors determined that the nursing home failed to:
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Date of Correction
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Level of Harm
(Least -> Most)
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Residents Affected
(Few -> Some -> Many)
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8. Let each resident choose a personal doctor.
(10/01/2003)
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11/14/2003
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2 = Minimal harm or potential for actual harm
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Some
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9. Provide care in a way that keeps or builds each resident's dignity and self respect.
(10/01/2003)
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11/14/2003
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2 = Minimal harm or potential for actual harm
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Few
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10. Try to resolve each resident's complaints quickly.
(10/01/2003)
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11/14/2003
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2 = Minimal harm or potential for actual harm
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Few
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Nutrition and Dietary Deficiencies
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Inspectors determined that the nursing home failed to:
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Date of Correction
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Level of Harm
(Least -> Most)
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Residents Affected
(Few -> Some -> Many)
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11. Store, cook, and give out food in a safe and clean way.
(10/01/2003)
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11/14/2003
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2 = Minimal harm or potential for actual harm
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Many
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Environmental Deficiencies
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Inspectors determined that the nursing home failed to:
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Date of Correction
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Level of Harm
(Least -> Most)
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Residents Affected
(Few -> Some -> Many)
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12. Keep temperature levels comfortable and safe.
(10/01/2003)
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11/14/2003
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2 = Minimal harm or potential for actual harm
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Few
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13. Provide needed housekeeping and maintenance.
(10/01/2003)
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11/14/2003
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1 = Potential for minimal harm
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Some
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Administration Deficiencies
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Inspectors determined that the nursing home failed to:
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Date of Correction
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Level of Harm
(Least -> Most)
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Residents Affected
(Few -> Some -> Many)
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14. Keep accurate and appropriate medical records.
(10/01/2003)
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11/14/2003
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2 = Minimal harm or potential for actual harm
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Few
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