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 ALEXANDER-A MERCY LIV CTR AFFI
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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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4%
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16%
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Percent of Residents Who Have Moderate to Severe Pain
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1%
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6%
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Percent of High-Risk Residents Who Have Pressure Sores
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NOT AVAILABLE
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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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0%
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8%
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Percent of Residents Who are More Depressed or Anxious
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9%
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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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36%
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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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0%
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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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3%
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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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2%
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13%
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Percent of Residents With a Urinary Tract Infection
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2%
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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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7%
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22%
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Percent of Short-Stay Residents With Pressure Sores
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0%
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21%
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Date of this inspection: 11/07/2003
Complaint Investigations During: 04/01/2003 - 06/30/2004
Total number of health deficiencies for this nursing home: 9
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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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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1. 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.
(11/07/2003)
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12/30/2003
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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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2. Do a new assessment after any major change in a resident's physical or mental health.
(11/07/2003)
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12/30/2003
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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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3. Keep each resident's personal and medical records private and confidential.
(11/07/2003)
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12/30/2003
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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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4. Hire enough skilled workers to carry out dietary service.
(11/07/2003)
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12/30/2003
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2 = Minimal harm or potential for actual harm
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Few
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5. Store, cook, and give out food in a safe and clean way.
(11/07/2003)
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12/30/2003
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2 = Minimal harm or potential for actual harm
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Many
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Pharmacy Service 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. Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
(11/07/2003)
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12/30/2003
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2 = Minimal harm or potential for actual harm
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Some
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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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7. Make sure that a working call system is available in each resident's room or bathroom and bathing area.
(11/07/2003)
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12/30/2003
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2 = Minimal harm or potential for actual harm
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Some
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8. Make sure that staff members wash their hands when needed.
(11/07/2003)
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12/30/2003
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2 = Minimal harm or potential for actual harm
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Some
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9. Provide rooms that are big enough for each resident.
(11/07/2003)
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11/07/2003
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1 = Potential for minimal harm
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Some
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