BISHOPS GLEN RETIREMENT CENTER (HOLLY HILL, FL) Detailed Nursing Home Profile

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased

This Nursing Home:	9.1%
State:	14.7%

Percent of long-stay residents who self-report moderate to severe pain

This Nursing Home:	5.3%
Florida:	8.4%

Percent of long-stay residents who lose too much weight

Here:	2.4%
State:	8.1%

Percent of long-stay residents who have had a catheter inserted and left in their bladder

This Nursing Home:	10.8%
Florida:	3.5%

Percent of long-stay residents with a urinary tract infection

This Nursing Home:	16.7%
Florida:	9.2%

Percent of long-stay residents who were physically restrained

Here:	4.5%
State:	2.8%

Percent of long-stay residents experiencing one or more falls with major injury

Here:	6.8%
Florida:	2.8%

Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine

Here:	95.1%
State:	94.0%

Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine

This Nursing Home:	84.1%
Florida:	95.6%

Percent of short-stay residents who self-report moderate to severe pain

Here:	10.3%
Florida:	20.3%

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine

This Nursing Home:	65.7%
Florida:	86.5%

Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine

Here:	55.9%
State:	86.6%

Percent of short-stay residents who newly received an antipsychotic medication

Here:	2.7%
Florida:	3.1%

Percent of long-stay residents who received an antipsychotic medication

Here:	9.5%
Florida:	24.1%

Complaint Deficiency

Let residents talk to and get information from agencies acting on their behalf
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide adequate and comfortable lighting levels in all areas
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide housekeeping and maintenance services
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Conduct initial and periodic assessments of each resident's functional capacity
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure each resident receives an accurate assessment by a qualified health professional
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Allow the resident the right to participate in the planning or revision of the resident's care plan
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure services provided by the nursing facility meet professional standards of quality
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide care by qualified persons according to each resident's written plan of care
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide necessary care and services to maintain the highest well being of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion
- Harm: Minimal harm or potential for actual harm
- Scope: Few
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that each resident gets a nutritional and well balanced diet, unless it is not possible to do so
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Many

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	2.320
State:	0.628

Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day

This Nursing Home:	0.560
Florida:	0.991

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	2.880
Florida:	1.617

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	0.150
State:	0.120

Number Therapy Hours Per Resident Per Day

Here:	0.150
Florida:	0.122

BISHOPS GLEN RETIREMENT CENTER - HOLLY HILL, FL

Quality Measures

Complaint Deficiency

Staff Information

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