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Westchester Gardens Rehabilitation And Care Center
3301 MCMULLEN BOOTH RD
Clearwater, FL 33761
(727) 785-8335
General
Ratings
Deficiencies
Resident Stats
Staff Stats
| Certified Beds: | 120 |
| Number of Residents: | 114 |
| Percent of Occupied Beds: | 95% |
| Sprinkler Status: | Fully Sprinklered |
| Program Participation: | Medicare and Medicaid |
| Type of Ownership: | For profit - Partnership |
| Located Within a Hospital? | No |
| Multi Nursing Home Ownership? | No |
| Resident and Family Councils? | Resident |
| Continuing Care Retirement Community? | No |
| Quality Indicator Survey? | Yes |
| Special Focus Facility? | No |
| Overall: |  |
| Health Inspection: |  |
| Nurse Staffing: | |
| Quality Measures: |  |
| RN Only: | |
| Date | Type | Category | Deficiency | Scope | Level of Harm | Date of Correction |
| 20070908 | Health | Resident Rights Deficiencies | Provide care in a way that keeps or builds each resident's dignity and self respect. | Pattern | Minimal harm or potential for actual harm | 20071018 |
| 20070908 | Health | Pharmacy Service Deficiencies | Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. | Isolated | Minimal harm or potential for actual harm | 20071018 |
| 20080408 | Health | Resident Rights Deficiencies | Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. | Isolated | Minimal harm or potential for actual harm | 20080522 |
| 20100125 | Health | Resident Assessment Deficiencies | Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. | Isolated | Minimal harm or potential for actual harm | 20100225 |
| 20100125 | Health | Resident Assessment Deficiencies | 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. | Isolated | Minimal harm or potential for actual harm | 20100225 |
| 20100125 | Health | Quality Care Deficiencies | 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. | Isolated | Minimal harm or potential for actual harm | 20100225 |
| Value | Notes | |
| Percent of long-stay residents given influenza vaccination during the flu season: | 99 | |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination: | 96 | |
| Percent of long-stay residents whose need for help with daily activities has increased: | 31 | |
| Percent of long-stay residents who have moderate to severe pain: | 1 | |
| Percent of high-risk long-stay residents who have pressure sores: | 23 | |
| Percent of low-risk long-stay residents who have pressure sores: | Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure. | |
| Percent of long-stay residents who were physically restrained: | 15 | |
| Percent of long-stay residents who are more depressed or anxious: | 4 | |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder: | 64 | |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder: | 3 | |
| Percent of long-stay residents who spend most of their time in bed or in a chair: | 6 | |
| Percent of long-stay residents whose ability to move about in and around their room got worse: | 21 | |
| Percent of long-stay residents who had a urinary tract infection: | 21 | |
| Percent of long-stay residents who lose too much weight: | 11 | |
| Percent of short-stay residents given influenza vaccination during the flu season: | 99 | |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination: | 96 | |
| Percent of short-stay residents who have delirium: | 0 | |
| Percent of short-stay residents who had moderate to severe pain: | 16 | |
| Percent of short-stay residents who have pressure sores: | 19 | |
| # of Residents: | 114 |
| # RN Hours per Resident: | 0.45 |
| # LPN Hours per Resident: | 1 |
| # CNA Hours per Resident: | 2.86 |
| Total Staff Hours per Resident: | 1.45 |
