CONTACT INFORMATION REVIEWS & MORE DATA
Westwood Specialty Care
- Date Updated: November 01, 2024
- CMS Overall 5-Star Rating:
-
Address: 4201 FIELDCREST DRIVE
SIOUX CITY IA 51104 Map - Phone: 712-258-0135
- Website: Click Here
- Medicare Provider Number: 165271
- Participating in Medicare Since: April 01, 1996
- No. of Certified Beds: 85
- No. of Residents: N/A
- Occupancy: N/A
- Amount Fined: $423,141.00
- Complaints Filed: 106
- Accepts: Medicare and Medicaid
About Westwood Specialty Care
Westwood Specialty Care, located in SIOUX CITY, IA, is a non-profit organization that accepts Medicare and Medicaid. It is not part of a continuing care retirement community. It is not located in a hospital. Westwood Specialty Care offers a range of services including skilled nursing, long-term care, short-term rehabilitation, and specialized memory care. The center is equipped with modern amenities and a supportive environment designed to enhance the quality of life for its residents. With a focus on personalized care plans and community engagement.
- Westwood Specialty Care is ranked #10 out of 10 facilities within a 10 mile radius and #17 out of 17 facilities within a 25 mile radius. See Ranking Report
- Review Specific City Measures
- CMS 5-Star Overall Rating is (1 out of 5):
- Current Trend: Improving
-
Total Nursing Hours Spent Per Resident Per Day: 3.36
(The national average is 3.84 ) - The percentage of short-stay residents who were re-hospitalized after a nursing home admission is 20.70% .
- There is no indication of abuse occuring at Westwood Specialty Care. (CMS flags facilities where abuse has either happened or is very likely.)
Westwood Specialty Care Owner & Operator Information
Managers and Directors:
- MICHAEL BEAL (CORPORATE DIRECTOR)
- MICHAEL BEAL (CORPORATE OFFICER)
- LANE BOWEN (CORPORATE DIRECTOR)
- MARY JANE CAROTHERS (CORPORATE DIRECTOR)
- KEVIN CHILDS (CORPORATE DIRECTOR)
- DAVID DIXON (CORPORATE OFFICER)
- EMILY DRAKE (CORPORATE OFFICER)
- MICHAEL JURGENS (MANAGING EMPLOYEE)
- KEITH KREIN (CORPORATE DIRECTOR)
- JERAMY KUHN (CORPORATE OFFICER)
- JESSICA MCDYER (CORPORATE OFFICER)
- IDEN RAMEY (MANAGING EMPLOYEE)
- ELIZABETH RUST (CORPORATE DIRECTOR)
- DENISE STURM (CORPORATE DIRECTOR)
- LINDA UPMEYER (CORPORATE DIRECTOR)
Westwood Specialty Care Ratings and Inspection Scores
Centers for Medicare and Medicaid (CMS) regularly inspects every skilled nursing facility. The results of the multi-day inspection is a series of star ratings. The health inspection scores are an absolute value, so you can compare one facility's score directly to another.
Ratings
| Overall Rating | 1: |
| Health Inspection Rating | 1: |
| Quality Rating | 2: |
| Staffing Rating | 2: |
Inspection Scores
| Cycle 1 Score (as of June 06, 2024) | 196 |
| Cycle 2 Score (as of March 30, 2023) | 405 |
| Cycle 3 Score (as of December 09, 2021) | 284 |
| Weighted All Cycles Score | 280 |
Complaints by Residents
This table shows complaints filed by residents in Westwood Specialty Care:
| Ensure services provided by the nursing facility meet professional standards of quality. | 08/11/2024 |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | 08/11/2024 |
| Reasonably accommodate the needs and preferences of each resident. | 06/22/2024 |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | 06/22/2024 |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | 06/22/2024 |
| Ensure services provided by the nursing facility meet professional standards of quality. | 05/21/2024 |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | 05/21/2024 |
| Provide and implement an infection prevention and control program. | 05/21/2024 |
| Ensure services provided by the nursing facility meet professional standards of quality. | 05/21/2024 |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | 05/21/2024 |
| Provide and implement an infection prevention and control program. | 05/21/2024 |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | 03/28/2024 |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | 03/28/2024 |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | 03/28/2024 |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | 03/28/2024 |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | 03/28/2024 |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | 03/28/2024 |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | 03/28/2024 |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | 03/28/2024 |
| Provide safe, appropriate pain management for a resident who requires such services. | 03/28/2024 |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | 03/28/2024 |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | 03/28/2024 |
| Ensure that residents are free from significant medication errors. | 03/28/2024 |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | 03/28/2024 |
| Help the resident with transportation to and from laboratory services outside of the facility. | 03/28/2024 |
| Have a plan that describes the process for conducting QAPI and QAA activities. | 03/28/2024 |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | 11/22/2023 |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | 11/22/2023 |
| Ensure services provided by the nursing facility meet professional standards of quality. | 11/22/2023 |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | 11/22/2023 |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | 11/22/2023 |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | 11/22/2023 |
| Provide safe and appropriate respiratory care for a resident when needed. | 11/22/2023 |
| Provide safe, appropriate pain management for a resident who requires such services. | 11/22/2023 |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | 11/22/2023 |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | 11/22/2023 |
| Ensure that residents are free from significant medication errors. | 11/22/2023 |
| Help the resident with transportation to and from laboratory services outside of the facility. | 11/22/2023 |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | 11/22/2023 |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | 11/22/2023 |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | 11/22/2023 |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | 11/22/2023 |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | 11/22/2023 |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | 11/22/2023 |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | 05/09/2023 |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | 05/09/2023 |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | 05/09/2023 |
| Ensure services provided by the nursing facility meet professional standards of quality. | 05/09/2023 |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | 05/09/2023 |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | 05/09/2023 |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | 05/09/2023 |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | 05/09/2023 |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | 05/09/2023 |
| Provide and implement an infection prevention and control program. | 05/09/2023 |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | 05/09/2023 |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | 05/02/2023 |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | 03/31/2023 |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | 12/21/2022 |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | 12/21/2022 |
| Ensure services provided by the nursing facility meet professional standards of quality. | 12/21/2022 |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | 10/23/2022 |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | 10/23/2022 |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | 10/23/2022 |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | 10/23/2022 |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | 10/23/2022 |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | 10/23/2022 |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | 10/23/2022 |
| Ensure medication error rates are not 5 percent or greater. | 10/23/2022 |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | 10/23/2022 |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | 10/23/2022 |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | 10/23/2022 |
| Provide and implement an infection prevention and control program. | 10/23/2022 |
| Ensure that residents are free from significant medication errors. | 04/29/2022 |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | 03/28/2022 |
| Ensure services provided by the nursing facility meet professional standards of quality. | 03/28/2022 |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | 03/28/2022 |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | 03/28/2022 |
| Provide enough food/fluids to maintain a resident's health. | 03/28/2022 |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | 03/28/2022 |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | 03/28/2022 |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | 03/28/2022 |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | 03/28/2022 |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | 03/15/2022 |
| Perform COVID19 testing on residents and staff. | 01/09/2022 |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | 01/09/2022 |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | 01/09/2022 |
| Honor the resident's right to manage his or her financial affairs. | 01/09/2022 |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | 01/09/2022 |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | 01/09/2022 |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | 01/09/2022 |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | 01/09/2022 |
| Ensure services provided by the nursing facility meet professional standards of quality. | 01/09/2022 |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | 01/09/2022 |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | 01/09/2022 |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | 01/09/2022 |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | 01/09/2022 |
| Provide safe and appropriate respiratory care for a resident when needed. | 01/09/2022 |
| Provide safe, appropriate pain management for a resident who requires such services. | 01/09/2022 |
| Post nurse staffing information every day. | 01/09/2022 |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | 01/09/2022 |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | 01/09/2022 |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | 01/09/2022 |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | 01/09/2022 |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | 01/09/2022 |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | 01/09/2022 |
| Provide and implement an infection prevention and control program. | 01/09/2022 |
Nursing Hours Spent Per Patient
CMS provides detailed information about how long nursing staff spends with residents. This data includes nursing subcategories of Registered Nurse, Licensed Practical Nurse, and non-nursing Certified Nursing Assistants. More hours spend per patient should can indicate a better facility or it could indicate more complicated situations.
The nursing staff of Westwood Specialty Care spends LESS time on average with its residents than the state average and LESS time than the national average for total nursing hours spent per resident.
| Type | Facility | State / National Avg |
|---|---|---|
| Registered Nurse (RN) | ||
| Hours | 0.69 | 0.75 / 0.67 |
| Case Mix | 0.62 | 0.60 / 0.66 |
| Adjusted | 0.73 | NA / NA |
| Licensed Practical Nurse (LPN) | ||
| Hours | 0.46 | 0.59 / 0.88 |
| Case Mix | 0.82 | NA / NA |
| Adjusted | 0.49 | NA / NA |
| Certified Nursing Assistants (CNA) | ||
| Hours | 2.22 | 2.44 / 2.29 |
| Case Mix | 2.14 | NA / NA |
| Adjusted | 2.36 | NA / NA |
| Total Licensed Staff | ||
| Hours | 1.15 | 1.34 / 1.54 |
| Physical Therapist (PT) | ||
| Hours | 0.06 | 0.04 / 0.07 |
| Total Nursing Hours Spent per Resident on Average | ||
| Hours | 3.36 | 3.78 / 3.84 |
| Case Mix | 3.59 | 3.43 / 3.82 |
| Adjusted | 3.58 | NA / NA |
Quality Measures
Quality measures are based both on patient survey information and on the results of actual claims that are filed with CMS. It is not clear what period is covered in the measures.
| Desc. | Perc./ State Avg. / Comparison |
|---|---|
|
Percentage of short-stay residents who were rehospitalized after a nursing home admission (qm521)
This measure is considered when computing the 5-Star Overall Rating |
20.7%
/
21.3% Better |
|
Percentage of short-stay residents who had an outpatient emergency department visit (qm522)
This measure is considered when computing the 5-Star Overall Rating |
12.9%
/
13.2% Better |
|
Number of hospitalizations per 1000 long-stay resident days (qm551)
This measure is considered when computing the 5-Star Overall Rating |
1.5%
/
1.4% Worse |
|
Number of outpatient emergency department visits per 1000 long-stay resident days (qm552)
This measure is considered when computing the 5-Star Overall Rating |
1.4%
/
1.9% Better |
| Percentage of long-stay residents whose need for help with daily activities has increased (qm401) |
12.7%
/
16.4% Better |
| Percentage of long-stay residents who lose too much weight (qm404) |
7.1%
/
4.9% Worse |
| Percentage of low risk long-stay residents who lose control of their bowels or bladder (qm405) |
61.7%
/
47.0% Worse |
| Percentage of long-stay residents with a catheter inserted and left in their bladder (qm406) |
4.6%
/
2.2% Worse |
| Percentage of long-stay residents with a urinary tract infection (qm407) |
3.5%
/
2.7% Worse |
| Percentage of long-stay residents who have depressive symptoms (qm408) |
6.1%
/
4.3% Worse |
| Percentage of long-stay residents who were physically restrained (qm409) |
0.0%
/
0.2% Better |
| Percentage of long-stay residents experiencing one or more falls with major injury (qm410) |
1.5%
/
3.7% Better |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine (qm415) |
93.1%
/
94.7% Worse |
| Percentage of long-stay residents who received an antipsychotic medication (qm419) |
22.5%
/
19.0% Worse |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (qm430) |
72.8%
/
86.0% Worse |
| Percentage of short-stay residents who newly received an antipsychotic medication (qm434) |
2.5%
/
2.1% Worse |
| Percentage of long-stay residents whose ability to move independently worsened (qm451) |
16.8%
/
18.3% Better |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication (qm452) |
20.3%
/
20.0% Worse |
| Percentage of high risk long-stay residents with pressure ulcers (qm453) |
3.8%
/
5.9% Better |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine (qm454) |
84.6%
/
95.2% Worse |
| Percentage of short-stay residents who made improvements in function (qm471) |
73.5%
/
79.1% Worse |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine (qm472) |
61.2%
/
73.4% Worse |
Hospitals Near Westwood Specialty Care
Quite often skilled nursing facilities and hospitals work closely together to help patients recover or manage a terminal illness. Hospitals deals with acute care while nursing homes treat patients for a longer period of time. New residents at skilled nursing homes typically come from a hospital and nursing home residents may be readmitted to a hospital if their recovery does not proceed well. (Hospital readmission rates are closely monitored by CMS.) Consequently it is important that you consider which hospitals are near a nursing home which choosing one. Below is a list of hospitals near Westwood Specialty Care.
Westwood Specialty Care is near several hospitals, each with its own rating based on overall performance:
| Hospital | 5-Star Overall Rating |
|---|---|
|
MERCYONE SIOUXLAND MEDICAL CENTER 801 5TH ST SIOUX CITY, IA 51101 |
1 |
|
ST LUKES REGIONAL MEDICAL CENTER 2720 STONE PARK BOULEVARD SIOUX CITY, IA 51104 |
2 |
|
FLOYD VALLEY HEALTHCARE 714 LINCOLN ST NE LE MARS, IA 51031 |
Not Available |
|
TWELVE CLANS UNITY HOSPITAL 225 S BLUFF STREET WINNEBAGO, NE 68071 |
Not Available |
|
DUNES SURGICAL HOSPITAL 600 N SIOUX POINT ROAD DAKOTA DUNES, SD 57049 |
Not Available |
|
SANFORD VERMILLION HOSPITAL 20 SOUTH PLUM STREET VERMILLION, SD 57069 |
Not Available |
Ratings History for Westwood Specialty Care
Medical Professionals Associated with Westwood Specialty Care
These are the doctors who are affiliated with Westwood Specialty Care. The data is from the most recent period. Historical data is not available.
- MICHAEL JURGENS ( FAMILY PRACTICE - CURANA HEALTH OF IOWA PLLC )
Local Nursing Homes
When evaluating nursing homes, it's important to consider other nearby facilities to understand the available options and make comparisons. Below is a list of nursing homes near Brookline Healthcare and Rehabilitation, including Brookline itself. This list is ranked based on each home's health inspection scores, also known as the "weighted all cycles score." Additionally, we provide the facility's 5-star overall rating for a more complete view of its performance. If a nursing home has been flagged by CMS for abuse, you'll see a special icon () next to its name.
The data is based on the dataset as of November 01, 2024.
| Name | Health Inspection Score / Overall Rating |
|---|---|
|
Akron Care Center, Inc (AKRON, IA) | 8 / 5: |
|
Mercyone Siouxland Medical Center (SIOUX CITY, IA) | 12 / 4: |
|
Heritage of Emerson (EMERSON, NE) | 16 / 4: |
|
Good Samaritan Society - Lemars (LE MARS, IA) | 17.333 / 5: |
|
Wakefield Health Care Center (WAKEFIELD, NE) | 29.333 / 4: |
|
Sunrise Retirement Community (SIOUX CITY, IA) | 29.333 / 4: |
|
Continental Springs, LLC (SOUTH SIOUX CITY, NE) | 51.333 / 1: |
|
Accura Healthcare of Le Mars (LE MARS, IA) | 51.333 / 2: |
|
Kingsley Specialty Care (KINGSLEY, IA) | 57.333 / 1: |
|
Sanford Care Center Vermillion (VERMILLION, SD) | 72.167 / 1: |
|
Accura Healthcare of Sioux City, LLC (SIOUX CITY, IA) | 74 / 2: |
|
Casa De Paz Health Care Center (SIOUX CITY, IA) | 89 / 2: |
|
The Palm at Regency Square (SOUTH SIOUX CITY, NE) | 96.333 / 1: |
|
Holy Spirit Retirement Home (SIOUX CITY, IA) | 101.333 / 1: |
|
Pioneer Valley Living and Rehab (SERGEANT BLUFF, IA) | 146 / 2: |
|
Embassy Rehab and Care Center (SERGEANT BLUFF, IA) | 218.333 / 1: |
|
Westwood Specialty Care (SIOUX CITY, IA) | 280.333 / 1: |
Our Analysis
Best and Worst Nursing Homes in SIOUX CITY, IA
Here is our analysis of the Best Nursing Homes in SIOUX CITY and Worst Nursing Homes in SIOUX CITY so that you can make better decisions when choosing a nursing home. You should also use these lists after choosing a home to stay abreast of changes.
Ownership Details for Westwood Specialty Care
A list of all of the registered owners for Westwood Specialty Care. This includes direct and indirect owners and managers.
Noted Deficiencies for Westwood Specialty Care
A list of all of the deficiencies for the facility. This includes a description, type of deficiency, incident date and when the facility reports that the incident was corrected.
Nursing Hours Analysis for Westwood Specialty Care
How long a nurse spends with a resident can be an important factor in their recovery. This page shows the average nursing hours spent per resident for RNs, LPNs, CNAs, PTs and all licensed staff.
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