General
City		San Angelo	vs	Garland
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State attribute explanation		Tx	vs	Tx
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Street		902 N Main St	vs	505 W Centerville Rd
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Zip Code		76,903	vs	75,041
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Phone		3,256,557,391	vs	9,722,783,566
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Overall Star Rating		5	vs	1
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Health Inspections Star Rating		5	vs	1
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Nurse Staffing Star Rating		4	vs	3
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Quality Measures Star Rating		3	vs	2
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RN Only Star Rating		2	vs	2
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Number of Certified Beds		108	vs	202-639-1800
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Total Number of Residents		91	vs	117
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Percent of Occupied Beds		84 %	vs	58 %
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Health Survey Date		7/21/2011	vs	3/15/2012
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Fire Survey Date		7/20/2011	vs	2/23/2012
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Sprinkler Status		Partially Sprinklered	vs	Fully Sprinklered
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Program Participation		Medicare And Medicaid	vs	Medicare And Medicaid
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Type of Ownership		Non Profit - Church Related	vs	For Profit - Individual
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Located Within a Hospital?		No	vs	No
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Multi Nursing Home Ownership?		No	vs	Yes
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Resident and Family Councils		Both	vs	Resident
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Continuing Care Retirement Community?		No	vs	No
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Quality Indicator Survey?		No	vs	No
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Special Focus Facility?		No	vs	No
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Civil Money Penalty Count		75.2	vs	75.2
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Total Enforcement Actions Count		75.2	vs	2
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# of deficiencies		1	vs	50
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Staff Information
Number of Residents		91	vs	117
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Number of RN Hours Per Resident Per Day		0.42	vs	0.59
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Number of LPN/LVN Hours Per Resident Per Day		0.88	vs	1.66
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Total Number of Licensed Staff Hours Per Resident Per Day		1.3	vs	2.25
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Number of CNA Hours Per Resident Per Day		0.11	vs	0.06
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Number Therapy Hours Per Resident Per Day		0.11	vs	0.06
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Environmental Deficiencies
Deficiency #1			vs	Scope: Somelevel Of Harm: 2deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.survey Date: 03/15/2012date Of Correction: 04/02/2012
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Deficiency #2			vs	Scope: Somelevel Of Harm: 2deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.survey Date: 01/06/2012date Of Correction: 01/27/2012
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Deficiency #3			vs	Scope: Manylevel Of Harm: 4deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.survey Date: 04/15/2011date Of Correction: 05/06/2011
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Deficiency #4			vs	Scope: Somelevel Of Harm: 2deficiency: Provide Housekeeping And Maintenance Services.survey Date: 04/15/2011date Of Correction: 05/06/2011
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Deficiency #5			vs	Scope: Somelevel Of Harm: 2deficiency: Keep All Essential Equipment Working Safely.survey Date: 12/07/2010date Of Correction: 12/10/2010
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Deficiency #6			vs	Scope: Somelevel Of Harm: 2deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 12/07/2010date Of Correction: 12/13/2010
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Mistreatment Deficiencies
Deficiency #1		Scope: Fewlevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 01/14/2010date Of Correction: 02/19/2010	vs	Scope: Somelevel Of Harm: 2deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment.survey Date: 04/15/2011date Of Correction: 05/06/2011
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Deficiency #2			vs	Scope: Somelevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 12/07/2010date Of Correction: 12/13/2010
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Deficiency #3			vs	Scope: Somelevel Of Harm: 2deficiency: 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.survey Date: 12/07/2010date Of Correction: 12/13/2010
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Resident Rights Deficiencies
Deficiency #1			vs	Scope: Somelevel Of Harm: 2deficiency: Help And Prepare Each Resident For A Safe And Easy Discharge And Transfer From The Nursing Home.survey Date: 03/15/2012date Of Correction: 04/02/2012
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Deficiency #2			vs	Scope: Manylevel Of Harm: 1deficiency: Allow Residents To Easily View The Results Of The Nursing Home's Most Recent Survey.survey Date: 01/06/2012date Of Correction: 01/27/2012
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Deficiency #3			vs	Scope: Somelevel Of Harm: 3deficiency: Immediately Tell The Resident, The Resident's Doctor And A Family Member Of The Resident Of Situations (injury/decline/room, Etc.) That Affect The Resident.survey Date: 01/06/2012date Of Correction: 01/27/2012
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Deficiency #4			vs	Scope: Somelevel Of Harm: 2deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.survey Date: 04/15/2011date Of Correction: 05/06/2011
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Deficiency #5			vs	Scope: Somelevel Of Harm: 2deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.survey Date: 04/15/2011date Of Correction: 05/06/2011
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Deficiency #6			vs	Scope: Somelevel Of Harm: 2deficiency: Try To Resolve Each Resident's Complaints Quickly.survey Date: 04/15/2011date Of Correction: 05/06/2011
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Deficiency #7			vs	Scope: Somelevel Of Harm: 4deficiency: Give Each Resident A Notice Of Rights, Rules, Services And Charges. Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items And Services Medicaid Covers And Which The Resident Must Pay For.survey Date: 04/15/2011date Of Correction: 05/06/2011
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Deficiency #8			vs	Scope: Somelevel Of Harm: 2deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.survey Date: 03/03/2011date Of Correction: 05/06/2011
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Quality Care Deficiencies
Deficiency #1			vs	Scope: Somelevel Of Harm: 2deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 02/10/2012date Of Correction: 03/05/2012
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Deficiency #2			vs	Scope: Somelevel Of Harm: 2deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 01/06/2012date Of Correction: 01/27/2012
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Deficiency #3			vs	Scope: Somelevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 01/06/2012date Of Correction: 01/27/2012
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Deficiency #4			vs	Scope: Somelevel Of Harm: 2deficiency: Provide Routine And 24-hour Emergency Dental Care For Each Resident.survey Date: 04/15/2011date Of Correction: 05/06/2011
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Deficiency #5			vs	Scope: Somelevel Of Harm: 2deficiency: Properly Care For Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, And Prostheses.survey Date: 04/15/2011date Of Correction: 05/06/2011
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Deficiency #6			vs	Scope: Somelevel Of Harm: 2deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 04/15/2011date Of Correction: 05/06/2011
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Deficiency #7			vs	Scope: Somelevel Of Harm: 4deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 04/15/2011date Of Correction: 05/06/2011
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Deficiency #8			vs	Scope: Manylevel Of Harm: 2deficiency: Provide Activities To Meet The Interests And Needs Of Each Resident.survey Date: 04/15/2011date Of Correction: 05/06/2011
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Deficiency #9			vs	Scope: Somelevel Of Harm: 2deficiency: Properly Care For Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, And Prostheses.survey Date: 03/03/2011date Of Correction: 05/06/2011
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Deficiency #10			vs	Scope: Somelevel Of Harm: 3deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 03/03/2011date Of Correction: 05/06/2011
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Deficiency #11			vs	Scope: Somelevel Of Harm: 2deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 12/31/2010date Of Correction: 01/22/2011
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Deficiency #12			vs	Scope: Somelevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 12/31/2010date Of Correction: 01/22/2011
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Resident Assessment Deficiencies
Deficiency #1			vs	Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Doctors See A Resident's Plan Of Care At Every Visit And Make Notes About Progress And Orders In Writing.survey Date: 04/15/2011date Of Correction: 05/06/2011
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Administration Deficiencies
Deficiency #1			vs	Scope: Somelevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 04/15/2011date Of Correction: 05/06/2011
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Deficiency #2			vs	Scope: Somelevel Of Harm: 2deficiency: Tell The Attending Physician The Results Of X-rays And Other Tests, In A Timely Manner.survey Date: 04/15/2011date Of Correction: 05/06/2011
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Deficiency #3			vs	Scope: Somelevel Of Harm: 2deficiency: Quickly Tell The Resident's Doctor The Results Of Lab Tests.survey Date: 04/15/2011date Of Correction: 05/06/2011
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Deficiency #4			vs	Scope: Somelevel Of Harm: 2deficiency: Make Sure That Nurse Aides Show They Have The Skills And Techniques To Be Able To Care For Residents' Needs.survey Date: 04/15/2011date Of Correction: 05/06/2011
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Deficiency #5			vs	Scope: Fewlevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 12/07/2010date Of Correction: 12/10/2010
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Deficiency #6			vs	Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Nurse Aides Show They Have The Skills And Techniques To Be Able To Care For Residents' Needs.survey Date: 12/07/2010date Of Correction: 12/10/2010
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Pharmacy Service Deficiencies
Deficiency #1			vs	Scope: Somelevel Of Harm: 2deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.survey Date: 01/06/2012date Of Correction: 01/27/2012
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Deficiency #2			vs	Scope: Somelevel Of Harm: 2deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.survey Date: 01/06/2012date Of Correction: 01/27/2012
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Deficiency #3			vs	Scope: Somelevel Of Harm: 2deficiency: Keep The Rate Of Medication Errors (wrong Drug, Wrong Dose, Wrong Time) To Less Than 5%.survey Date: 01/06/2012date Of Correction: 01/27/2012
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Deficiency #4			vs	Scope: Somelevel Of Harm: 2deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.survey Date: 04/15/2011date Of Correction: 05/06/2011
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Deficiency #5			vs	Scope: Fewlevel Of Harm: 2deficiency: 1) Make Sure That Each Resident's Drug Regimen Is Free From Unnecessary Drugs; 2) Each Resident's Entire Drug/medication Is Managed And Monitored To Achieve Highest Well Being.survey Date: 04/15/2011date Of Correction: 05/06/2011
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Deficiency #6			vs	Scope: Somelevel Of Harm: 2deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.survey Date: 03/05/2010date Of Correction: 04/23/2010
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Deficiency #7			vs	Scope: Somelevel Of Harm: 2deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.survey Date: 03/05/2010date Of Correction: 04/23/2010
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Nutrition and Dietary Deficiencies
Deficiency #1			vs	Scope: Somelevel Of Harm: 2deficiency: Prepare Food That Is Nutritional, Appetizing, Tasty, Attractive, Well-cooked, And At The Right Temperature.survey Date: 07/01/2011date Of Correction: 07/13/2011
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Deficiency #2			vs	Scope: Somelevel Of Harm: 2deficiency: Prepare Food That Is Nutritional, Appetizing, Tasty, Attractive, Well-cooked, And At The Right Temperature.survey Date: 04/15/2011date Of Correction: 05/06/2011
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Deficiency #3			vs	Scope: Manylevel Of Harm: 2deficiency: Prepare Food That Is Nutritional, Appetizing, Tasty, Attractive, Well-cooked, And At The Right Temperature.survey Date: 03/15/2011date Of Correction: 03/25/2011
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Deficiency #4			vs	Scope: Manylevel Of Harm: 2deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.survey Date: 03/05/2010date Of Correction: 04/23/2010
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Deficiency #5			vs	Scope: Fewlevel Of Harm: 2deficiency: Provide Food In A Way That Meets A Resident's Needs.survey Date: 03/05/2010date Of Correction: 04/23/2010
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Deficiency #6			vs	Scope: Manylevel Of Harm: 2deficiency: Prepare Food That Is Nutritional, Appetizing, Tasty, Attractive, Well-cooked, And At The Right Temperature.survey Date: 03/05/2010date Of Correction: 04/23/2010
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Deficiency #7			vs	Scope: Somelevel Of Harm: 2deficiency: Make Sure Menus Meet The Resident's Nutritional Needs And That There Is A Prepared Menu By Which Nutritious Meals Have Been Planned For The Resident And Followed.survey Date: 03/05/2010date Of Correction: 04/23/2010
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Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication		26.1 %	vs	31.8 %
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Percent of long-stay residents whose need for help with daily activities has increased		75.2 %	vs	4.5 %
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Percent of long-stay residents who self-report moderate to severe pain		10.8 %	vs	13.6-28
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Percent of long-stay high-risk residents with pressure ulcers		4.3 %	vs	13.6-28
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Percent of long-stay residents who lose too much weight		8.6:1	vs	6 %
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Percent of long-stay low-risk residents who lose control of their bowels or bladder			vs	53.8 %
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Percent of long-stay residents who have had a catheter inserted and left in their bladder		5.3 %	vs	4.1 %
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Percent of long-stay residents with a urinary tract infection		5.8 %	vs	1.7 %
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Percent of long-stay residents who have depressive symptoms		7.2 %	vs	3.1 %
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Percent of long-stay residents who were physically restrained		2.9 %	vs	0.8 %
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Percent of short-stay residents who self-report moderate to severe pain		12.7 %	vs	45.1 %
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Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine		98.7 %	vs	54.5 %
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Percent of short-stay residents with Pressure ulcers that are new or worsened		99.2 %	vs	52.7 %
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Percent of short-stay residents who newly received an antipsychotic medication		1.2 %	vs	8.9 / 9.9
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Percent of long-stay residents experiencing one or more falls with major injury		4.3 %	vs	6.7 %
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Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication		26.3 (79.3)	vs	36.1 %
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Percent of long-stay residents whose need for help with daily activities has increased		1.7 %	vs	2.4 %
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Percent of long-stay residents who self-report moderate to severe pain		13.8 %	vs	11.3 %
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Percent of long-stay high-risk residents with pressure ulcers		4.9 %	vs	16.3:1
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Percent of long-stay residents who lose too much weight		11.7 %	vs	8 %
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Percent of long-stay low-risk residents who lose control of their bowels or bladder		52.7 %	vs	51 %
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Percent of long-stay residents who have had a catheter inserted and left in their bladder		5.3 %	vs	5.1 %
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Percent of long-stay residents with a urinary tract infection		6.1 %	vs	1.6 %
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Percent of long-stay residents who have depressive symptoms		6.1 %	vs	4 %
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Percent of long-stay residents who were physically restrained		2.8 %	vs	0.9 %
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Percent of long-stay residents experiencing one or more falls with major injury		3.2 %	vs	5 %
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Percent of short-stay residents who self-report moderate to severe pain		19.7 %	vs	45.5 %
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Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine		99.4 %	vs	57.5 %
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Percent of short-stay residents with Pressure ulcers that are new or worsened		97 %	vs	35.5 %
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Percent of short-stay residents who newly received an antipsychotic medication		24.1 %	vs	27 %
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Compare ELSIE GAYER HEALTH CARE CENTER vs ADVANCED HEALTH & REHAB CENTER OF GARLAND Nursing Homes USA