General
City		Bryan	vs	El Paso
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State attribute explanation		Tx	vs	Tx
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Street		1401 Memorial Dr	vs	11608 Scott Simpson Dr
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Zip Code		77,802	vs	79,936
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Phone		9,797,767,521	vs	9,158,570,071
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Overall Star Rating		1	vs	4
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Health Inspections Star Rating		2	vs	3
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Nurse Staffing Star Rating		2	vs	4
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Quality Measures Star Rating		1	vs	4
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RN Only Star Rating		1	vs	3
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Number of Certified Beds		116	vs	118
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Total Number of Residents		82	vs	105
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Percent of Occupied Beds		71 %	vs	89 %
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Health Survey Date		9/8/2011	vs	3/30/2012
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Fire Survey Date		9/6/2011	vs	4/6/2012
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Sprinkler Status		Fully Sprinklered	vs	Fully Sprinklered
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Program Participation		Medicare And Medicaid	vs	Medicare And Medicaid
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Type of Ownership		For Profit - Corporation	vs	For Profit - Partnership
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Located Within a Hospital?		No	vs	No
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Multi Nursing Home Ownership?		No	vs	No
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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	75.2
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# of deficiencies		13	vs	11
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Staff Information
Number of Residents		82	vs	105
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Number of RN Hours Per Resident Per Day		0.34	vs	0.52
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Number of LPN/LVN Hours Per Resident Per Day		0.93	vs	1.44
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Total Number of Licensed Staff Hours Per Resident Per Day		1.27	vs	1.96
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Number of CNA Hours Per Resident Per Day		0.01	vs	0.02
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Number Therapy Hours Per Resident Per Day		0.01	vs	0.02
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Environmental Deficiencies
Deficiency #1		Scope: Fewlevel 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: 03/04/2010date Of Correction: 03/31/2010	vs	Scope: Somelevel Of Harm: 1deficiency: Provide A Safe, Clean, Comfortable And Homelike Environment.survey Date: 04/19/2011date Of Correction: 05/06/2011
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Deficiency #2		Scope: Somelevel Of Harm: 2deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.survey Date: 06/13/2009date Of Correction: 07/13/2009	vs	Scope: Somelevel Of Harm: 1deficiency: Make Sure That The Nursing Home Area Is Safe, Easy To Use, Clean And Comfortable For Residents, Staff And The Public.survey Date: 05/07/2010date Of Correction: 05/31/2010
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Deficiency #3		Scope: Fewlevel Of Harm: 3deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 06/13/2009date Of Correction: 07/13/2009	vs	Scope: Somelevel Of Harm: 2deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.survey Date: 05/07/2010date Of Correction: 05/31/2010
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Deficiency #4		Scope: Somelevel Of Harm: 2deficiency: Provide Housekeeping And Maintenance Services.survey Date: 06/13/2009date Of Correction: 07/13/2009	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: 05/07/2010date Of Correction: 05/31/2010
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Deficiency #5			vs	Scope: Somelevel Of Harm: 1deficiency: Provide Housekeeping And Maintenance Services.survey Date: 05/07/2010date Of Correction: 05/31/2010
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Mistreatment Deficiencies
Deficiency #1			vs	Scope: Fewlevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 05/07/2010date Of Correction: 05/31/2010
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Deficiency #2			vs	Scope: Fewlevel 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: 05/07/2010date Of Correction: 05/31/2010
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Deficiency #3			vs	Scope: Somelevel Of Harm: 2deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment.survey Date: 05/07/2010date Of Correction: 05/31/2010
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Deficiency #4			vs	Scope: Fewlevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 11/18/2009date Of Correction: 12/14/2009
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Resident Rights Deficiencies
Deficiency #1		Scope: Somelevel Of Harm: 2deficiency: Keep Each Resident's Personal And Medical Records Private And Confidential.survey Date: 06/13/2009date Of Correction: 07/13/2009	vs	Scope: Fewlevel Of Harm: 2deficiency: Keep Each Resident's Personal And Medical Records Private And Confidential.survey Date: 05/07/2010date Of Correction: 05/31/2010
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Deficiency #2		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: 06/13/2009date Of Correction: 07/13/2009	vs
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Quality Care Deficiencies
Deficiency #1		Scope: Somelevel Of Harm: 3deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 06/13/2009date Of Correction: 07/13/2009	vs
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Deficiency #2		Scope: Somelevel Of Harm: 3deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 06/13/2009date Of Correction: 07/13/2009	vs
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Resident Assessment Deficiencies
Deficiency #1		Scope: Fewlevel Of Harm: 2deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.survey Date: 03/04/2010date Of Correction: 03/31/2010	vs
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Deficiency #2		Scope: Somelevel Of Harm: 2deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan.survey Date: 06/13/2009date Of Correction: 07/13/2009	vs
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Administration Deficiencies
Deficiency #1		Scope: Somelevel Of Harm: 2deficiency: Train All Employees On What To Do In An Emergency, And Carry Out Announced Staff Drills.survey Date: 06/13/2009date Of Correction: 07/17/2009	vs
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Deficiency #2		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: 06/13/2009date Of Correction: 07/20/2009	vs
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Pharmacy Service Deficiencies
Deficiency #1		Scope: Somelevel Of Harm: 2deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.survey Date: 06/13/2009date Of Correction: 07/13/2009	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: 05/07/2010date Of Correction: 05/31/2010
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Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication			vs	24 %
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Percent of long-stay residents whose need for help with daily activities has increased		8.9 / 9.9	vs	75.2 %
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Percent of long-stay residents who self-report moderate to severe pain			vs	75.2 %
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Percent of long-stay high-risk residents with pressure ulcers			vs	9.4 / 10.4
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Percent of long-stay residents who lose too much weight			vs	75.2 %
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Percent of long-stay low-risk residents who lose control of their bowels or bladder			vs	63.3 %
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Percent of long-stay residents who have had a catheter inserted and left in their bladder			vs	4.5 %
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Percent of long-stay residents with a urinary tract infection			vs	4 %
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Percent of long-stay residents who have depressive symptoms			vs	16 %
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Percent of long-stay residents who were physically restrained			vs	2 %
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Percent of short-stay residents who self-report moderate to severe pain			vs	14 %
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Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine		84.4 %	vs	88.6 %
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Percent of short-stay residents with Pressure ulcers that are new or worsened		83.3 %	vs	72.9 %
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Percent of short-stay residents who newly received an antipsychotic medication		27.3 %	vs	75.2
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Percent of long-stay residents experiencing one or more falls with major injury			vs	2 %
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Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication			vs	26.7 %
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Percent of long-stay residents whose need for help with daily activities has increased		8.2 %	vs	0.9 %
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Percent of long-stay residents who self-report moderate to severe pain			vs	5.7 %
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Percent of long-stay high-risk residents with pressure ulcers			vs	8.7 %
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Percent of long-stay residents who lose too much weight		22.6 %	vs	75.2 %
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Percent of long-stay low-risk residents who lose control of their bowels or bladder			vs	44.2 %
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Percent of long-stay residents who have had a catheter inserted and left in their bladder			vs	5.1 %
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Percent of long-stay residents with a urinary tract infection		38.7 %	vs	5.5 %
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Percent of long-stay residents who have depressive symptoms		27.3 %	vs	11.3 %
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Percent of long-stay residents who were physically restrained		75.2 %	vs	3.9 %
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Percent of long-stay residents experiencing one or more falls with major injury		3 %	vs	1 %
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Percent of short-stay residents who self-report moderate to severe pain		29.6 %	vs	17.8:1
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Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine		88.9 %	vs	51.4 %
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Percent of short-stay residents with Pressure ulcers that are new or worsened		90 %	vs	44.7 %
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Percent of short-stay residents who newly received an antipsychotic medication		12.7 %	vs	5.2 %
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Compare SHERWOOD HEALTH CARE INC vs PEBBLE CREEK NURSING CENTER Nursing Homes USA