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ALAMO HEIGHTS HEALTH AND REHABILITATION CENTER

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ALAMO HEIGHTS HEALTH AND REHABILITATION CENTER VS
All other Nursing Homes USA
General
City SAN ANTONIO   vs 0.4% Nursing Homes USA have SAN ANTONIO
State attribute explanation TX   vs 7.6% Nursing Homes USA have TX
Street 8223 BROADWAY  
Zip Code 78209  
Phone 2108280606  
Overall Star Rating
(1.11 lower than average)
vs
3.11

Health Inspections Star Rating
(1.83 lower than average)
vs
2.83

Nurse Staffing Star Rating
(0.83 higher than average)
vs
3.17

Quality Measures Star Rating
(1.69 higher than average)
vs
3.31

RN Only Star Rating
(0.17 lower than average)
vs
3.17

Number of Certified Beds
237  (128.06 higher than average)
vs
108.94

Total Number of Residents
113  (21.75 higher than average)
vs
91.25

Percent of Occupied Beds
48 % (35.65 % lower than average)
vs
83.65 %

Health Survey Date 2/10/2012  
Fire Survey Date 2/8/2012  
Sprinkler Status Fully Sprinklered  vs 90.2% Nursing Homes USA have Fully Sprinklered
Program Participation Medicare And Medicaid  vs 91.5% Nursing Homes USA have Medicare and Medicaid
Type of Ownership For Profit - Corporation  vs 56.7% Nursing Homes USA have For profit - Corporation
Located Within a Hospital? No  vs 93.6% Nursing Homes USA don't have Located Within a Hospital?
Multi Nursing Home Ownership? Yes  vs 54.9% Nursing Homes USA have Multi Nursing Home Ownership?
Resident and Family Councils Both  vs 29.8% Nursing Homes USA have Both
Continuing Care Retirement Community? No  vs 90.9% Nursing Homes USA don't have Continuing Care Retirement Community?
Quality Indicator Survey? No  vs 68.7% Nursing Homes USA don't have Quality Indicator Survey?
Special Focus Facility? Yes  vs 1% Nursing Homes USA have Special Focus Facility?
Civil Money Penalty Count
(53.16 lower than average)
vs
58.16

Total Enforcement Actions Count
(50.31 lower than average)
vs
56.31

# of deficiencies
10  (2.52 higher than average)
vs
7.48

Staff Information
Number of Residents
113  (21.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.69  (0.08 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
1.96  (1.12 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
2.66  (1.07 higher than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.02  (5.47 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.02  (0.08 lower than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 4
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 10/23/2009
date Of Correction: 10/23/2009 

Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: 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: 03/04/2011
date Of Correction: 03/23/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 10/23/2009
date Of Correction: 11/20/2009 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: 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: 10/23/2009
date Of Correction: 11/20/2009 

Deficiency #4 Scope: Few
level Of Harm: 4
deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.
survey Date: 10/23/2009
date Of Correction: 10/23/2009 

Quality Care Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So.
survey Date: 03/21/2011
date Of Correction: 03/22/2011 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Provide Medically-related Social Services To Help Each Resident Achieve The Highest Possible Quality Of Life.
survey Date: 10/23/2009
date Of Correction: 11/20/2009 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.
survey Date: 05/17/2011
date Of Correction: 05/27/2011 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Keep The Rate Of Medication Errors (wrong Drug, Wrong Dose, Wrong Time) To Less Than 5%.
survey Date: 05/17/2011
date Of Correction: 05/27/2011 

Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.
survey Date: 06/19/2009
date Of Correction: 07/10/2009 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
23.2 % (1.89 % lower than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
1.2 % (31.75 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
16.2 % (0.46 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
9.2 % (3.38 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight 12.3:1 % 
Percent of long-stay low-risk residents who lose control of their bowels or bladder
41.3 % (3.24 % lower than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
6.2 % (9.43 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
6.6 % (6.86 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
11.3 % (17.08 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
0.9 % (42.78 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
10.5 % (14.52 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
71.4 % (13.24 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
61.4 % (22.54 % lower than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
(44.9 lower than average)
vs
45.90

Percent of long-stay residents experiencing one or more falls with major injury
0.9 % (14.62 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
19.9 % (5.49 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
0.9 % (22.8 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
14.2 % (0.1 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers 5.6:1 % 
Percent of long-stay residents who lose too much weight
7.5 % (1 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
43 % (0.38 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
5.8 % (4.85 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
4.7 % (4.88 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms 11.6:1 % 
Percent of long-stay residents who were physically restrained
0.3 % (38.23 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
1.2 % (9.53 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
12 % (12.76 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
69.2 % (12.24 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
67 % (7.75 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
2.8 % (14.54 % lower than average)
vs
17.34 %



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