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BAY OAKS HEALTH CARE CENTER

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BAY OAKS HEALTH CARE CENTER VS
All other Nursing Homes USA
General
City TEXAS CITY   vs 0% Nursing Homes USA have TEXAS CITY
State attribute explanation TX   vs 7.6% Nursing Homes USA have TX
Street 424 N TARPEY RD  
Zip Code 77591  
Phone 4099388431  
Overall Star Rating
(2.11 lower than average)
vs
3.11

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

Nurse Staffing Star Rating
(2.17 lower than average)
vs
3.17

Quality Measures Star Rating
(2.31 lower than average)
vs
3.31

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

Number of Certified Beds
109  (0.06 higher than average)
vs
108.94

Total Number of Residents
83  (8.25 lower than average)
vs
91.25

Percent of Occupied Beds
76 % (7.65 % lower than average)
vs
83.65 %

Health Survey Date 6/9/2011  
Fire Survey Date 6/9/2011  
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 RESIDENT   vs 66% Nursing Homes USA have RESIDENT
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? No  vs 99% Nursing Homes USA don't have Special Focus Facility?
Civil Money Penalty Count
75.2  (17.04 higher than average)
vs
58.16

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

# of deficiencies
11  (3.52 higher than average)
vs
7.48

Staff Information
Number of Residents
76  (15.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.67  (0.1 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.88  (0.04 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.54  (0.05 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.07  (5.42 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.07  (0.03 lower than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 11/10/2010
date Of Correction: 11/23/2010 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 11/06/2009
date Of Correction: 12/21/2009 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 09/17/2009
date Of Correction: 10/07/2009 

Resident Rights Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.
survey Date: 10/27/2011
date Of Correction: 11/30/2011 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.
survey Date: 07/20/2011
date Of Correction: 08/20/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Each Resident Who Enters The Nursing Home Without A Catheter Is Not Given A Catheter, And Receive Proper Services To Prevent Urinary Tract Infections And Restore Normal Bladder Function.
survey Date: 11/06/2009
date Of Correction: 12/21/2009 

Administration Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 04/23/2010
date Of Correction: 06/04/2010 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 11/06/2009
date Of Correction: 12/21/2009 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Make Sure That Nurse Aides Show They Have The Skills And Techniques To Be Able To Care For Residents' Needs.
survey Date: 11/06/2009
date Of Correction: 12/21/2009 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
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: 04/23/2010
date Of Correction: 05/10/2010 

Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: 1) Provide 3 Meals At Regular Times; 2) Serve Breakfast Within 14 Hours After Dinner; Or 3) Offer A Snack At Bedtime Each Day.
survey Date: 05/29/2009
date Of Correction: 07/17/2009 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
38.5 % (13.41 % higher than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
2.7 % (30.25 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain 18.2:1 % 
Percent of long-stay high-risk residents with pressure ulcers
2.5 % (10.08 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
5.4 % (6.43 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
28.6 % (15.94 % lower than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
8.7 % (6.93 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
5.1 % (8.36 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
6.8 % (21.58 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
75.2 % (31.52 % higher than average)
vs
43.68 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
47.4 % (37.24 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
44.7 % (39.24 % lower than average)
vs
83.94 %

Percent of long-stay residents experiencing one or more falls with major injury
7.5 % (8.02 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
39.8 % (14.41 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
5.8 % (17.9 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
16.2 % (2.1 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
5.2 % (4.02 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
4.1 % (4.4 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
34.4 % (8.98 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
7.7 % (2.95 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
7.8 % (1.78 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms 8.1 / 8.8 % 
Percent of long-stay residents who were physically restrained
75.2 % (36.67 % higher than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury 5.6:1 % 
Percent of short-stay residents who self-report moderate to severe pain
38 % (13.24 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
56 % (25.44 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
54.5 % (20.25 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication 8.1 / 8.8 % 


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