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BRADY WEST NURSING AND CONVALESCENT CENTER

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BRADY WEST NURSING AND CONVALESCENT CENTER VS
All other Nursing Homes USA
General
City BRADY   vs 0% Nursing Homes USA have BRADY
State attribute explanation TX   vs 7.6% Nursing Homes USA have TX
Street 2201 MENARD HWY  
Zip Code 76825  
Phone 3255972906  
Overall Star Rating
(0.11 lower than average)
vs
3.11

Health Inspections Star Rating
(1.17 higher than average)
vs
2.83

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

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

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

Number of Certified Beds
106  (2.94 lower than average)
vs
108.94

Total Number of Residents
62  (29.25 lower than average)
vs
91.25

Percent of Occupied Beds
58 % (25.65 % lower than average)
vs
83.65 %

Health Survey Date 1/25/2012  
Fire Survey Date 2/3/2012  
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 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
(56.16 lower than average)
vs
58.16

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

# of deficiencies
(0.48 lower than average)
vs
7.48

Staff Information
Number of Residents
62  (29.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.32  (0.45 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
1.01  (0.17 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.33  (0.26 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.09  (5.4 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.09  (0.01 lower than average)
vs
0.10

Resident Rights Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 4
deficiency: 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: 06/09/2009
date Of Correction: 06/22/2009 

Quality Care Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 4
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 06/09/2009
date Of Correction: 06/22/2009 

Administration Deficiencies
Deficiency #1 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: 02/04/2011
date Of Correction: 02/24/2011 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: 1) Receive Registry Verification That A Nurse Aide Has Met The Required Training And Skills That The State Requires; And 2) Ensure Nurse Aides Receive The Required Retraining After 24 Months If Nursing Related Services Were Not Provided For Monetary Compensation
survey Date: 02/04/2011
date Of Correction: 02/24/2011 

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: 02/04/2011
date Of Correction: 02/24/2011 

Deficiency #2 Scope: Some
level Of Harm: 4
deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.
survey Date: 06/09/2009
date Of Correction: 06/22/2009 

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: 02/04/2011
date Of Correction: 02/24/2011 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
19.6 % (5.49 % lower than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
3.8 % (29.15 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
13.7 % (2.96 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
1.9 % (10.68 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
13.8 % (1.97 % higher than average)
vs
11.83 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
5.8 % (9.83 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
3.4 % (10.06 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms 10.7:1 % 
Percent of long-stay residents who were physically restrained
1.7 % (41.98 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
22.7 (72.9) % (2.32 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
67.9 % (16.74 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
67.9 % (16.04 % lower than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
75.2  (29.3 higher than average)
vs
45.90

Percent of long-stay residents experiencing one or more falls with major injury
6.8 % (8.72 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
18.4 % (6.99 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
2.8 % (20.9 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
10.6 % (3.5 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
4 % (5.22 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
13.3 % (4.8 % higher than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
52.8 % (9.42 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
5 % (5.65 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
4.8 % (4.78 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
12.7 % (7.16 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
0.6 % (37.93 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
7.1 % (3.63 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
26.3 (79.3) % (1.54 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
57 % (24.44 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
54.2 % (20.55 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
38.1 % (20.76 % higher than average)
vs
17.34 %



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