Compare with other Nursing Homes USA
Compare
Compare
| BRENHAM NURSING AND REHABILITATION CENTER | VS | All other Nursing Homes USA |
| Staff Information | |||||
|---|---|---|---|---|---|
| Number of Residents |
114 (22.62 higher than average)
|
vs |
91.38
|
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| Number of RN Hours Per Resident Per Day |
0.27 (0.5 lower than average)
|
vs |
0.77
|
||
| Number of LPN/LVN Hours Per Resident Per Day |
0.69 (0.15 lower than average)
|
vs |
0.84
|
||
| Total Number of Licensed Staff Hours Per Resident Per Day |
0.96 (0.63 lower than average)
|
vs |
1.59
|
||
| Number of CNA Hours Per Resident Per Day |
0.05 (5.44 lower than average)
|
vs |
5.49
|
||
| Number Therapy Hours Per Resident Per Day |
0.05 (0.05 lower than average)
|
vs |
0.10
|
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| Environmental Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Some level Of Harm: 2 deficiency: Make Sure That The Nursing Home Area Is Safe, Easy To Use, Clean And Comfortable For Residents, Staff And The Public. survey Date: 03/15/2012 date Of Correction: 04/25/2012 |
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| Deficiency #2 |
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: 03/15/2012 date Of Correction: 04/25/2012 |
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| Deficiency #3 |
Scope: Some level Of Harm: 2 deficiency: Provide Housekeeping And Maintenance Services. survey Date: 12/03/2009 date Of Correction: 01/02/2010 |
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| Deficiency #4 |
Scope: Some level Of Harm: 3 deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents. survey Date: 10/16/2009 date Of Correction: 11/18/2009 |
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| Deficiency #5 |
Scope: Some level Of Harm: 2 deficiency: Make Sure That A Working Call System Is Available In Each Resident's Room Or Bathroom And Bathing Area. survey Date: 08/13/2009 date Of Correction: 09/13/2009 |
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| Deficiency #6 |
Scope: Some level Of Harm: 2 deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading. survey Date: 08/13/2009 date Of Correction: 09/13/2009 |
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| Mistreatment Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Some level Of Harm: 2 deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property. survey Date: 03/15/2012 date Of Correction: 04/25/2012 |
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| Deficiency #2 |
Scope: Some 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: 03/15/2012 date Of Correction: 04/25/2012 |
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| Deficiency #3 |
Scope: Some level Of Harm: 2 deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment. survey Date: 03/15/2012 date Of Correction: 04/25/2012 |
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| Deficiency #4 |
Scope: Some level Of Harm: 3 deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property. survey Date: 10/16/2009 date Of Correction: 11/18/2009 |
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| Deficiency #5 |
Scope: Some level Of Harm: 4 deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property. survey Date: 09/25/2009 date Of Correction: 10/25/2009 |
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| Deficiency #6 |
Scope: Some level Of Harm: 4 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: 09/25/2009 date Of Correction: 10/25/2009 |
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| Deficiency #7 |
Scope: Some level Of Harm: 4 deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others. survey Date: 09/25/2009 date Of Correction: 10/25/2009 |
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| Resident Rights Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Few 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: 03/09/2010 date Of Correction: 04/07/2010 |
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| Deficiency #2 |
Scope: Some level Of Harm: 2 deficiency: Try To Resolve Each Resident's Complaints Quickly. survey Date: 12/03/2009 date Of Correction: 01/02/2010 |
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| Deficiency #3 |
Scope: Some level Of Harm: 2 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: 12/03/2009 date Of Correction: 01/02/2010 |
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| Deficiency #4 |
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: 08/13/2009 date Of Correction: 09/13/2009 |
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| 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: 12/03/2009 date Of Correction: 01/02/2010 |
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| Deficiency #2 |
Scope: Some level Of Harm: 2 deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores. survey Date: 12/03/2009 date Of Correction: 01/02/2010 |
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| Deficiency #3 |
Scope: Some level Of Harm: 2 deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care. survey Date: 12/03/2009 date Of Correction: 01/02/2010 |
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| Deficiency #4 |
Scope: Some level Of Harm: 2 deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene. survey Date: 08/13/2009 date Of Correction: 09/13/2009 |
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| Deficiency #5 |
Scope: Some level Of Harm: 2 deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care. survey Date: 08/13/2009 date Of Correction: 09/13/2009 |
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| Administration Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Some level Of Harm: 2 deficiency: Give Or Get Quality Lab Services/tests In A Timely Manner To Meet The Needs Of Residents. survey Date: 03/15/2012 date Of Correction: 04/25/2012 |
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| Deficiency #2 |
Scope: Some level Of Harm: 2 deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards. survey Date: 12/03/2009 date Of Correction: 01/02/2010 |
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| Deficiency #3 |
Scope: Some level Of Harm: 4 deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident . survey Date: 09/25/2009 date Of Correction: 10/25/2009 |
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| Deficiency #4 |
Scope: Some level Of Harm: 2 deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards. survey Date: 08/13/2009 date Of Correction: 09/13/2009 |
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| Deficiency #5 |
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: 08/13/2009 date Of Correction: 09/13/2009 |
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| Deficiency #6 |
Scope: Some level Of Harm: 2 deficiency: 1) Review The Work Of Each Nurse Aide Every Year; And 2) Give Regular In-service Training Based Upon These Reviews. survey Date: 08/13/2009 date Of Correction: 09/13/2009 |
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| Pharmacy Service Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Some level Of Harm: 2 deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards. survey Date: 12/03/2009 date Of Correction: 01/02/2010 |
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| Nutrition and Dietary Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Some level Of Harm: 2 deficiency: Prepare Food That Is Nutritional, Appetizing, Tasty, Attractive, Well-cooked, And At The Right Temperature. survey Date: 03/15/2012 date Of Correction: 04/25/2012 |
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| Deficiency #2 |
Scope: Some level Of Harm: 2 deficiency: Store, Cook, And Serve Food In A Safe And Clean Way. survey Date: 12/03/2009 date Of Correction: 01/02/2010 |
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| Deficiency #3 |
Scope: Some level Of Harm: 2 deficiency: Provide Food In A Way That Meets A Resident's Needs. survey Date: 12/03/2009 date Of Correction: 01/02/2010 |
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| Quality Measures Q1 | |||||
|---|---|---|---|---|---|
| Percent of long-stay residents who received an antipsychotic medication |
18.4 % (6.69 % lower than average)
|
vs |
25.09 %
|
||
| Percent of long-stay residents whose need for help with daily activities has increased |
2.1 % (30.85 % lower than average)
|
vs |
32.95 %
|
||
| Percent of long-stay residents who self-report moderate to severe pain | 11.8:1 % | ||||
| Percent of long-stay high-risk residents with pressure ulcers |
8.8 % (3.78 % lower than average)
|
vs |
12.58 %
|
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| Percent of long-stay residents who lose too much weight |
3 % (8.83 % lower than average)
|
vs |
11.83 %
|
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| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
40 % (4.54 % lower than average)
|
vs |
44.54 %
|
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| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
1.1 % (14.53 % lower than average)
|
vs |
15.63 %
|
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| Percent of long-stay residents with a urinary tract infection |
9.1 % (4.36 % lower than average)
|
vs |
13.46 %
|
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| Percent of long-stay residents who have depressive symptoms |
27 % (1.38 % lower than average)
|
vs |
28.38 %
|
||
| Percent of long-stay residents who were physically restrained |
4 % (39.68 % lower than average)
|
vs |
43.68 %
|
||
| Percent of short-stay residents who self-report moderate to severe pain |
16.7 % (8.32 % lower than average)
|
vs |
25.02 %
|
||
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
81 % (3.64 % lower than average)
|
vs |
84.64 %
|
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| Percent of short-stay residents with Pressure ulcers that are new or worsened |
77.1 % (6.84 % lower than average)
|
vs |
83.94 %
|
||
| Percent of short-stay residents who newly received an antipsychotic medication |
1 (44.9 lower than average)
|
vs |
45.90
|
||
| Percent of long-stay residents experiencing one or more falls with major injury |
3 % (12.52 % lower than average)
|
vs |
15.52 %
|
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| Quality Measures Q3 | |||||
|---|---|---|---|---|---|
| Percent of long-stay residents who received an antipsychotic medication |
21.4 % (3.99 % lower than average)
|
vs |
25.39 %
|
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| Percent of long-stay residents whose need for help with daily activities has increased |
0.6 % (23.1 % lower than average)
|
vs |
23.70 %
|
||
| Percent of long-stay residents who self-report moderate to severe pain |
6.4 % (7.7 % lower than average)
|
vs |
14.10 %
|
||
| Percent of long-stay high-risk residents with pressure ulcers |
8.4 % (0.82 % lower than average)
|
vs |
9.22 %
|
||
| Percent of long-stay residents who lose too much weight |
7.8 % (0.7 % lower than average)
|
vs |
8.50 %
|
||
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
30.1 % (13.28 % lower than average)
|
vs |
43.38 %
|
||
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
1.3 % (9.35 % lower than average)
|
vs |
10.65 %
|
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| Percent of long-stay residents with a urinary tract infection | 11.6:1 % | ||||
| Percent of long-stay residents who have depressive symptoms |
56.6 % (36.74 % higher than average)
|
vs |
19.86 %
|
||
| Percent of long-stay residents who were physically restrained |
1.7 % (36.83 % lower than average)
|
vs |
38.53 %
|
||
| Percent of long-stay residents experiencing one or more falls with major injury |
4.3 % (6.43 % lower than average)
|
vs |
10.73 %
|
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| Percent of short-stay residents who self-report moderate to severe pain | 14.7:1 % | ||||
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
78.9 % (2.54 % lower than average)
|
vs |
81.44 %
|
||
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
35.4 % (39.35 % lower than average)
|
vs |
74.75 %
|
||
| Percent of short-stay residents who newly received an antipsychotic medication |
75.2 % (57.86 % higher than average)
|
vs |
17.34 %
|
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