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BRENTWOOD PLACE ONE

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BRENTWOOD PLACE ONE VS
All other Nursing Homes USA
General
Percent of short-stay residents with Pressure ulcers that are new or worsened 1 % 
City DALLAS   vs 0.3% Nursing Homes USA have DALLAS
State attribute explanation TX   vs 7.6% Nursing Homes USA have TX
Street 3505 S BUCKNER BLVD BLDG 2  
Zip Code 75227  
Phone 2143811815  
Overall Star Rating
(1.11 lower than average)
vs
3.11

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

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

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

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

Number of Certified Beds
120  (11.06 higher than average)
vs
108.94

Total Number of Residents
107  (15.75 higher than average)
vs
91.25

Percent of Occupied Beds
89 % (5.35 % higher than average)
vs
83.65 %

Health Survey Date 6/7/2012  
Fire Survey Date 6/7/2012  
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 - Partnership  vs 7.9% Nursing Homes USA have For profit - Partnership
Located Within a Hospital? No  vs 93.6% Nursing Homes USA don't have Located Within a Hospital?
Multi Nursing Home Ownership? No  vs 45.1% Nursing Homes USA don't 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? No  vs 99% Nursing Homes USA don't have Special Focus Facility?
Civil Money Penalty Count
(57.16 lower than average)
vs
58.16

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

# of deficiencies
(2.48 lower than average)
vs
7.48

Staff Information
Number of Residents
107  (15.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.47  (0.3 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.53  (0.31 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
(0.59 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

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: 12/22/2010
date Of Correction: 01/14/2011 

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: 12/22/2010
date Of Correction: 01/14/2011 

Resident Rights Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 1
deficiency: Provide Enough Notice Before Discharging Or Transferring A Resident.
survey Date: 08/17/2011
date Of Correction: 08/18/2011 

Deficiency #2 Scope: Many
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: 05/13/2011
date Of Correction: 06/14/2011 

Administration Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: Quickly Tell The Resident's Doctor The Results Of Lab Tests.
survey Date: 05/13/2011
date Of Correction: 06/14/2011 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
40.2 % (15.11 % higher than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
75.2 % (42.25 % higher than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
2.8 % (13.86 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
10.8 % (1.78 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
10 % (1.83 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
37.1 % (7.44 % lower than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.7 % (10.93 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
3 % (10.46 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
1 % (27.38 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
1 % (42.68 % lower than average)
vs
43.68 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
19 % (64.94 % lower than average)
vs
83.94 %

Percent of long-stay residents experiencing one or more falls with major injury
1 % (14.52 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
37.3 % (11.91 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
75.2 % (51.5 % higher than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
2.8 % (11.3 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
10 % (0.78 % higher than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
8.8 % (0.3 % higher than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
31.1 % (12.28 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.7 % (5.95 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
6.5 % (3.08 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
1.9 % (17.96 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
1 % (37.53 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
2.20 % (8.53 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain 2.6 / 3 % 
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
18.6 (65.5) % (62.84 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
22.9 % (51.85 % lower than average)
vs
74.75 %



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