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BRIARCLIFF HEALTH CENTER

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BRIARCLIFF HEALTH CENTER VS
All other Nursing Homes USA
General
City TYLER   vs 0.1% Nursing Homes USA have TYLER
State attribute explanation TX   vs 7.6% Nursing Homes USA have TX
Street 3403 S VINE AVE  
Zip Code 75701  
Phone 9035815714  
Overall Star Rating
(1.11 lower than average)
vs
3.11

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

Nurse Staffing Star Rating
(0.17 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
230  (121.06 higher than average)
vs
108.94

Total Number of Residents
168  (76.75 higher than average)
vs
91.25

Percent of Occupied Beds
73 % (10.65 % lower than average)
vs
83.65 %

Health Survey Date 8/18/2011  
Fire Survey Date 8/17/2011  
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 Non Profit - Corporation  vs 18.7% Nursing Homes USA have Non 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
75.2  (18.89 higher than average)
vs
56.31

# of deficiencies
(2.48 lower than average)
vs
7.48

Staff Information
Number of Residents
168  (76.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.42  (0.35 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.82  (0.02 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.24  (0.35 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.03  (5.46 lower than average)
vs
5.49

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

Environmental Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 10/22/2009
date Of Correction: 12/05/2009 

Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 12/08/2009
date Of Correction: 01/08/2010 

Deficiency #2 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: 12/08/2009
date Of Correction: 01/08/2010 

Resident Rights Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 1
deficiency: Tell The Resident Or The Resident's Representative In Writing How Long The Nursing Home Will Hold The Resident's Bed.
survey Date: 07/08/2010
date Of Correction: 08/08/2010 

Administration Deficiencies
Deficiency #1 Scope: Few
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: 06/16/2010
date Of Correction: 07/23/2010 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
37.2 % (12.11 % higher than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
1.50 % (31.45 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
5.4 % (11.26 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
6.7 % (5.88 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
15.2 % (3.37 % higher than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
29.4 % (15.14 % lower than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.9 % (13.73 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
9 % (4.46 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
3.4 % (24.98 % 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 who self-report moderate to severe pain
33.9 % (8.88 % higher than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine 10.3:1 % 
Percent of short-stay residents with Pressure ulcers that are new or worsened
13 % (70.94 % 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
2.1 % (13.42 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
40.2 % (14.81 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
1.1 % (22.6 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
3.6 % (10.5 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
6.4 % (2.82 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
14.8 % (6.3 % higher than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
28.6 % (14.78 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
2 % (8.65 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
7.6 % (1.98 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
2.8 % (17.06 % lower than average)
vs
19.86 %

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
4.1 % (6.63 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
32.7 (90.9) % (7.94 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
6.8 % (74.64 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
21.4 % (53.35 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
25.7 % (8.36 % higher than average)
vs
17.34 %



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