CEDAR BAYOU REHABILITATION & HEALTH CARE CENTER

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General
City	BAYTOWN	vs	0% Nursing Homes USA have BAYTOWN
State attribute explanation	TX	vs	7.6% Nursing Homes USA have TX	compare TX Nursing Homes USA
Street	2000 W BAKER RD
Zip Code	77521
Phone	2814279120
Overall Star Rating	2 (1.11 lower than average)	vs	3.11	Compare similar Overall Star Rating (2)
Health Inspections Star Rating	3 (0.17 higher than average)	vs	2.83	Compare similar Health Inspections Star Rating (3)
Nurse Staffing Star Rating	1 (2.17 lower than average)	vs	3.17	Compare similar Nurse Staffing Star Rating (1)
Quality Measures Star Rating	3 (0.31 lower than average)	vs	3.31	Compare similar Quality Measures Star Rating (3)
RN Only Star Rating	1 (2.17 lower than average)	vs	3.17	Compare similar RN Only Star Rating (1)
Number of Certified Beds	125 (16.06 higher than average)	vs	108.94	Compare similar Number of Certified Beds (125)
Total Number of Residents	113 (21.75 higher than average)	vs	91.25	Compare similar Total Number of Residents (113)
Percent of Occupied Beds	90 % (6.35 % higher than average)	vs	83.65 %	Compare similar Percent of Occupied Beds (90) %
Health Survey Date	3/9/2012
Fire Survey Date	3/7/2012
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	compare Medicare and Medicaid Nursing Homes USA
Type of Ownership	For Profit - Corporation	vs	56.7% Nursing Homes USA have For profit - Corporation	compare For profit - Corporation Nursing Homes USA
Located Within a Hospital?	No	vs	93.6% Nursing Homes USA don't have Located Within a Hospital?	Compare similar 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	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	16 (8.52 higher than average)	vs	7.48

Staff Information
Number of Residents	113 (21.62 higher than average)	vs	91.38
Number of RN Hours Per Resident Per Day	0.43 (0.34 lower than average)	vs	0.77
Number of LPN/LVN Hours Per Resident Per Day	0.87 (0.03 higher than average)	vs	0.84
Total Number of Licensed Staff Hours Per Resident Per Day	1.3 (0.29 lower than average)	vs	1.59
Number of CNA Hours Per Resident Per Day	0.1 (5.39 lower than average)	vs	5.49
Number Therapy Hours Per Resident Per Day	0.1 (equals average)	vs	0.10

Mistreatment Deficiencies
Deficiency #1		Scope: Some level Of Harm: 1 deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property. survey Date: 09/30/2011 date Of Correction: Not Available
Deficiency #2		Scope: Some level Of Harm: 2 deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property. survey Date: 07/08/2011 date Of Correction: 07/28/2011
Deficiency #3		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: 07/08/2011 date Of Correction: 07/28/2011
Deficiency #4		Scope: Some level Of Harm: 2 deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property. survey Date: 11/24/2010 date Of Correction: 12/03/2010
Deficiency #5		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: 11/24/2010 date Of Correction: 12/03/2010
Deficiency #6		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: 03/17/2010 date Of Correction: 04/01/2010

Quality Care Deficiencies
Deficiency #1		Scope: Some level Of Harm: 2 deficiency: Have Enough Nurses To Care For Every Resident In A Way That Maximizes The Resident's Well Being. survey Date: 07/08/2011 date Of Correction: 07/28/2011
Deficiency #2		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: 07/08/2011 date Of Correction: 07/28/2011
Deficiency #3		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: 11/24/2010 date Of Correction: 12/03/2010

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: 03/24/2011 date Of Correction: 04/18/2011
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: 11/24/2010 date Of Correction: 12/03/2010
Deficiency #3		Scope: Few level Of Harm: 2 deficiency: Quickly Tell The Resident's Doctor The Results Of Lab Tests. survey Date: 11/24/2010 date Of Correction: 12/03/2010
Deficiency #4		Scope: Few level Of Harm: 2 deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards. survey Date: 12/29/2009 date Of Correction: 01/28/2010

Pharmacy Service Deficiencies
Deficiency #1		Scope: Many 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: 07/08/2011 date Of Correction: 08/05/2011
Deficiency #2		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: 08/24/2010 date Of Correction: 08/25/2010
Deficiency #3		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: 08/24/2010 date Of Correction: 09/03/2010

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication	34 % (8.91 % higher than average)	vs	25.09 %
Percent of long-stay residents whose need for help with daily activities has increased	3.6 % (29.35 % lower than average)	vs	32.95 %
Percent of long-stay residents who self-report moderate to severe pain	10.6 % (6.06 % lower than average)	vs	16.66 %
Percent of long-stay high-risk residents with pressure ulcers	20.3 % (7.72 % higher than average)	vs	12.58 %
Percent of long-stay residents who lose too much weight	11.8:1 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder	56.5 % (11.96 % higher than average)	vs	44.54 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder	5.4 % (10.23 % lower than average)	vs	15.63 %
Percent of long-stay residents with a urinary tract infection	10.9 % (2.56 % lower than average)	vs	13.46 %
Percent of long-stay residents who have depressive symptoms	75.2 % (46.82 % higher 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	35.3 % (10.28 % higher than average)	vs	25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine	37.1 % (47.54 % lower than average)	vs	84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened	31.9 % (52.04 % 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	2.1 % (13.42 % lower than average)	vs	15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication	30.6 % (5.21 % higher than average)	vs	25.39 %
Percent of long-stay residents whose need for help with daily activities has increased	3 % (20.7 % lower than average)	vs	23.70 %
Percent of long-stay residents who self-report moderate to severe pain	10.9 % (3.2 % lower than average)	vs	14.10 %
Percent of long-stay high-risk residents with pressure ulcers	20.2 (68.4) % (10.98 % higher than average)	vs	9.22 %
Percent of long-stay residents who lose too much weight	18.1:1 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder	64.7 % (21.32 % higher than average)	vs	43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder	6.4 % (4.25 % lower than average)	vs	10.65 %
Percent of long-stay residents with a urinary tract infection	7.2 % (2.38 % lower than average)	vs	9.58 %
Percent of long-stay residents who have depressive symptoms	1.1 % (18.76 % 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	2.1 % (8.63 % lower than average)	vs	10.73 %
Percent of short-stay residents who self-report moderate to severe pain	25.1 % (0.34 % higher than average)	vs	24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine	27.6 % (53.84 % lower than average)	vs	81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened	20.1 % (54.65 % lower than average)	vs	74.75 %
Percent of short-stay residents who newly received an antipsychotic medication	8.3 % (9.04 % lower than average)	vs	17.34 %