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CLEVELAND HEALTH CARE CENTER

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CLEVELAND HEALTH CARE CENTER VS
All other Nursing Homes USA
General
City CLEVELAND   vs 0.3% Nursing Homes USA have CLEVELAND
State attribute explanation TX   vs 7.6% Nursing Homes USA have TX
Street 903 E HOUSTON ST  
Zip Code 77327  
Phone 2815933737  
Overall Star Rating
(0.89 higher than average)
vs
3.11

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

Nurse Staffing Star Rating
(0.83 higher 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
142  (33.06 higher than average)
vs
108.94

Total Number of Residents
76  (15.25 lower than average)
vs
91.25

Percent of Occupied Beds
54 % (29.65 % lower than average)
vs
83.65 %

Health Survey Date 9/8/2011  
Fire Survey Date 9/7/2011  
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
(3.48 lower than average)
vs
7.48

Staff Information
Number of Residents
76  (15.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.52  (0.25 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
1.05  (0.21 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.57  (0.02 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.04  (5.45 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.04  (0.06 lower than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 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: 12/03/2009
date Of Correction: 01/03/2010 

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: 12/03/2009
date Of Correction: 01/03/2010 

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: 12/03/2009
date Of Correction: 01/03/2010 

Administration Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Set Up An Ongoing Quality Assessment And Assurance Group To Review Quality Deficiencies Quarterly, And Develop Corrective Plans Of Action.
survey Date: 12/03/2009
date Of Correction: 01/03/2010 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication 21.2:1 % 
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
10.4 % (6.26 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
7.5 % (5.08 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight 15.9:1 % 
Percent of long-stay low-risk residents who lose control of their bowels or bladder
48.9 % (4.36 % higher than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.9 % (10.73 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection 17.1:1 % 
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
1.2 % (42.48 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
28.6 % (3.58 % higher than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
37 % (47.64 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
22.7 (72.9) % (61.24 % 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
1.2 % (14.32 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
20.7 (69.3) % (4.69 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
1 % (22.7 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
5.8 % (8.3 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
5.4 % (3.82 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
10.5 % (2 % higher than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
42 % (1.38 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.3 % (7.35 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
10.5 % (0.92 % higher than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
0.5 - 2.0 % (19.36 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
0.9 % (37.63 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury 2.6 / 3 % 
Percent of short-stay residents who self-report moderate to severe pain
14.5 % (10.26 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
43.8 % (37.64 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
22.3 % (52.45 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
29.1 % (11.76 % higher than average)
vs
17.34 %



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