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COMMUNITY CARE CENTER OF BAYLOR COUNTY | VS | All other Nursing Homes USA |
Environmental Deficiencies | |||||
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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: 06/27/2011 date Of Correction: 07/30/2011 |
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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: 06/16/2011 date Of Correction: 07/16/2011 |
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Deficiency #3 |
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: 04/01/2011 date Of Correction: 05/01/2011 |
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Deficiency #4 |
Scope: Few 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: 09/15/2010 date Of Correction: 09/30/2010 |
Mistreatment Deficiencies | |||||
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Deficiency #1 |
Scope: Many level Of Harm: 1 deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property. survey Date: 08/25/2011 date Of Correction: 10/10/2011 |
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Deficiency #2 |
Scope: Few level Of Harm: 2 deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property. survey Date: 03/12/2010 date Of Correction: 04/16/2010 |
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Deficiency #3 |
Scope: Few level Of Harm: 2 deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property. survey Date: 02/22/2010 date Of Correction: Not Available |
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Deficiency #4 |
Scope: Few level Of Harm: 2 deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others. survey Date: 02/22/2010 date Of Correction: Not Available |
Resident Rights Deficiencies | |||||
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Deficiency #1 |
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: 05/08/2012 date Of Correction: 05/31/2012 |
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Deficiency #2 |
Scope: Few 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: 05/06/2009 date Of Correction: 06/04/2009 |
Resident Assessment Deficiencies | |||||
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Deficiency #1 |
Scope: Some level Of Harm: 2 deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured. survey Date: 06/27/2011 date Of Correction: 07/30/2011 |
Administration Deficiencies | |||||
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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: 06/16/2011 date Of Correction: 07/16/2011 |
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Deficiency #2 |
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: 04/01/2011 date Of Correction: 05/01/2011 |
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Deficiency #3 |
Scope: Few level Of Harm: 3 deficiency: Make Sure That Nurse Aides Show They Have The Skills And Techniques To Be Able To Care For Residents' Needs. survey Date: 09/15/2010 date Of Correction: 09/30/2010 |
Pharmacy Service Deficiencies | |||||
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Deficiency #1 |
Scope: Some level Of Harm: 2 deficiency: Make Sure That Residents Are Safe From Serious Medication Errors. survey Date: 05/08/2012 date Of Correction: 05/31/2012 |
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Deficiency #2 |
Scope: Few 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: 03/12/2010 date Of Correction: Not Available |
Quality Measures Q1 | |||||
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Percent of long-stay residents who received an antipsychotic medication |
23.9 % (1.19 % lower than average)
|
vs |
25.09 %
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Percent of long-stay residents who lose too much weight |
13.6-28 % (1.77 % higher than average)
|
vs |
11.83 %
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Percent of long-stay residents who have had a catheter inserted and left in their bladder |
8.8 % (6.83 % lower than average)
|
vs |
15.63 %
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Percent of long-stay residents with a urinary tract infection |
34.1 % (20.64 % higher than average)
|
vs |
13.46 %
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Percent of long-stay residents who have depressive symptoms |
18.8 % (9.58 % lower than average)
|
vs |
28.38 %
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Percent of long-stay residents who were physically restrained |
8.2 % (35.48 % lower than average)
|
vs |
43.68 %
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Percent of long-stay residents experiencing one or more falls with major injury |
10.2 % (5.32 % lower than average)
|
vs |
15.52 %
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Quality Measures Q3 | |||||
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Percent of long-stay residents who received an antipsychotic medication |
27.4 % (2.01 % higher than average)
|
vs |
25.39 %
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Percent of long-stay residents whose need for help with daily activities has increased |
75.2 % (51.5 % higher than average)
|
vs |
23.70 %
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Percent of long-stay residents who self-report moderate to severe pain |
18.6 (65.5) % (4.5 % higher than average)
|
vs |
14.10 %
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Percent of long-stay high-risk residents with pressure ulcers |
5.7 % (3.52 % lower than average)
|
vs |
9.22 %
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Percent of long-stay residents who lose too much weight |
13.8 % (5.3 % higher than average)
|
vs |
8.50 %
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Percent of long-stay low-risk residents who lose control of their bowels or bladder |
32.6 % (10.78 % lower than average)
|
vs |
43.38 %
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Percent of long-stay residents who have had a catheter inserted and left in their bladder |
7.5 % (3.15 % lower than average)
|
vs |
10.65 %
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Percent of long-stay residents with a urinary tract infection |
33.1 % (23.52 % higher than average)
|
vs |
9.58 %
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Percent of long-stay residents who have depressive symptoms |
19.9 % (0.04 % higher than average)
|
vs |
19.86 %
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Percent of long-stay residents who were physically restrained |
7.8 % (30.73 % lower than average)
|
vs |
38.53 %
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Percent of long-stay residents experiencing one or more falls with major injury |
18.4 % (7.67 % higher than average)
|
vs |
10.73 %
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Percent of short-stay residents who self-report moderate to severe pain |
27.3 % (2.54 % higher than average)
|
vs |
24.76 %
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Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
76.7 % (4.74 % lower than average)
|
vs |
81.44 %
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Percent of short-stay residents with Pressure ulcers that are new or worsened |
97.1 % (22.35 % higher than average)
|
vs |
74.75 %
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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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