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COMMUNITY CARE CENTER OF BAYLOR COUNTY

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COMMUNITY CARE CENTER OF BAYLOR COUNTY VS
All other Nursing Homes USA
General
Percent of short-stay residents with Pressure ulcers that are new or worsened 1 % 
City SEYMOUR   vs 0.1% Nursing Homes USA have SEYMOUR
State attribute explanation TX   vs 7.6% Nursing Homes USA have TX
Street 1110 WESTVIEW DR  
Zip Code 76380  
Phone 9408893176  
Overall Star Rating
(2.11 lower than average)
vs
3.11

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

Nurse Staffing Star Rating
(0.83 higher than average)
vs
3.17

Quality Measures Star Rating
(2.31 lower than average)
vs
3.31

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

Number of Certified Beds
70  (38.94 lower than average)
vs
108.94

Total Number of Residents
52  (39.25 lower than average)
vs
91.25

Percent of Occupied Beds
74 % (9.65 % lower than average)
vs
83.65 %

Health Survey Date 8/25/2011  
Fire Survey Date 8/24/2011  
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 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 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
(55.16 lower than average)
vs
58.16

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

# of deficiencies
16  (8.52 higher than average)
vs
7.48

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: 06/27/2011
date Of Correction: 07/30/2011 

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 

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 

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
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 

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 

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 

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
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 

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
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
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 

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 

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
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 

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
Percent of long-stay residents who received an antipsychotic medication
23.9 % (1.19 % lower than average)
vs
25.09 %

Percent of long-stay residents who lose too much weight
13.6-28 % (1.77 % higher than average)
vs
11.83 %

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 %

Percent of long-stay residents with a urinary tract infection
34.1 % (20.64 % higher than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
18.8 % (9.58 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
8.2 % (35.48 % lower than average)
vs
43.68 %

Percent of long-stay residents experiencing one or more falls with major injury
10.2 % (5.32 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
27.4 % (2.01 % 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
18.6 (65.5) % (4.5 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
5.7 % (3.52 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
13.8 % (5.3 % higher than average)
vs
8.50 %

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 %

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 %

Percent of long-stay residents with a urinary tract infection
33.1 % (23.52 % higher than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
19.9 % (0.04 % higher than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
7.8 % (30.73 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
18.4 % (7.67 % higher than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
27.3 % (2.54 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
76.7 % (4.74 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
97.1 % (22.35 % higher than average)
vs
74.75 %

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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