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COMMUNITY CARE CENTER OF CLARENDON

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COMMUNITY CARE CENTER OF CLARENDON VS
All other Nursing Homes USA
General
City CLARENDON   vs 0% Nursing Homes USA have CLARENDON
State attribute explanation TX   vs 7.6% Nursing Homes USA have TX
Street TEN MEDICAL CENTER DR  
Zip Code 79226  
Phone 8068745221  
Overall Star Rating
(0.11 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
(1.69 higher than average)
vs
3.31

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

Number of Certified Beds
61  (47.94 lower than average)
vs
108.94

Total Number of Residents
50  (41.25 lower than average)
vs
91.25

Percent of Occupied Beds
82 % (1.65 % lower than average)
vs
83.65 %

Health Survey Date 8/3/2011  
Fire Survey Date 8/3/2011  
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 - Corporation  vs 56.7% Nursing Homes USA have For 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
14  (6.52 higher than average)
vs
7.48

Staff Information
Number of Residents
50  (41.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.39  (0.38 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
1.09  (0.25 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.48  (0.11 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.01  (5.48 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.01  (0.09 lower than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 08/11/2009
date Of Correction: 09/25/2009 

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: 06/28/2010
date Of Correction: 07/28/2010 

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: 06/28/2010
date Of Correction: 07/28/2010 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.
survey Date: 06/28/2010
date Of Correction: 07/28/2010 

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: 06/10/2010
date Of Correction: 07/09/2010 

Deficiency #5 Scope: Some
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 08/11/2009
date Of Correction: 09/25/2009 

Deficiency #6 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: 08/11/2009
date Of Correction: 09/25/2009 

Deficiency #7 Scope: Some
level Of Harm: 2
deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.
survey Date: 08/11/2009
date Of Correction: 09/25/2009 

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: 08/11/2009
date Of Correction: 09/25/2009 

Quality Care Deficiencies
Deficiency #1 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: 08/11/2009
date Of Correction: 09/25/2009 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 08/11/2009
date Of Correction: 09/25/2009 

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: 08/11/2009
date Of Correction: 09/25/2009 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: At Least Once A Month, Have A Licensed Pharmacist Review Each Resident's Medication(s) And Report Any Irregularities To The Attending Doctor.
survey Date: 06/28/2010
date Of Correction: 07/28/2010 

Deficiency #2 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: 06/28/2010
date Of Correction: 07/28/2010 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
16.7 % (8.39 % lower than average)
vs
25.09 %

Percent of long-stay residents who self-report moderate to severe pain 17.3:1 % 
Percent of long-stay residents who lose too much weight
75.2 % (63.37 % higher than average)
vs
11.83 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
75.2 % (59.57 % higher than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
75.2 % (61.74 % higher than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
4.3 % (24.08 % 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 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
4.3 % (11.22 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication 17.3:1 % 
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
12.9 (55.2) % (1.2 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
4.2 % (5.02 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
0.7 % (7.8 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
26.7 % (16.68 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
0.8 % (9.85 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
75.2 % (65.62 % higher than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
2.9 % (16.96 % 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
2.8 % (7.93 % lower than average)
vs
10.73 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
66.7 % (14.74 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
67.9 % (6.85 % lower than average)
vs
74.75 %



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