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DEERINGS NURSING AND REHABILITATION LP

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DEERINGS NURSING AND REHABILITATION LP VS
All other Nursing Homes USA
General
City ODESSA   vs 0% Nursing Homes USA have ODESSA
State attribute explanation TX   vs 7.6% Nursing Homes USA have TX
Street 1020 N COUNTY RD WEST  
Zip Code 79763  
Phone 4323320371  
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
(2.17 lower than average)
vs
3.17

Quality Measures Star Rating
(0.69 higher than average)
vs
3.31

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

Number of Certified Beds
111  (2.06 higher than average)
vs
108.94

Total Number of Residents
102  (10.75 higher than average)
vs
91.25

Percent of Occupied Beds
92 % (8.35 % higher than average)
vs
83.65 %

Health Survey Date 5/6/2011  
Fire Survey Date 5/11/2011  
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? 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
(56.16 lower than average)
vs
58.16

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

# of deficiencies
11  (3.52 higher than average)
vs
7.48

Staff Information
Number of Residents
102  (10.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.32  (0.45 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.72  (0.12 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.04  (0.55 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.05  (5.44 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.05  (0.05 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: 05/06/2011
date Of Correction: 06/16/2011 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 05/06/2011
date Of Correction: 06/15/2011 

Mistreatment Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment.
survey Date: 05/06/2011
date Of Correction: 06/07/2011 

Resident Rights Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 1
deficiency: Give Each Resident A Notice Of Rights, Rules, Services And Charges. Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items And Services Medicaid Covers And Which The Resident Must Pay For.
survey Date: 05/06/2011
date Of Correction: 06/07/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Tell The Resident Or The Resident's Representative In Writing How Long The Nursing Home Will Hold The Resident's Bed.
survey Date: 08/24/2010
date Of Correction: 09/10/2010 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Notify The Resident Or Provide Reasons For A Transfer Or Discharge.
survey Date: 08/24/2010
date Of Correction: 09/10/2010 

Quality Care Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Properly Care For Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, And Prostheses.
survey Date: 05/06/2011
date Of Correction: 05/29/2011 

Deficiency #2 Scope: Some
level Of Harm: 3
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 05/19/2010
date Of Correction: 06/23/2010 

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: 05/06/2011
date Of Correction: 06/16/2011 

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: 05/06/2011
date Of Correction: 06/16/2011 

Pharmacy Service Deficiencies
Deficiency #1 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: 05/06/2011
date Of Correction: 06/07/2011 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication 19.4:1 % 
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
5.5 % (11.16 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
4.5 % (8.08 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
4.3 % (7.53 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
53.4 % (8.86 % higher than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.4 % (12.23 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
20.4 % (6.94 % higher than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
1 % (27.38 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
1 % (42.68 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
20.8 % (4.22 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
92.6 % (7.96 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
84.8 % (0.86 % higher 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
5.1 % (10.42 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
19.8 % (5.59 % lower 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
8 % (6.1 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
7.1 % (2.12 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
7.6 % (0.9 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
49.3 % (5.92 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.5 % (6.15 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
17.9 (64.2) % (8.32 % higher than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
0.3 % (19.56 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
1 % (37.53 % 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 18.1:1 % 
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
87.7 % (6.26 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
88.4 % (13.65 % 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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