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ELKHART OAKS CARE CENTER

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ELKHART OAKS CARE CENTER VS
All other Nursing Homes USA
General
City ELKHART   vs 0.1% Nursing Homes USA have ELKHART
State attribute explanation TX   vs 7.6% Nursing Homes USA have TX
Street 214 JONES RD  
Zip Code 75839  
Phone 9037642291  
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
102  (6.94 lower than average)
vs
108.94

Total Number of Residents
88  (3.25 lower than average)
vs
91.25

Percent of Occupied Beds
86 % (2.35 % higher than average)
vs
83.65 %

Health Survey Date 12/1/2011  
Fire Survey Date 11/30/2011  
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
(57.16 lower than average)
vs
58.16

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

# of deficiencies
14  (6.52 higher than average)
vs
7.48

Staff Information
Number of Residents
88  (3.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.13  (0.64 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.65  (0.19 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
0.78  (0.81 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: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 04/11/2012
date Of Correction: 05/02/2012 

Deficiency #2 Scope: Many
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 09/07/2011
date Of Correction: 10/14/2011 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 07/14/2010
date Of Correction: 08/19/2010 

Mistreatment Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 04/11/2012
date Of Correction: 05/02/2012 

Deficiency #2 Scope: Many
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: 04/11/2012
date Of Correction: 05/02/2012 

Deficiency #3 Scope: Many
level Of Harm: 2
deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.
survey Date: 04/11/2012
date Of Correction: 05/02/2012 

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: 04/19/2010
date Of Correction: 05/10/2010 

Deficiency #5 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: 04/19/2010
date Of Correction: 05/10/2010 

Resident Rights Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Honor All Of The Resident's Rights As A Resident Of The Nursing Home, Free Of Coercion And Reprisal, And As A Citizen Or Resident Of The United States.
survey Date: 12/01/2011
date Of Correction: 12/28/2011 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 07/14/2010
date Of Correction: 08/19/2010 

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: 04/11/2012
date Of Correction: 05/02/2012 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.
survey Date: 04/11/2012
date Of Correction: 05/02/2012 

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: 12/22/2010
date Of Correction: 01/15/2011 

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: 07/14/2010
date Of Correction: 08/19/2010 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
32.9 % (7.81 % higher than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
6.6 % (26.35 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
3.4 % (13.26 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
4.8 % (7.78 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
1.2 % (10.63 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
56.3 % (11.76 % higher than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
2.8 % (12.83 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
5.9 % (7.56 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
6 % (22.38 % 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 self-report moderate to severe pain
75.2 % (50.18 % higher than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
83.3 % (1.34 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
95.8 % (11.86 % higher than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
(44.9 lower than average)
vs
45.90

Percent of long-stay residents experiencing one or more falls with major injury
5.9 % (9.62 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
33 % (7.61 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
6.4 % (17.3 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain 2.6 / 3 % 
Percent of long-stay high-risk residents with pressure ulcers
4.4 % (4.82 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
0.4 % (8.1 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
38.5 % (4.88 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.7 % (6.95 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
3.3 % (6.28 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
3.7 % (16.16 % 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
4.9 % (5.83 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
6.7 % (18.06 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
87.1 % (5.66 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
28.6 % (46.15 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
13.8 % (3.54 % lower than average)
vs
17.34 %



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