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ELMWOOD NURSING CENTER

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ELMWOOD NURSING CENTER VS
All other Nursing Homes USA
General
City MARLIN   vs 0% Nursing Homes USA have MARLIN
State attribute explanation TX   vs 7.6% Nursing Homes USA have TX
Street 221 VIRGINIA AVE  
Zip Code 76661  
Phone 2548835548  
Overall Star Rating
(1.11 lower than average)
vs
3.11

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

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

Number of Certified Beds
119  (10.06 higher than average)
vs
108.94

Total Number of Residents
27  (64.25 lower than average)
vs
91.25

Percent of Occupied Beds
23 % (60.65 % lower than average)
vs
83.65 %

Health Survey Date 11/17/2011  
Fire Survey Date 11/17/2011  
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 - Individual  vs 3.5% Nursing Homes USA have For profit - Individual
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
(54.16 lower than average)
vs
58.16

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

# of deficiencies
(2.48 lower than average)
vs
7.48

Staff Information
Number of Residents
27  (64.38 lower than average)
vs
91.38

Resident Rights Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Properly Hold, Secure And Manage Each Resident's Personal Money Which Is Deposited With The Nursing Home.
survey Date: 03/23/2011
date Of Correction: 05/31/2011 

Quality Care Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: Use A Registered Nurse At Least 8 Hours A Day, 7 Days A Week.
survey Date: 03/23/2011
date Of Correction: 05/31/2011 

Administration Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 1
deficiency: Set Up An Ongoing Quality Assessment And Assurance Group To Review Quality Deficiencies Quarterly, And Develop Corrective Plans Of Action.
survey Date: 03/23/2011
date Of Correction: 05/31/2011 

Deficiency #2 Scope: Many
level Of Harm: 2
deficiency: 1) Set Up A Group That Is Legally Responsible For Writing And Setting Up Policies For Leading And Running The Nursing Home; Or 2) Hire A Properly Licensed Administrator.
survey Date: 03/23/2011
date Of Correction: 05/31/2011 

Deficiency #3 Scope: Many
level Of Harm: 1
deficiency: Employ Qualified Full-time, Part-time Or Consultant Professionals That Must Be Licensed, Certified, Or Registered Staff To Give Needed Services.
survey Date: 09/15/2010
date Of Correction: 10/15/2010 

Quality Measures Q1
Percent of long-stay residents who have depressive symptoms
6.7 % (21.68 % 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 long-stay residents experiencing one or more falls with major injury
75.2 % (59.68 % higher than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
32.4 (90.3) % (7.01 % higher than average)
vs
25.39 %

Percent of long-stay residents who self-report moderate to severe pain
31 % (16.9 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
4.8 % (4.42 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
3.5 % (5 % lower than average)
vs
8.50 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.2 % (9.45 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection 16.3:1 % 
Percent of long-stay residents who have depressive symptoms
3.4 % (16.46 % 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
75.2 % (64.47 % higher than average)
vs
10.73 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
95.2 % (20.45 % higher than average)
vs
74.75 %



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