FAITH MEMORIAL NURSING HOME

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All other Nursing Homes USA

General
Percent of short-stay residents with Pressure ulcers that are new or worsened	75.2 %
City	Pasadena	vs	0.1% Nursing Homes USA have Pasadena
State attribute explanation	TX	vs	7.6% Nursing Homes USA have TX	compare TX Nursing Homes USA
Street	811 GARNER RD
Zip Code	77502
Phone	7134738573
Overall Star Rating	2 (1.11 lower than average)	vs	3.11	Compare similar Overall Star Rating (2)
Health Inspections Star Rating	2 (0.83 lower than average)	vs	2.83	Compare similar Health Inspections Star Rating (2)
Nurse Staffing Star Rating	3 (0.17 lower than average)	vs	3.17	Compare similar Nurse Staffing Star Rating (3)
Quality Measures Star Rating	4 (0.69 higher than average)	vs	3.31	Compare similar Quality Measures Star Rating (4)
RN Only Star Rating	3 (0.17 lower than average)	vs	3.17	Compare similar RN Only Star Rating (3)
Number of Certified Beds	112 (3.06 higher than average)	vs	108.94	Compare similar Number of Certified Beds (112)
Total Number of Residents	101 (9.75 higher than average)	vs	91.25	Compare similar Total Number of Residents (101)
Percent of Occupied Beds	90 % (6.35 % higher than average)	vs	83.65 %	Compare similar Percent of Occupied Beds (90) %
Health Survey Date	7/28/2011
Fire Survey Date	7/27/2011
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	compare Medicare and Medicaid Nursing Homes USA
Type of Ownership	For Profit - Partnership	vs	7.9% Nursing Homes USA have For profit - Partnership	compare For profit - Partnership Nursing Homes USA
Located Within a Hospital?	No	vs	93.6% Nursing Homes USA don't have Located Within a Hospital?	Compare similar 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	Both	vs	29.8% Nursing Homes USA have Both
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	15 (7.52 higher than average)	vs	7.48

Staff Information
Number of Residents	101 (9.62 higher than average)	vs	91.38
Number of RN Hours Per Resident Per Day	0.45 (0.32 lower than average)	vs	0.77
Number of LPN/LVN Hours Per Resident Per Day	0.71 (0.13 lower than average)	vs	0.84
Total Number of Licensed Staff Hours Per Resident Per Day	1.17 (0.42 lower than average)	vs	1.59
Number of CNA Hours Per Resident Per Day	0.06 (5.43 lower than average)	vs	5.49
Number Therapy Hours Per Resident Per Day	0.06 (0.04 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: 04/13/2011 date Of Correction: 05/06/2011
Deficiency #2		Scope: Few level Of Harm: 2 deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading. survey Date: 12/30/2010 date Of Correction: 01/21/2011
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: 12/30/2010 date Of Correction: 12/31/2010

Mistreatment Deficiencies
Deficiency #1		Scope: Some level Of Harm: 1 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: 05/03/2010 date Of Correction: Not Available

Resident Rights Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: Try To Resolve Each Resident's Complaints Quickly. survey Date: 12/30/2010 date Of Correction: 01/19/2011
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: 06/15/2010 date Of Correction: 07/12/2010

Quality Care Deficiencies
Deficiency #1		Scope: Some level Of Harm: 2 deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores. survey Date: 05/04/2012 date Of Correction: 05/31/2012
Deficiency #2		Scope: Few level Of Harm: 3 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 05/04/2012 date Of Correction: 05/31/2012
Deficiency #3		Scope: Few level Of Harm: 2 deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So. survey Date: 12/30/2010 date Of Correction: 01/21/2011
Deficiency #4		Scope: Few level Of Harm: 2 deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores. survey Date: 12/30/2010 date Of Correction: 01/21/2011
Deficiency #5		Scope: Some level Of Harm: 1 deficiency: Have Enough Nurses To Care For Every Resident In A Way That Maximizes The Resident's Well Being. survey Date: 06/03/2010 date Of Correction: 07/01/2010
Deficiency #6		Scope: Few level Of Harm: 2 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 07/16/2009 date Of Correction: 08/31/2009

Nutrition and Dietary Deficiencies
Deficiency #1		Scope: Some level Of Harm: 2 deficiency: Prepare Food That Is Nutritional, Appetizing, Tasty, Attractive, Well-cooked, And At The Right Temperature. survey Date: 07/16/2009 date Of Correction: 08/31/2009
Deficiency #2		Scope: Some level Of Harm: 2 deficiency: Make Sure Menus Meet The Resident's Nutritional Needs And That There Is A Prepared Menu By Which Nutritious Meals Have Been Planned For The Resident And Followed. survey Date: 07/16/2009 date Of Correction: 08/31/2009

Smoke Compartmentation and Control Deficiencies
Deficiency #1		Scope: Many level Of Harm: 1 deficiency: Walls Or Barriers That Prevent Smoke From Passing Through And Would Resist Fire For At Least One Hour. survey Date: 08/17/2011 date Of Correction: Not Available

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication	42.1 % (17.01 % higher than average)	vs	25.09 %
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	4.4 % (12.26 % lower than average)	vs	16.66 %
Percent of long-stay high-risk residents with pressure ulcers	7.3 % (5.28 % lower than average)	vs	12.58 %
Percent of long-stay residents who lose too much weight	4.7 % (7.13 % lower than average)	vs	11.83 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder	70.2 % (25.66 % higher than average)	vs	44.54 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder	3 % (12.63 % 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	75.2 % (46.82 % higher than average)	vs	28.38 %
Percent of long-stay residents who were physically restrained	4.6 % (39.08 % lower than average)	vs	43.68 %
Percent of short-stay residents who self-report moderate to severe pain	10.8 % (14.22 % lower than average)	vs	25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine	96.1 % (11.46 % higher than average)	vs	84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened	100 % (16.06 % higher than average)	vs	83.94 %
Percent of short-stay residents who newly received an antipsychotic medication	10 % (35.9 % lower than average)	vs	45.90 %
Percent of long-stay residents experiencing one or more falls with major injury	1.1 % (14.42 % lower than average)	vs	15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication	42.4 % (17.01 % higher than average)	vs	25.39 %
Percent of long-stay residents whose need for help with daily activities has increased	0.6 % (23.1 % lower than average)	vs	23.70 %
Percent of long-stay residents who self-report moderate to severe pain	4 % (10.1 % lower than average)	vs	14.10 %
Percent of long-stay high-risk residents with pressure ulcers	8 % (1.22 % lower than average)	vs	9.22 %
Percent of long-stay residents who lose too much weight	2.20 % (6.3 % lower than average)	vs	8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder	61.9 % (18.52 % higher than average)	vs	43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder	4.3 % (6.35 % lower than average)	vs	10.65 %
Percent of long-stay residents with a urinary tract infection	3.7 % (5.88 % lower than average)	vs	9.58 %
Percent of long-stay residents who have depressive symptoms	0.4 % (19.46 % lower than average)	vs	19.86 %
Percent of long-stay residents who were physically restrained	4 % (34.53 % lower than average)	vs	38.53 %
Percent of long-stay residents experiencing one or more falls with major injury	3.6 % (7.13 % lower than average)	vs	10.73 %
Percent of short-stay residents who self-report moderate to severe pain	11.3 % (13.46 % lower than average)	vs	24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine	96.5 % (15.06 % higher than average)	vs	81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened	100 % (25.25 % higher than average)	vs	74.75 %
Percent of short-stay residents who newly received an antipsychotic medication	22.8 % (5.46 % higher than average)	vs	17.34 %