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FALFURRIAS NURSING AND REHABILITATION LP

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FALFURRIAS NURSING AND REHABILITATION LP VS
All other Nursing Homes USA
General
City FALFURRIAS   vs 0% Nursing Homes USA have FALFURRIAS
State attribute explanation TX   vs 7.6% Nursing Homes USA have TX
Street 1301 S TERRELL ST  
Zip Code 78355  
Phone 3613253658  
Overall Star Rating
(0.11 lower than average)
vs
3.11

Health Inspections Star Rating
(1.17 higher than average)
vs
2.83

Nurse Staffing Star Rating
(2.17 lower than average)
vs
3.17

Quality Measures Star Rating
(0.31 lower than average)
vs
3.31

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

Number of Certified Beds
58  (50.94 lower than average)
vs
108.94

Total Number of Residents
58  (33.25 lower than average)
vs
91.25

Percent of Occupied Beds
100 % (16.35 % higher than average)
vs
83.65 %

Health Survey Date 3/14/2012  
Fire Survey Date 3/15/2012  
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
(5.48 lower than average)
vs
7.48

Staff Information
Number of Residents
58  (33.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.44  (0.33 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.69  (0.15 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.13  (0.46 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: Few
level Of Harm: 2
deficiency: Keep All Essential Equipment Working Safely.
survey Date: 03/03/2011
date Of Correction: 03/31/2011 

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: 09/23/2011
date Of Correction: Not Available 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
34.8 % (9.71 % higher than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
3.3 % (29.65 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
20 % (3.34 % higher 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
3.9 % (7.93 % lower than average)
vs
11.83 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.5 % (12.13 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
31.4 (88.5) % (17.94 % higher than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
72 % (43.62 % higher 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 with Pressure ulcers that are new or worsened
40 % (43.94 % lower 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
3.8 % (11.72 % lower 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 whose need for help with daily activities has increased
1.2 % (22.5 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
9.2 % (4.9 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
7.3 % (1.92 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
3.2 % (5.3 % lower than average)
vs
8.50 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
5.1 % (5.55 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
21.9 % (12.32 % higher than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
66.9 % (47.04 % higher 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
2.5 % (8.23 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
14.3 % (10.46 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
23.4 % (58.04 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
23.6 % (51.15 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
2.3 % (15.04 % lower than average)
vs
17.34 %



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