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Home > Nursing Homes USA > GEORGETOWN NURSING & REHABILITATION CENTER

GEORGETOWN NURSING & REHABILITATION CENTER

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GEORGETOWN NURSING & REHABILITATION CENTER VS
All other Nursing Homes USA
General
City GEORGETOWN   vs 0.1% Nursing Homes USA have GEORGETOWN
State attribute explanation TX   vs 7.6% Nursing Homes USA have TX
Street 903 RIVER HAVEN DR  
Zip Code 78626  
Phone 5128635521  
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
(1.31 lower than average)
vs
3.31

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

Number of Certified Beds
106  (2.94 lower than average)
vs
108.94

Total Number of Residents
73  (18.25 lower than average)
vs
91.25

Percent of Occupied Beds
69 % (14.65 % lower than average)
vs
83.65 %

Health Survey Date 10/14/2011  
Fire Survey Date 10/13/2011  
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 - 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? No  vs 45.1% Nursing Homes USA don't 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
(54.16 lower than average)
vs
58.16

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

# of deficiencies
(0.52 higher than average)
vs
7.48

Staff Information
Number of Residents
73  (18.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.29  (0.48 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.76  (0.08 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.05  (0.54 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

Quality Care Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Give Proper Treatment To Residents With Feeding Tubes To Prevent Problems (such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-pharyngeal Ulcers) And Help Restore Eating Skills, If Possible.
survey Date: 12/15/2010
date Of Correction: 01/14/2011 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 12/15/2010
date Of Correction: 01/14/2011 

Deficiency #3 Scope: Few
level Of Harm: 4
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 01/25/2010
date Of Correction: 02/24/2010 

Deficiency #4 Scope: Few
level Of Harm: 4
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 01/25/2010
date Of Correction: 02/24/2010 

Deficiency #5 Scope: Few
level Of Harm: 4
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 01/25/2010
date Of Correction: 02/24/2010 

Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 4
deficiency: Give Or Get Quality Lab Services/tests In A Timely Manner To Meet The Needs Of Residents.
survey Date: 01/25/2010
date Of Correction: 02/24/2010 

Deficiency #2 Scope: Few
level Of Harm: 4
deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .
survey Date: 01/25/2010
date Of Correction: 02/24/2010 

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: 07/24/2009
date Of Correction: 08/21/2009 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
35.4 % (10.31 % 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
20.1 % (3.44 % higher than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
2 % (10.58 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight 10.3:1 % 
Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.8 % (10.83 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection 10.3:1 % 
Percent of long-stay residents who have depressive symptoms
15.2 % (13.18 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
7.4 % (36.28 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
40 % (14.98 % higher than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
87.1 % (2.46 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
93.5 % (9.56 % 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
2.9 % (12.62 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
31.4 (88.5) % (6.01 % higher 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
22.8 % (8.7 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
2 % (7.22 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight 12.3:1 % 
Percent of long-stay low-risk residents who lose control of their bowels or bladder
61 % (17.62 % 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
8.5 % (1.08 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms 19.4:1 % 
Percent of long-stay residents who were physically restrained 9.4 / 10.4 % 
Percent of long-stay residents experiencing one or more falls with major injury
4.2 % (6.53 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
36.8 % (12.04 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
83.7 % (2.26 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
88.2 % (13.45 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication 10.7:1 % 


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