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GRACY WOODS II LIVING CENTER

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GRACY WOODS II LIVING CENTER VS
All other Nursing Homes USA
General
City AUSTIN   vs 0.2% Nursing Homes USA have AUSTIN
State attribute explanation TX   vs 7.6% Nursing Homes USA have TX
Street 12042 BITTERN HOLLOW  
Zip Code 78758  
Phone 5122283350  
Overall Star Rating
(1.11 lower than average)
vs
3.11

Health Inspections Star Rating
(0.17 higher 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
(1.17 lower than average)
vs
3.17

Number of Certified Beds
110  (1.06 higher than average)
vs
108.94

Total Number of Residents
97  (5.75 higher than average)
vs
91.25

Percent of Occupied Beds
88 % (4.35 % higher than average)
vs
83.65 %

Health Survey Date 7/21/2011  
Fire Survey Date 7/20/2011  
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? 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
12  (4.52 higher than average)
vs
7.48

Staff Information
Number of Residents
97  (5.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.42  (0.35 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.56  (0.28 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
0.98  (0.61 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.03  (5.46 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.03  (0.07 lower than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 1
deficiency: Make Sure That The Nursing Home Area Is Safe, Easy To Use, Clean And Comfortable For Residents, Staff And The Public.
survey Date: 05/28/2010
date Of Correction: 06/01/2010 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 05/28/2010
date Of Correction: 06/01/2010 

Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Keep Each Resident Free From Drugs That Restrain Them, Unless Needed For Medical Treatment.
survey Date: 05/28/2010
date Of Correction: 06/28/2010 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 04/09/2009
date Of Correction: 05/09/2009 

Resident Rights Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.
survey Date: 05/28/2010
date Of Correction: 06/28/2010 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Keep Each Resident's Personal And Medical Records Private And Confidential.
survey Date: 05/28/2010
date Of Correction: 06/28/2010 

Quality Care Deficiencies
Deficiency #1 Scope: Few
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: 05/28/2010
date Of Correction: 06/28/2010 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Make Sure That Residents With Reduced Range Of Motion Get Proper Treatment And Services To Increase Range Of Motion.
survey Date: 09/30/2009
date Of Correction: 10/30/2009 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.
survey Date: 09/30/2009
date Of Correction: 10/30/2009 

Administration Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Make Sure That Nurse Aides Show They Have The Skills And Techniques To Be Able To Care For Residents' Needs.
survey Date: 05/28/2010
date Of Correction: 06/28/2010 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Make Sure That Nurse Aides Show They Have The Skills And Techniques To Be Able To Care For Residents' Needs.
survey Date: 09/30/2009
date Of Correction: 10/30/2009 

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: 05/28/2010
date Of Correction: 06/28/2010 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
42.7 % (17.61 % 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
6.7 % (9.96 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
9.1 % (3.48 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
5.3 % (6.53 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
56.7 % (12.16 % higher than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.2 % (14.43 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
8.5 % (4.96 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
3.2 % (25.18 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
1.1 % (42.58 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
19.2 % (5.82 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
85.7 % (1.06 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
94.7 % (10.76 % 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
6.3 % (9.22 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
39.1 % (13.71 % 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
8.5 % (5.6 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
6.7 % (2.52 % lower than average)
vs
9.22 %

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

Percent of long-stay low-risk residents who lose control of their bowels or bladder
52.1 % (8.72 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
0.8 % (9.85 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
5.7 % (3.88 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms 5.6:1 % 
Percent of long-stay residents who were physically restrained
1.1 % (37.43 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
6 % (4.73 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
14.4 % (10.36 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
81.2 % (0.24 % lower than average)
vs
81.44 %

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

Percent of short-stay residents who newly received an antipsychotic medication
3.3 % (14.04 % lower than average)
vs
17.34 %



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