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GRAHAM OAKS CARE CENTER

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GRAHAM OAKS CARE CENTER VS
All other Nursing Homes USA
General
City GRAHAM   vs 0% Nursing Homes USA have GRAHAM
State attribute explanation TX   vs 7.6% Nursing Homes USA have TX
Street 1325 FIRST ST  
Zip Code 76450  
Phone 9405498787  
Overall Star Rating
(1.11 lower than average)
vs
3.11

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

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

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

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

Number of Certified Beds
120  (11.06 higher than average)
vs
108.94

Total Number of Residents
90  (1.25 lower than average)
vs
91.25

Percent of Occupied Beds
75 % (8.65 % lower than average)
vs
83.65 %

Health Survey Date 9/2/2011  
Fire Survey Date 8/31/2011  
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
(57.16 lower than average)
vs
58.16

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

# of deficiencies
13  (5.52 higher than average)
vs
7.48

Staff Information
Number of Residents
90  (1.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.55  (0.22 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
1.27  (0.43 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.82  (0.23 higher 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: Some
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 06/15/2011
date Of Correction: 07/14/2011 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Make Sure That The Nursing Home Area Is Safe, Easy To Use, Clean And Comfortable For Residents, Staff And The Public.
survey Date: 02/07/2011
date Of Correction: 03/24/2011 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Make Sure That The Nursing Home Area Is Safe, Easy To Use, Clean And Comfortable For Residents, Staff And The Public.
survey Date: 03/15/2010
date Of Correction: 05/09/2010 

Deficiency #4 Scope: Few
level Of Harm: 3
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 07/27/2009
date Of Correction: 11/10/2009 

Resident Rights Deficiencies
Deficiency #1 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: 02/25/2010
date Of Correction: 03/31/2010 

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: 03/27/2012
date Of Correction: 05/10/2012 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Make Sure That Each Resident Who Enters The Nursing Home Without A Catheter Is Not Given A Catheter, And Receive Proper Services To Prevent Urinary Tract Infections And Restore Normal Bladder Function.
survey Date: 06/15/2011
date Of Correction: 07/14/2011 

Deficiency #3 Scope: Some
level Of Harm: 3
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 06/15/2011
date Of Correction: 07/14/2011 

Deficiency #4 Scope: Some
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 06/15/2011
date Of Correction: 07/14/2011 

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: 06/15/2011
date Of Correction: 07/14/2011 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.
survey Date: 03/27/2012
date Of Correction: 05/10/2012 

Deficiency #2 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: 01/30/2012
date Of Correction: 03/14/2012 

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: 01/20/2012
date Of Correction: 03/05/2012 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
29.6 % (4.51 % higher than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
5.5 % (27.45 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
7 % (9.66 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
17.9 (64.2) % (5.32 % higher than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
3.6 % (8.23 % lower than average)
vs
11.83 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder 18.1:1 % 
Percent of long-stay residents with a urinary tract infection
3.6 % (9.86 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
9.6 % (18.78 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained 11.6:1 % 
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
100 % (15.36 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
91.9 % (7.96 % 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
2.3 % (13.22 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
28 % (2.61 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
4.8 % (18.9 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
8.2 % (5.9 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
14.5 % (5.28 % higher than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
1.9 % (6.6 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
38.1 % (5.28 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder 18.1:1 % 
Percent of long-stay residents with a urinary tract infection
3.5 % (6.08 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
13.3 % (6.56 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
8.4 % (30.13 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
1.9 % (8.83 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
23.3 % (1.46 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
95.5 % (14.06 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened 11.8:1 % 
Percent of short-stay residents who newly received an antipsychotic medication
4.7 % (12.64 % lower than average)
vs
17.34 %



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