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HALLETTSVILLE REHABILITATION AND NURSING CENTER LP

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HALLETTSVILLE REHABILITATION AND NURSING CENTER LP VS
All other Nursing Homes USA
General
Deficiency #1 75.2 % 
City HALLETTSVILLE   vs 0% Nursing Homes USA have HALLETTSVILLE
State attribute explanation TX   vs 7.6% Nursing Homes USA have TX
Street HWY 90 A W  
Zip Code 77964  
Phone 3617983268  
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
(1.17 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
119  (10.06 higher than average)
vs
108.94

Total Number of Residents
80  (11.25 lower than average)
vs
91.25

Percent of Occupied Beds
67 % (16.65 % lower than average)
vs
83.65 %

Health Survey Date 1/5/2012  
Fire Survey Date 1/5/2012  
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? No  vs 45.1% Nursing Homes USA don't 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
(56.16 lower than average)
vs
58.16

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

# of deficiencies
(4.48 lower than average)
vs
7.48

Staff Information
Number of Residents
80  (11.38 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
0.84  (equals average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.29  (0.3 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.12  (5.37 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.12  (0.02 higher than average)
vs
0.10

Quality Care Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 3
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 11/09/2009
date Of Correction: 11/10/2009 

Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Give Or Get Quality Lab Services/tests In A Timely Manner To Meet The Needs Of Residents.
survey Date: 01/05/2012
date Of Correction: 02/03/2012 

Deficiency #2 Scope: Some
level Of Harm: 3
deficiency: Give Or Get Quality Lab Services/tests In A Timely Manner To Meet The Needs Of Residents.
survey Date: 11/09/2009
date Of Correction: 11/10/2009 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
22.1 (71.8) % (2.99 % lower 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
11.5 % (5.16 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
3.4 % (9.18 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
6.3 % (5.53 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
47.5 % (2.96 % higher than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.4 % (11.23 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
7.6 % (5.86 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
6.3 % (22.08 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
3.8 % (39.88 % lower than average)
vs
43.68 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
26.1 % (58.54 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
29.2 % (54.74 % lower than average)
vs
83.94 %

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
17.4 % (7.99 % lower 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 17.3:1 % 
Percent of long-stay high-risk residents with pressure ulcers
4.4 % (4.82 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
5.1 % (3.4 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
41.4 % (1.98 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
5.5 % (5.15 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
7.7 % (1.88 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
4.4 % (15.46 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
4.2 % (34.33 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
4.6 % (6.13 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
15.7 % (9.06 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
32.4 (90.3) % (49.04 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
44.7 % (30.05 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication 12.3:1 % 


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