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HANSFORD MANOR

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HANSFORD MANOR VS
All other Nursing Homes USA
General
City SPEARMAN   vs 0% Nursing Homes USA have SPEARMAN
State attribute explanation TX   vs 7.6% Nursing Homes USA have TX
Street 707 S ROLAND ST  
Zip Code 79081  
Phone 8066595535  
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
(0.31 lower than average)
vs
3.31

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

Number of Certified Beds
65  (43.94 lower than average)
vs
108.94

Total Number of Residents
55  (36.25 lower than average)
vs
91.25

Percent of Occupied Beds
85 % (1.35 % higher than average)
vs
83.65 %

Health Survey Date 7/27/2011  
Fire Survey Date 7/25/2011  
Sprinkler Status Fully Sprinklered  vs 90.2% Nursing Homes USA have Fully Sprinklered
Program Participation Medicaid  vs 3.5% Nursing Homes USA have Medicaid
Type of Ownership Government - Hospital District  vs 0.9% Nursing Homes USA have Government - Hospital district
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
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
(1.52 higher than average)
vs
7.48

Percent of long-stay residents experiencing one or more falls with major injury 75.2 % 
Staff Information
Number of Residents
56  (35.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.54  (0.23 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.95  (0.11 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.50  (0.09 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
75.2  (69.71 higher than average)
vs
5.49

Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 11/09/2010
date Of Correction: 12/09/2010 

Deficiency #2 Scope: Few
level Of Harm: 3
deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.
survey Date: 11/09/2010
date Of Correction: 12/09/2010 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 06/19/2009
date Of Correction: 07/17/2009 

Deficiency #4 Scope: Some
level Of Harm: 2
deficiency: 1) Hire Only People With No Legal History Of Abusing, Neglecting Or Mistreating Residents; Or 2) Report And Investigate Any Acts Or Reports Of Abuse, Neglect Or Mistreatment Of Residents.
survey Date: 06/19/2009
date Of Correction: 07/17/2009 

Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
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: 11/09/2010
date Of Correction: 12/09/2010 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 11/09/2010
date Of Correction: 12/09/2010 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So.
survey Date: 04/17/2009
date Of Correction: 04/17/2009 

Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 11/09/2010
date Of Correction: 12/09/2010 

Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Make Sure That Special Or Therapeutic Diets Are Ordered By The Attending Doctor.
survey Date: 04/17/2009
date Of Correction: 04/17/2009 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
40 % (14.91 % higher than average)
vs
25.09 %

Percent of long-stay residents who self-report moderate to severe pain
21.3 % (4.64 % higher than average)
vs
16.66 %

Percent of long-stay residents who lose too much weight
2.20 % (9.63 % lower than average)
vs
11.83 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
2.5 % (13.13 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
21.7 % (8.24 % higher than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
2.20 % (26.18 % lower 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 long-stay residents experiencing one or more falls with major injury
8.7 % (6.82 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
36.4 % (11.01 % 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
17.4 % (3.3 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
4.1 % (5.12 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
0.7 % (7.8 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
40 % (3.38 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
5 % (5.65 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
16.2 % (6.62 % higher than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
2.7 % (17.16 % lower 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
16 % (5.27 % higher than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
40 % (15.24 % higher than average)
vs
24.76 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
68.3 % (6.45 % lower than average)
vs
74.75 %



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