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HERITAGE MANOR HEALTHCARE CENTER

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HERITAGE MANOR HEALTHCARE CENTER VS
All other Nursing Homes USA
General
City PLANO   vs 0% Nursing Homes USA have PLANO
State attribute explanation TX   vs 7.6% Nursing Homes USA have TX
Street 1621  
Zip Code 75075  
Phone 9725967930  
Overall Star Rating
(1.11 lower than average)
vs
3.11

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

Nurse Staffing Star Rating
(0.83 higher than average)
vs
3.17

Quality Measures Star Rating
(0.69 higher than average)
vs
3.31

RN Only Star Rating
(1.83 higher than average)
vs
3.17

Number of Certified Beds
160  (51.06 higher than average)
vs
108.94

Total Number of Residents
76  (15.25 lower than average)
vs
91.25

Percent of Occupied Beds
48 % (35.65 % lower than average)
vs
83.65 %

Health Survey Date 8/26/2011  
Fire Survey Date 8/25/2011  
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 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
(55.16 lower than average)
vs
58.16

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

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

Staff Information
Number of Residents
76  (15.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
1.52  (0.75 higher than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.7  (0.14 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
2.22  (0.63 higher than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.21  (5.28 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.21  (0.11 higher than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 02/24/2012
date Of Correction: 02/25/2012 

Deficiency #2 Scope: Many
level Of Harm: 2
deficiency: Keep All Essential Equipment Working Safely.
survey Date: 02/14/2010
date Of Correction: 03/19/2010 

Deficiency #3 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: 02/14/2010
date Of Correction: 03/19/2010 

Mistreatment Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 4
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 02/14/2010
date Of Correction: 03/19/2010 

Deficiency #2 Scope: Many
level Of Harm: 4
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: 02/14/2010
date Of Correction: 03/19/2010 

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: 01/15/2010
date Of Correction: 01/27/2010 

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: 01/15/2010
date Of Correction: 01/27/2010 

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: 06/04/2010
date Of Correction: 06/24/2010 

Deficiency #2 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: 02/14/2010
date Of Correction: 03/19/2010 

Quality Care Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 02/14/2010
date Of Correction: 03/19/2010 

Administration Deficiencies
Deficiency #1 Scope: Few
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: 05/13/2011
date Of Correction: 06/05/2011 

Deficiency #2 Scope: Many
level Of Harm: 4
deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .
survey Date: 02/14/2010
date Of Correction: 03/19/2010 

Deficiency #3 Scope: Few
level Of Harm: 4
deficiency: Quickly Tell The Resident's Doctor The Results Of Lab Tests.
survey Date: 05/22/2009
date Of Correction: 02/17/2009 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
30 % (4.91 % higher than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
1.2 % (31.75 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
75.2 % (58.54 % higher than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers 9.4 / 10.4 % 
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
7.5 % (8.13 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
5.5 % (7.96 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
75.2 % (46.82 % higher than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
1.8 % (41.88 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
4.6 % (20.42 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
26 % (58.64 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
22 % (61.94 % lower 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
1.8 % (13.72 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
25.1 % (0.29 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
0.5 - 2.0 % (23.2 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
0.9 % (13.2 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers 9.4 / 10.4 % 
Percent of long-stay residents who lose too much weight
6.9 % (1.6 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
79.6 % (36.22 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder 9.9:1 % 
Percent of long-stay residents with a urinary tract infection 8.1 / 8.8 % 
Percent of long-stay residents who have depressive symptoms
75.2 % (55.34 % higher than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
0.6 % (37.93 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
1.2 % (9.53 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
8.2 % (16.56 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
45.9 % (35.54 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
59.1 % (15.65 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication 21.2:1 % 


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