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HERITAGE OAKS WEST RETIREMENT VILLAGE

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HERITAGE OAKS WEST RETIREMENT VILLAGE VS
All other Nursing Homes USA
General
City CORSICANA   vs 0% Nursing Homes USA have CORSICANA
State attribute explanation TX   vs 7.6% Nursing Homes USA have TX
Street 3300 W 2ND AVE  
Zip Code 75110  
Phone 9038745333  
Overall Star Rating
(2.11 lower than average)
vs
3.11

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

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

Number of Certified Beds
148  (39.06 higher than average)
vs
108.94

Total Number of Residents
128  (36.75 higher than average)
vs
91.25

Percent of Occupied Beds
86 % (2.35 % higher than average)
vs
83.65 %

Health Survey Date 1/27/2012  
Fire Survey Date 1/26/2012  
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 - Partnership  vs 7.9% Nursing Homes USA have For profit - Partnership
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
(56.16 lower than average)
vs
58.16

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

# of deficiencies
11  (3.52 higher than average)
vs
7.48

Staff Information
Number of Residents
128  (36.62 higher than average)
vs
91.38

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: 05/27/2010
date Of Correction: 06/18/2010 

Mistreatment Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment.
survey Date: 01/27/2012
date Of Correction: 03/11/2012 

Deficiency #2 Scope: Few
level Of Harm: 3
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 12/16/2011
date Of Correction: 01/26/2012 

Deficiency #3 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: 12/16/2011
date Of Correction: 01/26/2012 

Deficiency #4 Scope: Some
level Of Harm: 4
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 08/25/2010
date Of Correction: 08/26/2010 

Deficiency #5 Scope: Some
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: 08/25/2010
date Of Correction: 08/26/2010 

Resident Rights Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Give Each Resident A Notice Of Rights, Rules, Services And Charges. Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items And Services Medicaid Covers And Which The Resident Must Pay For.
survey Date: 01/27/2012
date Of Correction: 03/11/2012 

Quality Care Deficiencies
Deficiency #1 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: 01/27/2012
date Of Correction: 03/11/2012 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 05/27/2010
date Of Correction: 06/18/2010 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 11/05/2009
date Of Correction: 11/25/2009 

Administration Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 4
deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .
survey Date: 08/25/2010
date Of Correction: 08/26/2010 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
19.3 % (5.79 % lower than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
1.6 % (31.35 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
2.1 % (14.56 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
4.3 % (8.28 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
1.8 % (10.03 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder 21.2:1 % 
Percent of long-stay residents who have had a catheter inserted and left in their bladder
2.1 % (13.53 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
4.6 % (8.86 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
9.7 % (18.68 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
2.7 % (40.98 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
25 % (0.02 % lower than average)
vs
25.02 %

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
100 % (16.06 % higher than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
4 % (41.9 % lower than average)
vs
45.90 %

Percent of long-stay residents experiencing one or more falls with major injury
4.4 % (11.12 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication 18.2:1 % 
Percent of long-stay residents whose need for help with daily activities has increased
2 % (21.7 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
2.9 % (11.2 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
4 % (5.22 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
3 % (5.5 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
20.8 % (22.58 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.3 % (9.35 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection 5.6:1 % 
Percent of long-stay residents who have depressive symptoms
6.3 % (13.56 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
1.4 % (37.13 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
4 % (6.73 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
27.8 (82.0) % (3.04 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
97.9 % (16.46 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
97.1 % (22.35 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
3.7 % (13.64 % lower than average)
vs
17.34 %



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