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HERITAGE TRAILS NURSING AND REHABILITATION CENTER

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HERITAGE TRAILS NURSING AND REHABILITATION CENTER VS
All other Nursing Homes USA
General
City CLEBURNE   vs 0% Nursing Homes USA have CLEBURNE
State attribute explanation TX   vs 7.6% Nursing Homes USA have TX
Street 301 LINCOLN PARK DR  
Zip Code 76031  
Phone 8175588999  
Overall Star Rating
(0.89 higher than average)
vs
3.11

Health Inspections Star Rating
(2.17 higher than average)
vs
2.83

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

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

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

Number of Certified Beds
122  (13.06 higher than average)
vs
108.94

Total Number of Residents
112  (20.75 higher than average)
vs
91.25

Percent of Occupied Beds
92 % (8.35 % higher than average)
vs
83.65 %

Health Survey Date 5/13/2011  
Fire Survey Date 5/12/2011  
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 - 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
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
(6.48 lower than average)
vs
7.48

Staff Information
Number of Residents
113  (21.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.3  (0.47 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.53  (0.31 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
0.83  (0.76 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.03  (5.46 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.03  (0.07 lower than average)
vs
0.10

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: 10/09/2009
date Of Correction: 10/29/2009 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
23.3 % (1.79 % 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 21.2:1 % 
Percent of long-stay high-risk residents with pressure ulcers
1 % (11.58 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
5.2 % (6.63 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
42.9 % (1.64 % lower than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
1 % (14.63 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
8.7 % (4.76 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
8.5 % (19.88 % 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 short-stay residents who self-report moderate to severe pain
40 % (14.98 % higher 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
75.2  (29.3 higher than average)
vs
45.90

Percent of long-stay residents experiencing one or more falls with major injury
2.5 % (13.02 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
23 % (2.39 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
2.20 % (21.5 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
19.5-24 % (5.4 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
1.8 % (7.42 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
5.4 % (3.1 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
48.6 % (5.22 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
3 % (7.65 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
7.2 % (2.38 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms 9.4 / 10.4 % 
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
2.3 % (8.43 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
37.3 % (12.54 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
100 % (18.56 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened 12.1:1 % 
Percent of short-stay residents who newly received an antipsychotic medication
1.8 % (15.54 % lower than average)
vs
17.34 %



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