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HILL COUNTRY REHAB AND NURSING CENTER

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HILL COUNTRY REHAB AND NURSING CENTER VS
All other Nursing Homes USA
General
City COPPERAS COVE   vs 0% Nursing Homes USA have COPPERAS COVE
State attribute explanation TX   vs 7.6% Nursing Homes USA have TX
Street 810 INDUSTRIAL AVE  
Zip Code 76522  
Phone 2545479552  
Overall Star Rating
(2.11 lower than average)
vs
3.11

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

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

Quality Measures Star Rating
(0.31 lower than average)
vs
3.31

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

Number of Certified Beds
96  (12.94 lower than average)
vs
108.94

Total Number of Residents
93  (1.75 higher than average)
vs
91.25

Percent of Occupied Beds
97 % (13.35 % higher than average)
vs
83.65 %

Health Survey Date 5/6/2011  
Fire Survey Date 5/5/2011  
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
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

Staff Information
Number of Residents
93  (1.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.27  (0.5 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.65  (0.19 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
0.93  (0.66 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.06  (5.43 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.06  (0.04 lower 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: 09/25/2009
date Of Correction: 10/31/2009 

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: 09/25/2009
date Of Correction: 10/31/2009 

Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Notify The Resident Or Provide Reasons For A Transfer Or Discharge.
survey Date: 04/13/2010
date Of Correction: 05/05/2010 

Deficiency #2 Scope: Some
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: 09/25/2009
date Of Correction: 10/31/2009 

Quality Care Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: Use A Registered Nurse At Least 8 Hours A Day, 7 Days A Week.
survey Date: 09/20/2011
date Of Correction: 10/24/2011 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Properly Care For Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, And Prostheses.
survey Date: 09/20/2011
date Of Correction: 10/01/2011 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 03/26/2010
date Of Correction: 04/30/2010 

Resident Assessment Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Review Or Revise The Resident's Care Plan After Any Major Change In A Resident's Physical Or Mental Health.
survey Date: 09/20/2011
date Of Correction: 10/01/2011 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.
survey Date: 09/25/2009
date Of Correction: 10/31/2009 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
31.5 % (6.41 % higher than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
4.8 % (28.15 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
1.8 % (14.86 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
10 % (2.58 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
2.7 % (9.13 % lower than average)
vs
11.83 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
5.1 % (10.53 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
5.3 % (8.16 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
1.3 % (27.08 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
1.3 % (42.38 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
9.1 % (15.92 % 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
90.6 % (6.66 % 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
2.7 % (12.82 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
31.3 % (5.91 % higher 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
1.9 % (12.2 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
9 % (0.22 % lower than average)
vs
9.22 %

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

Percent of long-stay low-risk residents who lose control of their bowels or bladder
32.9 % (10.48 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.7 % (6.95 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
6 % (3.58 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
3.4 % (16.46 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained 2.6 / 3 % 
Percent of long-stay residents experiencing one or more falls with major injury 2.6 / 3 % 
Percent of short-stay residents who self-report moderate to severe pain 12.1:1 % 
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
95.4 % (20.65 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
34.5 % (17.16 % higher than average)
vs
17.34 %



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