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HOLLAND LAKE NURSING CENTER LTD

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HOLLAND LAKE NURSING CENTER LTD VS
All other Nursing Homes USA
General
City WEATHERFORD   vs 0.1% Nursing Homes USA have WEATHERFORD
State attribute explanation TX   vs 7.6% Nursing Homes USA have TX
Street 1201 HOLLAND LAKE DR  
Zip Code 76086  
Phone 8175980160  
Overall Star Rating
(1.11 lower than average)
vs
3.11

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

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

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

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

Number of Certified Beds
120  (11.06 higher than average)
vs
108.94

Total Number of Residents
107  (15.75 higher than average)
vs
91.25

Percent of Occupied Beds
89 % (5.35 % higher than average)
vs
83.65 %

Health Survey Date 7/15/2011  
Fire Survey Date 7/13/2011  
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? 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
(6.48 lower than average)
vs
7.48

Staff Information
Number of Residents
107  (15.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.2  (0.57 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.87  (0.03 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.07  (0.52 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

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: 11/18/2010
date Of Correction: 12/06/2010 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication 10.7:1 % 
Percent of long-stay residents whose need for help with daily activities has increased
3.3 % (29.65 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
6.9 % (9.76 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
7.4 % (5.18 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
11.9 % (0.07 % higher than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
40.9 % (3.64 % lower than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
2.3 % (13.33 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
6 % (7.46 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
23.5 % (4.88 % 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
36.3 % (11.28 % higher than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
99.2 % (14.56 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
99.2 % (15.26 % 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
7.1 % (8.42 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication 8.9 / 9.9 % 
Percent of long-stay residents whose need for help with daily activities has increased
4.4 % (19.3 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
9.7 % (4.4 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers 10.1:1 % 
Percent of long-stay residents who lose too much weight
9.3 % (0.8 % higher than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
34.1 % (9.28 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.2 % (6.45 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection 8.9 / 9.9 % 
Percent of long-stay residents who have depressive symptoms
18.5 % (1.36 % 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
7.6 % (3.13 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
37.8 % (13.04 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
98.8 % (17.36 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
95.8 % (21.05 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
22.8 % (5.46 % higher than average)
vs
17.34 %



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