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IRVING NURSING AND REHABILITATION LP

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IRVING NURSING AND REHABILITATION LP VS
All other Nursing Homes USA
General
City IRVING   vs 0% Nursing Homes USA have IRVING
State attribute explanation TX   vs 7.6% Nursing Homes USA have TX
Street 619 N BRITAIN RD  
Zip Code 75061  
Phone 9727859300  
Overall Star Rating
(1.11 lower than average)
vs
3.11

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

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

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

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

Number of Certified Beds
88  (20.94 lower than average)
vs
108.94

Total Number of Residents
60  (31.25 lower than average)
vs
91.25

Percent of Occupied Beds
68 % (15.65 % lower than average)
vs
83.65 %

Health Survey Date 7/28/2011  
Fire Survey Date 7/27/2011  
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 Both  vs 29.8% Nursing Homes USA have Both
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
11  (3.52 higher than average)
vs
7.48

Staff Information
Number of Residents
60  (31.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.58  (0.19 lower than average)
vs
0.77

Total Number of Licensed Staff Hours Per Resident Per Day
0.58  (1.01 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

Environmental Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 01/26/2012
date Of Correction: 02/23/2012 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Make Sure There Is A Pest Control Program To Prevent/deal With Mice, Insects, Or Other Pests.
survey Date: 08/21/2009
date Of Correction: 10/15/2009 

Deficiency #3 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: 08/21/2009
date Of Correction: 10/15/2009 

Deficiency #4 Scope: Some
level Of Harm: 2
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 08/21/2009
date Of Correction: 10/15/2009 

Mistreatment Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 01/26/2012
date Of Correction: 02/23/2012 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.
survey Date: 01/26/2012
date Of Correction: 02/23/2012 

Quality Care Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Provide Routine And 24-hour Emergency Dental Care For Each Resident.
survey Date: 08/21/2009
date Of Correction: 10/15/2009 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Provide Medically-related Social Services To Help Each Resident Achieve The Highest Possible Quality Of Life.
survey Date: 08/21/2009
date Of Correction: 10/15/2009 

Administration Deficiencies
Deficiency #1 Scope: Some
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: 09/01/2010
date Of Correction: 09/14/2010 

Deficiency #2 Scope: Some
level Of Harm: 1
deficiency: Keep Complete, Dated Lab Records In The Resident's File.
survey Date: 08/03/2009
date Of Correction: 08/15/2009 

Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Prepare Food That Is Nutritional, Appetizing, Tasty, Attractive, Well-cooked, And At The Right Temperature.
survey Date: 08/21/2009
date Of Correction: 10/15/2009 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
44.8 % (19.71 % higher 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
11.3 % (5.36 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
7.3 % (5.28 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
75.2 % (63.37 % higher than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
35.5 % (9.04 % lower than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
6.4 % (9.23 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
3.3 % (10.16 % 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
75.2 % (31.52 % higher than average)
vs
43.68 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
73.9 % (10.74 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
69.6 % (14.34 % 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
3.3 % (12.22 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
42.9 % (17.51 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
75.2 % (51.5 % higher than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
9.8 % (4.3 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
5.2 % (4.02 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
1.7 % (6.8 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
32.6 % (10.78 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
6.9 % (3.75 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
2.3 % (7.28 % lower than average)
vs
9.58 %

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
2.20 % (8.53 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
32.6 % (7.84 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
59.6 % (21.84 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
57.6 % (17.15 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
4.2 % (13.14 % lower than average)
vs
17.34 %



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