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KRISTI LEE MANOR INC

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KRISTI LEE MANOR INC VS
All other Nursing Homes USA
General
City COLORADO CITY   vs 0% Nursing Homes USA have COLORADO CITY
State attribute explanation TX   vs 7.6% Nursing Homes USA have TX
Street 1941 CHESTNUT  
Zip Code 79512  
Phone 3257285247  
Overall Star Rating
(2.11 lower than average)
vs
3.11

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

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

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

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

Number of Certified Beds
110  (1.06 higher than average)
vs
108.94

Total Number of Residents
70  (21.25 lower than average)
vs
91.25

Percent of Occupied Beds
64 % (19.65 % lower than average)
vs
83.65 %

Health Survey Date 12/1/2011  
Fire Survey Date 12/8/2011  
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? 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
(54.16 lower than average)
vs
58.16

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

# of deficiencies
(0.48 lower than average)
vs
7.48

Staff Information
Number of Residents
70  (21.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.13  (0.64 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.93  (0.09 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.06  (0.53 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
75.2  (69.71 higher than average)
vs
5.49

Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 12/01/2011
date Of Correction: 01/25/2012 

Deficiency #2 Scope: Few
level Of Harm: 3
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: 12/01/2011
date Of Correction: 01/25/2012 

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: 12/01/2011
date Of Correction: 01/25/2012 

Deficiency #4 Scope: Many
level Of Harm: 4
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 05/03/2010
date Of Correction: 05/04/2010 

Deficiency #5 Scope: Many
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: 05/03/2010
date Of Correction: 05/04/2010 

Deficiency #6 Scope: Many
level Of Harm: 4
deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.
survey Date: 05/03/2010
date Of Correction: 05/04/2010 

Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.
survey Date: 12/01/2011
date Of Correction: 01/02/2012 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
28.3 % (3.21 % higher than average)
vs
25.09 %

Percent of long-stay residents who self-report moderate to severe pain
11.7 % (4.96 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
3.1 % (9.48 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
1.6 % (10.23 % lower than average)
vs
11.83 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
5.3 % (10.33 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
9.8 % (3.66 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
3.3 % (25.08 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
3.2 % (40.48 % lower than average)
vs
43.68 %

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 7.9:1 % 
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
30.2 % (4.81 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
4.2 % (19.5 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain 13.1:1 % 
Percent of long-stay high-risk residents with pressure ulcers
4.1 % (5.12 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
5.2 % (3.3 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder 12.3:1 % 
Percent of long-stay residents who have had a catheter inserted and left in their bladder
6.6 % (4.05 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
7.3 % (2.28 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
4.3 % (15.56 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
3.1 % (35.43 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
13.8 % (3.07 % higher than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
29.7 % (4.94 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
87.8 % (6.36 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
76.2 % (1.45 % higher than average)
vs
74.75 %



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