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LAMUN-LUSK-SANCHEZ TEXAS STATE VETERANS HOME

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LAMUN-LUSK-SANCHEZ TEXAS STATE VETERANS HOME VS
All other Nursing Homes USA
General
City BIG SPRING   vs 0% Nursing Homes USA have BIG SPRING
State attribute explanation TX   vs 7.6% Nursing Homes USA have TX
Street 1809 N HWY 87  
Zip Code 79720  
Phone 4322688387  
Overall Star Rating
(1.11 lower than average)
vs
3.11

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

Nurse Staffing Star Rating
(0.83 higher 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
160  (51.06 higher than average)
vs
108.94

Total Number of Residents
149  (57.75 higher than average)
vs
91.25

Percent of Occupied Beds
93 % (9.35 % higher than average)
vs
83.65 %

Health Survey Date 10/7/2011  
Fire Survey Date 10/12/2011  
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 Government - State  vs 0.9% Nursing Homes USA have Government - State
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
(54.16 lower than average)
vs
58.16

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

# of deficiencies
28  (20.52 higher than average)
vs
7.48

Staff Information
Number of Residents
149  (57.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.41  (0.36 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.89  (0.05 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.3  (0.29 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.02  (5.47 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.02  (0.08 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: 04/13/2012
date Of Correction: 05/13/2012 

Deficiency #2 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: 01/13/2012
date Of Correction: 02/10/2012 

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: 11/21/2011
date Of Correction: 02/10/2012 

Deficiency #4 Scope: Some
level Of Harm: 3
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 10/07/2011
date Of Correction: 02/10/2012 

Deficiency #5 Scope: Some
level Of Harm: 4
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 09/21/2011
date Of Correction: 09/20/2011 

Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 4
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 05/07/2012
date Of Correction: 06/07/2012 

Deficiency #2 Scope: Few
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: 05/07/2012
date Of Correction: 06/07/2012 

Deficiency #3 Scope: Some
level Of Harm: 4
deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.
survey Date: 05/07/2012
date Of Correction: 06/07/2012 

Deficiency #4 Scope: Some
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 04/13/2012
date Of Correction: 06/07/2012 

Deficiency #5 Scope: Some
level Of Harm: 2
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: 04/13/2012
date Of Correction: 06/07/2012 

Deficiency #6 Scope: Some
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 11/21/2011
date Of Correction: 12/21/2011 

Deficiency #7 Scope: Some
level Of Harm: 2
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: 11/21/2011
date Of Correction: 12/21/2011 

Resident Rights Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 4
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: 05/07/2012
date Of Correction: 06/07/2012 

Quality Care Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 4
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 05/07/2012
date Of Correction: 06/07/2012 

Deficiency #2 Scope: Some
level Of Harm: 4
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 05/07/2012
date Of Correction: 06/07/2012 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Have Enough Nurses To Care For Every Resident In A Way That Maximizes The Resident's Well Being.
survey Date: 04/13/2012
date Of Correction: 05/13/2012 

Deficiency #4 Scope: Some
level Of Harm: 2
deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.
survey Date: 04/13/2012
date Of Correction: 05/13/2012 

Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Give Or Get Specialized Rehabilitative Services Per The Patient's Assessment Or Plan Of Care.
survey Date: 01/13/2012
date Of Correction: 02/10/2012 

Deficiency #6 Scope: Some
level Of Harm: 2
deficiency: Make Sure That Residents With Reduced Range Of Motion Get Proper Treatment And Services To Increase Range Of Motion.
survey Date: 01/13/2012
date Of Correction: 02/10/2012 

Deficiency #7 Scope: Some
level Of Harm: 2
deficiency: Make Sure That Each Resident Who Enters The Nursing Home Without A Catheter Is Not Given A Catheter, And Receive Proper Services To Prevent Urinary Tract Infections And Restore Normal Bladder Function.
survey Date: 01/13/2012
date Of Correction: 02/10/2012 

Deficiency #8 Scope: Some
level Of Harm: 2
deficiency: Have Enough Nurses To Care For Every Resident In A Way That Maximizes The Resident's Well Being.
survey Date: 11/21/2011
date Of Correction: 12/21/2011 

Deficiency #9 Scope: Some
level Of Harm: 2
deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.
survey Date: 11/21/2011
date Of Correction: 12/21/2011 

Deficiency #10 Scope: Some
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 10/07/2011
date Of Correction: 11/18/2011 

Administration Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 4
deficiency: Quickly Tell The Resident's Doctor The Results Of Lab Tests.
survey Date: 05/07/2012
date Of Correction: 06/07/2012 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .
survey Date: 11/21/2011
date Of Correction: 12/21/2011 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 10/07/2011
date Of Correction: 11/18/2011 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.
survey Date: 06/23/2010
date Of Correction: 08/18/2010 

Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Provide Food In A Way That Meets A Resident's Needs.
survey Date: 11/21/2011
date Of Correction: 12/21/2011 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
21.4 % (3.69 % lower than average)
vs
25.09 %

Percent of long-stay residents who self-report moderate to severe pain
4.3 % (12.36 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
11.9 % (0.68 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
9.5 % (2.33 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
28.9 % (15.64 % lower than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder 2.6 / 3 % 
Percent of long-stay residents with a urinary tract infection
2.7 % (10.76 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
2.8 % (25.58 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
0.7 % (42.98 % lower than average)
vs
43.68 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
33.3 % (50.64 % lower than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
(43.9 lower than average)
vs
45.90

Percent of long-stay residents experiencing one or more falls with major injury
4.7 % (10.82 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
21.9 % (3.49 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
5.9 % (17.8 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
5.7 % (8.4 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
14.4 % (5.18 % higher than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
8.7 % (0.2 % higher than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
30.2 % (13.18 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder 2.6 / 3 % 
Percent of long-stay residents with a urinary tract infection
3.7 % (5.88 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
5 % (14.86 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
0.9 % (37.63 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
6.1 % (4.63 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain 10.7:1 % 
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
46 % (35.44 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
27.6 % (47.15 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
9.1 % (8.24 % lower than average)
vs
17.34 %



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