Compare with other Nursing Homes USA
Compare
Compare
| LEGEND OAKS HEALTHCARE AND REHABILITATION-WEST HOU | VS | All other Nursing Homes USA |
| Staff Information | |||||
|---|---|---|---|---|---|
| Number of Residents |
107 (15.62 higher than average)
|
vs |
91.38
|
||
| Number of RN Hours Per Resident Per Day |
0.52 (0.25 lower than average)
|
vs |
0.77
|
||
| Number of LPN/LVN Hours Per Resident Per Day |
0.73 (0.11 lower than average)
|
vs |
0.84
|
||
| Total Number of Licensed Staff Hours Per Resident Per Day |
1.25 (0.34 lower than average)
|
vs |
1.59
|
||
| Number of CNA Hours Per Resident Per Day |
0.08 (5.41 lower than average)
|
vs |
5.49
|
||
| Number Therapy Hours Per Resident Per Day |
0.08 (0.02 lower than average)
|
vs |
0.10
|
||
| 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: 07/15/2010 date Of Correction: 08/11/2010 |
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| Resident Rights Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Tell The Resident Or The Resident's Representative In Writing How Long The Nursing Home Will Hold The Resident's Bed. survey Date: 06/01/2011 date Of Correction: 06/02/2011 |
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| Deficiency #2 |
Scope: Many level Of Harm: 1 deficiency: Give Each Resident A Notice Of Rights, Rules, Services And Charges. Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items And Services Medicaid Covers And Which The Resident Must Pay For. survey Date: 06/01/2011 date Of Correction: 06/02/2011 |
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| Deficiency #3 |
Scope: Few level Of Harm: 2 deficiency: Honor All Of The Resident's Rights As A Resident Of The Nursing Home, Free Of Coercion And Reprisal, And As A Citizen Or Resident Of The United States. survey Date: 06/01/2011 date Of Correction: 06/02/2011 |
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| Quality Care Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care. survey Date: 03/16/2011 date Of Correction: 03/18/2011 |
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| Deficiency #2 |
Scope: Some level Of Harm: 2 deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality. survey Date: 07/15/2010 date Of Correction: 08/11/2010 |
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| Deficiency #3 |
Scope: Few level Of Harm: 2 deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care. survey Date: 04/14/2010 date Of Correction: 05/14/2010 |
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| Administration Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Some level Of Harm: 2 deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident . survey Date: 07/15/2010 date Of Correction: 08/11/2010 |
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| Deficiency #2 |
Scope: Few level Of Harm: 2 deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards. survey Date: 04/14/2010 date Of Correction: 05/14/2010 |
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| Pharmacy Service Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Some level Of Harm: 2 deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards. survey Date: 07/15/2010 date Of Correction: 08/11/2010 |
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| Quality Measures Q1 | |||||
|---|---|---|---|---|---|
| Percent of long-stay residents who received an antipsychotic medication |
20.9 % (4.19 % lower than average)
|
vs |
25.09 %
|
||
| Percent of long-stay residents whose need for help with daily activities has increased |
0.8 % (32.15 % lower than average)
|
vs |
32.95 %
|
||
| Percent of long-stay residents who self-report moderate to severe pain |
18 % (1.34 % higher than average)
|
vs |
16.66 %
|
||
| Percent of long-stay high-risk residents with pressure ulcers |
5.3 % (7.28 % lower than average)
|
vs |
12.58 %
|
||
| Percent of long-stay residents who lose too much weight |
8.3 % (3.53 % lower than average)
|
vs |
11.83 %
|
||
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
40.5 % (4.04 % lower than average)
|
vs |
44.54 %
|
||
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
75.2 % (59.57 % higher 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 |
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 who self-report moderate to severe pain |
41.5 % (16.48 % higher than average)
|
vs |
25.02 %
|
||
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
75.2 % (9.44 % lower than average)
|
vs |
84.64 %
|
||
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
67.4 % (16.54 % lower than average)
|
vs |
83.94 %
|
||
| Percent of short-stay residents who newly received an antipsychotic medication |
2.1 % (43.8 % lower 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 |
29.1 % (3.71 % higher than average)
|
vs |
25.39 %
|
||
| Percent of long-stay residents whose need for help with daily activities has increased |
0.7 % (23 % lower than average)
|
vs |
23.70 %
|
||
| Percent of long-stay residents who self-report moderate to severe pain |
15.7 % (1.6 % higher than average)
|
vs |
14.10 %
|
||
| Percent of long-stay high-risk residents with pressure ulcers |
6.4 % (2.82 % lower than average)
|
vs |
9.22 %
|
||
| Percent of long-stay residents who lose too much weight |
9.2 % (0.7 % higher than average)
|
vs |
8.50 %
|
||
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
39.8 % (3.58 % lower than average)
|
vs |
43.38 %
|
||
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
0.4 % (10.25 % lower than average)
|
vs |
10.65 %
|
||
| Percent of long-stay residents with a urinary tract infection |
13.6-28 % (4.02 % higher than average)
|
vs |
9.58 %
|
||
| Percent of long-stay residents who have depressive symptoms |
1.9 % (17.96 % 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 |
2.3 % (8.43 % lower than average)
|
vs |
10.73 %
|
||
| Percent of short-stay residents who self-report moderate to severe pain |
43.2 % (18.44 % higher than average)
|
vs |
24.76 %
|
||
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
76.2 % (5.24 % lower than average)
|
vs |
81.44 %
|
||
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
61.7 % (13.05 % lower than average)
|
vs |
74.75 %
|
||
| Percent of short-stay residents who newly received an antipsychotic medication |
25.7 % (8.36 % higher than average)
|
vs |
17.34 %
|
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