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LEGRAND HEALTHCARE AND REHABILITATION CENTER

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LEGRAND HEALTHCARE AND REHABILITATION CENTER VS
All other Nursing Homes USA
General
City BASTROP   vs 0% Nursing Homes USA have BASTROP
State attribute explanation LA   vs 1.8% Nursing Homes USA have LA
Street 2650 HOLT STREET  
Zip Code 71220  
Phone 3182810322  
Overall Star Rating
(2.11 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
(2.31 lower than average)
vs
3.31

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

Number of Certified Beds
125  (16.06 higher than average)
vs
108.94

Total Number of Residents
85  (6.25 lower than average)
vs
91.25

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

Health Survey Date 12/15/2011  
Fire Survey Date 12/15/2011  
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? Yes  vs 31.3% Nursing Homes USA have Quality Indicator Survey?
Special Focus Facility? No  vs 99% Nursing Homes USA don't have Special Focus Facility?
Civil Money Penalty Count
(57.16 lower than average)
vs
58.16

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

# of deficiencies
16  (8.52 higher than average)
vs
7.48

Staff Information
Number of Residents
85  (6.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.22  (0.55 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
1.12  (0.47 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.05  (5.44 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.05  (0.05 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: 03/03/2010
date Of Correction: 03/17/2010 

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: 11/19/2009
date Of Correction: 01/01/2010 

Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment.
survey Date: 03/03/2010
date Of Correction: 03/17/2010 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment.
survey Date: 11/19/2009
date Of Correction: 01/01/2010 

Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.
survey Date: 11/19/2009
date Of Correction: 01/01/2010 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.
survey Date: 11/19/2009
date Of Correction: 01/01/2010 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 10/19/2011
date Of Correction: 11/04/2011 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Make Sure That Residents Receive Proper Treatment And Assistive Devices To Maintain Their Vision And Hearing.
survey Date: 11/19/2009
date Of Correction: 01/01/2010 

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: 11/19/2009
date Of Correction: 01/01/2010 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 11/19/2009
date Of Correction: 01/01/2010 

Resident Assessment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.
survey Date: 10/19/2011
date Of Correction: 01/16/2012 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan.
survey Date: 11/19/2009
date Of Correction: 01/01/2010 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.
survey Date: 11/19/2009
date Of Correction: 01/01/2010 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.
survey Date: 11/19/2009
date Of Correction: 01/01/2010 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: 1) Make Sure That Each Resident's Drug Regimen Is Free From Unnecessary Drugs; 2) Each Resident's Entire Drug/medication Is Managed And Monitored To Achieve Highest Well Being.
survey Date: 11/19/2009
date Of Correction: 01/01/2010 

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: 11/19/2009
date Of Correction: 01/01/2010 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
33.8 % (8.71 % 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
16.9-24 % (0.24 % higher than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
10.5 % (2.08 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
8.2 % (3.63 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
15 % (29.54 % lower than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
4 % (11.63 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
2.4 % (11.06 % 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
10.5 % (33.18 % lower than average)
vs
43.68 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
57.7 % (26.24 % 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
3.5 % (12.02 % lower than average)
vs
15.52 %

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
3.4 % (20.3 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
14.9-28 % (0.8 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
10.2 % (0.98 % higher than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight 8.9 / 9.9 % 
Percent of long-stay low-risk residents who lose control of their bowels or bladder 14.7:1 % 
Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.6 % (6.05 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
3.5 % (6.08 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
0.8 % (19.06 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
11.1 % (27.43 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
3.8 % (6.93 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
29.5 % (4.74 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
70.7 % (10.74 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
29.7 % (45.05 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
4.3 % (13.04 % lower than average)
vs
17.34 %



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