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MADISONVILLE CARE CENTER

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MADISONVILLE CARE CENTER VS
All other Nursing Homes USA
General
City MADISONVILLE   vs 0.1% Nursing Homes USA have MADISONVILLE
State attribute explanation TX   vs 7.6% Nursing Homes USA have TX
Street 411 E COLLARD  
Zip Code 77864  
Phone 9363482735  
Overall Star Rating
(0.89 higher than average)
vs
3.11

Health Inspections Star Rating
(1.17 higher than average)
vs
2.83

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

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

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

Number of Certified Beds
116  (7.06 higher than average)
vs
108.94

Total Number of Residents
87  (4.25 lower than average)
vs
91.25

Percent of Occupied Beds
75 % (8.65 % lower than average)
vs
83.65 %

Health Survey Date 1/5/2012  
Fire Survey Date 1/4/2012  
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 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
75.2  (17.04 higher than average)
vs
58.16

Total Enforcement Actions Count
75.2  (18.89 higher than average)
vs
56.31

# of deficiencies
(3.48 lower than average)
vs
7.48

Staff Information
Number of Residents
87  (4.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.49  (0.28 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.69  (0.15 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.18  (0.41 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.07  (5.42 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.07  (0.03 lower than average)
vs
0.10

Quality Care Deficiencies
Deficiency #1 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: 06/18/2010
date Of Correction: 07/16/2010 

Resident Assessment Deficiencies
Deficiency #1 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: 06/17/2009
date Of Correction: 07/15/2009 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Keep The Rate Of Medication Errors (wrong Drug, Wrong Dose, Wrong Time) To Less Than 5%.
survey Date: 02/15/2011
date Of Correction: 03/07/2011 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Keep The Rate Of Medication Errors (wrong Drug, Wrong Dose, Wrong Time) To Less Than 5%.
survey Date: 06/18/2010
date Of Correction: 07/16/2010 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
37.2 % (12.11 % 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
32.9 % (16.24 % higher than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
8 % (4.58 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
3.6 % (8.23 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
62.5 % (17.96 % higher than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
6.1 % (9.53 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
9.6 % (3.86 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
6 % (22.38 % lower 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
56.7 % (31.68 % higher than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
90.9 % (6.26 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
97.1 % (13.16 % higher than average)
vs
83.94 %

Percent of long-stay residents experiencing one or more falls with major injury
3.6 % (11.92 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
31.2 % (5.81 % 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
29.2 % (15.1 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
5 % (4.22 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
2.5 % (6 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
60.6 % (17.22 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.8 % (6.85 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
8.7 % (0.88 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
2.5 % (17.36 % 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
2.9 % (7.83 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
52.9 % (28.14 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
94.4 % (12.96 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
98.1 % (23.35 % higher 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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