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MANOR OAKS NURSING CENTER

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MANOR OAKS NURSING CENTER VS
All other Nursing Homes USA
General
City ROCKDALE   vs 0% Nursing Homes USA have ROCKDALE
State attribute explanation TX   vs 7.6% Nursing Homes USA have TX
Street 222 S FM 487  
Zip Code 76567  
Phone 5124465893  
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
(1.17 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
120  (11.06 higher than average)
vs
108.94

Total Number of Residents
60  (31.25 lower than average)
vs
91.25

Percent of Occupied Beds
50 % (33.65 % lower than average)
vs
83.65 %

Health Survey Date 7/22/2011  
Fire Survey Date 7/21/2011  
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 Non Profit - Corporation  vs 18.7% Nursing Homes USA have Non 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
(52.16 lower than average)
vs
58.16

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

# of deficiencies
10  (2.52 higher than average)
vs
7.48

Staff Information
Number of Residents
60  (31.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.33  (0.44 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.94  (0.1 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.27  (0.32 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.1  (5.39 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.1  (equals average)
vs
0.10

Mistreatment Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 4
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 10/07/2011
date Of Correction: 11/10/2011 

Deficiency #2 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: 10/07/2011
date Of Correction: 11/10/2011 

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: 10/07/2011
date Of Correction: 11/10/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Keep Each Resident's Personal And Medical Records Private And Confidential.
survey Date: 04/28/2010
date Of Correction: 04/29/2010 

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: 10/07/2011
date Of Correction: 11/10/2011 

Deficiency #2 Scope: Some
level Of Harm: 4
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 10/07/2011
date Of Correction: 11/10/2011 

Deficiency #3 Scope: Some
level Of Harm: 4
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 10/07/2011
date Of Correction: 11/10/2011 

Deficiency #4 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: 09/18/2010
date Of Correction: 09/18/2010 

Administration Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 4
deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .
survey Date: 10/07/2011
date Of Correction: 11/10/2011 

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: 09/18/2010
date Of Correction: 09/18/2010 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
25.9 % (0.81 % 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
19.3 % (2.64 % higher than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
5.9 % (6.68 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
25 % (13.17 % higher than average)
vs
11.83 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
9.7 % (5.93 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
15 % (1.54 % higher than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
1.7 % (26.68 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
3.3 % (40.38 % lower than average)
vs
43.68 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
87.1 % (2.46 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
93.5 % (9.56 % higher 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
8.3 % (7.22 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
25.6 (78.1) % (0.21 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
1.7 % (22 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
12.7 % (1.4 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
6.1 % (3.12 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight 18.1:1 % 
Percent of long-stay low-risk residents who lose control of their bowels or bladder
14.3 % (29.08 % lower than average)
vs
43.38 %

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
11.9 % (2.32 % higher than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
1.1 % (18.76 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
1.7 % (36.83 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
9.5 % (1.23 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
6.7 % (18.06 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
87.3 % (5.86 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened 18.2:1 % 
Percent of short-stay residents who newly received an antipsychotic medication 7.9:1 % 


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