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MANSFIELD NURSING AND REHABILITATION LP

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MANSFIELD NURSING AND REHABILITATION LP VS
All other Nursing Homes USA
General
City Mansfield  vs 0.1% Nursing Homes USA have Mansfield
State attribute explanation TX   vs 7.6% Nursing Homes USA have TX
Street 1402 E BROAD ST  
Zip Code 76063  
Phone 8174772176  
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
(2.17 lower than average)
vs
3.17

Quality Measures Star Rating
(0.69 higher than average)
vs
3.31

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

Number of Certified Beds
127  (18.06 higher than average)
vs
108.94

Total Number of Residents
83  (8.25 lower than average)
vs
91.25

Percent of Occupied Beds
65 % (18.65 % lower than average)
vs
83.65 %

Health Survey Date 10/20/2011  
Fire Survey Date 10/19/2011  
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 - Partnership  vs 7.9% Nursing Homes USA have For profit - Partnership
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
(55.16 lower than average)
vs
58.16

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

# of deficiencies
(0.48 lower than average)
vs
7.48

Staff Information
Number of Residents
83  (8.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.32  (0.45 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
1.21  (0.38 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

Environmental Deficiencies
Deficiency #1 Scope: Few
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: 01/03/2011
date Of Correction: 01/04/2011 

Mistreatment Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 1
deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.
survey Date: 10/12/2011
date Of Correction: 11/27/2011 

Deficiency #2 Scope: Few
level Of Harm: 4
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 01/03/2011
date Of Correction: 01/04/2011 

Deficiency #3 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: 01/03/2011
date Of Correction: 01/04/2011 

Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 4
deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .
survey Date: 01/03/2011
date Of Correction: 01/04/2011 

Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.
survey Date: 10/12/2011
date Of Correction: 11/27/2011 

Deficiency #2 Scope: Many
level Of Harm: 2
deficiency: Prepare Food That Is Nutritional, Appetizing, Tasty, Attractive, Well-cooked, And At The Right Temperature.
survey Date: 08/15/2011
date Of Correction: 09/15/2011 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
42 % (16.91 % higher than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
4.8 % (28.15 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain 8.6:1 % 
Percent of long-stay high-risk residents with pressure ulcers
2.8 % (9.78 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
75.2 % (63.37 % higher than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
31.8 % (12.74 % lower than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.8 % (13.83 % lower than average)
vs
15.63 %

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
5.1 % (23.28 % 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
11.5 % (13.52 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
62.5 % (22.14 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
55 % (28.94 % 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
5.1 % (10.42 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
43.8 % (18.41 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
4.6 % (19.1 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
8.8 % (5.3 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
3.4 % (5.82 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
0.5 - 2.0 % (8 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
41 % (2.38 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.7 % (8.95 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
2.8 % (6.78 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
3.6 % (16.26 % 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
3.4 % (7.33 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
17.6 % (7.16 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
30.3 % (51.14 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
29.9 % (44.85 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
8.3 % (9.04 % lower than average)
vs
17.34 %



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