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MEMPHIS CONVALESCENT CENTER

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MEMPHIS CONVALESCENT CENTER VS
All other Nursing Homes USA
General
City MEMPHIS   vs 0.2% Nursing Homes USA have MEMPHIS
State attribute explanation TX   vs 7.6% Nursing Homes USA have TX
Street 1415 N 18TH ST  
Zip Code 79245  
Phone 8062593566  
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
(0.17 lower than average)
vs
3.17

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

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

Number of Certified Beds
72  (36.94 lower than average)
vs
108.94

Total Number of Residents
40  (51.25 lower than average)
vs
91.25

Percent of Occupied Beds
56 % (27.65 % lower than average)
vs
83.65 %

Health Survey Date 10/12/2011  
Fire Survey Date 10/12/2011  
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? 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
(4.48 lower than average)
vs
7.48

Staff Information
Number of Residents
40  (51.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.59  (0.18 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
1.06  (0.22 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.64  (0.05 higher than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.01  (5.48 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.01  (0.09 lower than average)
vs
0.10

Quality Care Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 1
deficiency: Use A Registered Nurse At Least 8 Hours A Day, 7 Days A Week.
survey Date: 02/23/2012
date Of Correction: 03/10/2012 

Deficiency #2 Scope: Many
level Of Harm: 1
deficiency: Use A Registered Nurse At Least 8 Hours A Day, 7 Days A Week.
survey Date: 05/18/2011
date Of Correction: 06/10/2011 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.
survey Date: 12/03/2009
date Of Correction: 01/15/2010 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
39.4 % (14.31 % higher than average)
vs
25.09 %

Percent of long-stay residents who lose too much weight
11.4 % (0.43 % lower than average)
vs
11.83 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
3 % (12.63 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
22.9 % (9.44 % higher than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
23.5 % (4.88 % 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 long-stay residents experiencing one or more falls with major injury
75.2 % (59.68 % higher than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
42.2 % (16.81 % 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 21.2:1 % 
Percent of long-stay high-risk residents with pressure ulcers 5.6:1 % 
Percent of long-stay residents who lose too much weight
16.7 % (8.2 % higher than average)
vs
8.50 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
1 % (9.65 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
23.1 % (13.52 % higher than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms 13.9 / 15.3 % 
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
30.3 % (19.57 % higher than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
35 % (10.24 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
85.3 % (3.86 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
51.2 % (23.55 % lower than average)
vs
74.75 %



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