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MI CASITA LTC PARTNERS INC

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MI CASITA LTC PARTNERS INC VS
All other Nursing Homes USA
General
City LUBBOCK   vs 0.1% Nursing Homes USA have LUBBOCK
State attribute explanation TX   vs 7.6% Nursing Homes USA have TX
Street 2400 QUAKER AVE  
Zip Code 79410  
Phone 8067922831  
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
(2.17 lower than average)
vs
3.17

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

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

Number of Certified Beds
95  (13.94 lower than average)
vs
108.94

Total Number of Residents
57  (34.25 lower than average)
vs
91.25

Percent of Occupied Beds
60 % (23.65 % lower than average)
vs
83.65 %

Health Survey Date 3/14/2012  
Fire Survey Date 3/12/2012  
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 - 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
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
11  (3.52 higher than average)
vs
7.48

Staff Information
Number of Residents
57  (34.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.24  (0.53 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.7  (0.14 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
0.95  (0.64 lower 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

Environmental Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 10/20/2011
date Of Correction: 11/15/2011 

Deficiency #2 Scope: Few
level Of Harm: 3
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 06/14/2011
date Of Correction: 07/29/2011 

Deficiency #3 Scope: Some
level Of Harm: 1
deficiency: Provide Rooms That Are At Least 80 Square Feet Per Resident In Multiple Rooms And 100 Square Feet For Single Resident Rooms.
survey Date: 01/13/2010
date Of Correction: Not Available 

Deficiency #4 Scope: Some
level Of Harm: 1
deficiency: Maintain Comfortable Sound Levels.
survey Date: 01/13/2010
date Of Correction: 01/20/2010 

Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
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: 01/25/2012
date Of Correction: 01/30/2012 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Make Sure Each Resident Has The Right To Have A Choice Over Activities, Their Schedules And Health Care According To His Or Her Interests, Assessment, And Plan Of Care.
survey Date: 01/13/2010
date Of Correction: 01/18/2010 

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: 10/20/2011
date Of Correction: 11/15/2011 

Deficiency #2 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: 01/13/2010
date Of Correction: 02/01/2010 

Resident Assessment Deficiencies
Deficiency #1 Scope: Many
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: 06/14/2011
date Of Correction: 07/29/2011 

Administration Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Make Sure That Nurse Aides Show They Have The Skills And Techniques To Be Able To Care For Residents' Needs.
survey Date: 10/20/2011
date Of Correction: 11/15/2011 

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: 01/13/2010
date Of Correction: 02/26/2010 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
30.6 % (5.51 % 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
75.2 % (58.54 % higher than average)
vs
16.66 %

Percent of long-stay residents who lose too much weight
5.3 % (6.53 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
42.4 % (2.14 % lower than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
7 % (8.63 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
1.8 % (11.66 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
37.9 % (9.52 % higher than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
1.7 % (41.98 % lower than average)
vs
43.68 %

Percent of short-stay residents with Pressure ulcers that are new or worsened 23.8:1 % 
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
5.2 % (10.32 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
29.7 % (4.31 % 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
3.1 % (11 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
16.9-24 % (7.68 % higher than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
7 % (1.5 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
39.8 % (3.58 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
7.6 % (3.05 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
6.4 % (3.18 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
36 % (16.14 % higher than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
4.6 % (33.93 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
7.5 % (3.23 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
11.5 % (13.26 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
56.2 % (25.24 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
48.4 % (26.35 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
6.3 % (11.04 % lower than average)
vs
17.34 %



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