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MONTE SIESTA NURSING AND REHABILITATION LP

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MONTE SIESTA NURSING AND REHABILITATION LP VS
All other Nursing Homes USA
General
Percent of short-stay residents with Pressure ulcers that are new or worsened 75.2 % 
City AUSTIN   vs 0.2% Nursing Homes USA have AUSTIN
State attribute explanation TX   vs 7.6% Nursing Homes USA have TX
Street 4501 DUDMAR DR  
Zip Code 78735  
Phone 5128921131  
Overall Star Rating
(0.11 lower than average)
vs
3.11

Health Inspections Star Rating
(0.17 higher 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
(1.17 lower than average)
vs
3.17

Number of Certified Beds
126  (17.06 higher than average)
vs
108.94

Total Number of Residents
109  (17.75 higher than average)
vs
91.25

Percent of Occupied Beds
87 % (3.35 % higher than average)
vs
83.65 %

Health Survey Date 2/2/2012  
Fire Survey Date 2/1/2012  
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
11  (3.52 higher than average)
vs
7.48

Staff Information
Number of Residents
109  (17.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.41  (0.36 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.47  (0.37 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
0.88  (0.71 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.03  (5.46 lower than average)
vs
5.49

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

Environmental Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 10/09/2009
date Of Correction: 11/09/2009 

Deficiency #2 Scope: Some
level Of Harm: 1
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 10/09/2009
date Of Correction: 11/09/2009 

Mistreatment Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
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: 07/25/2011
date Of Correction: 08/15/2011 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 04/12/2011
date Of Correction: 05/11/2011 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 03/16/2010
date Of Correction: 04/15/2010 

Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Notify The Resident Or Provide Reasons For A Transfer Or Discharge.
survey Date: 02/23/2011
date Of Correction: 03/23/2011 

Quality Care Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Make Sure That Each Resident Who Enters The Nursing Home Without A Catheter Is Not Given A Catheter, And Receive Proper Services To Prevent Urinary Tract Infections And Restore Normal Bladder Function.
survey Date: 03/16/2010
date Of Correction: 04/15/2010 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 03/16/2010
date Of Correction: 04/15/2010 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 03/16/2010
date Of Correction: 04/15/2010 

Resident Assessment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure Each Resident Receives An Accurate Assessment By A Qualified Health Professional.
survey Date: 10/09/2009
date Of Correction: 11/09/2009 

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: 10/09/2009
date Of Correction: 11/09/2009 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
24.5 % (0.59 % lower 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
17.5 % (0.84 % higher than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
4.5 % (8.08 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
8.5 % (3.33 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
17.9 (64.2) % (26.64 % lower than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
7.8 % (7.83 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection 12.3:1 % 
Percent of long-stay residents who have depressive symptoms
1 % (27.38 % 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 assessed and given, appropriately, the seasonal influenza vaccine
33.3 % (51.34 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened 12.1:1 % 
Percent of long-stay residents experiencing one or more falls with major injury
1.9 % (13.62 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
26.3 (79.3) % (0.91 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
1 % (22.7 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
15.3 % (1.2 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
7 % (2.22 % lower than average)
vs
9.22 %

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

Percent of long-stay low-risk residents who lose control of their bowels or bladder
21.6 % (21.78 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
7.8 % (2.85 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
12 % (2.42 % higher than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
3.8 % (16.06 % 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
2.5 % (8.23 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
22.5 % (2.26 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
21.9 % (59.54 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
35.6 % (39.15 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
19 % (1.66 % higher than average)
vs
17.34 %



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