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OAKCREEK NURSING AND REHABILITATION

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OAKCREEK NURSING AND REHABILITATION VS
All other Nursing Homes USA
General
City LULING   vs 0% Nursing Homes USA have LULING
State attribute explanation TX   vs 7.6% Nursing Homes USA have TX
Street 1105 N MAGNOLIA  
Zip Code 78648  
Phone 8308755606  
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
(0.69 higher than average)
vs
3.31

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

Number of Certified Beds
66  (42.94 lower than average)
vs
108.94

Total Number of Residents
66  (25.25 lower than average)
vs
91.25

Percent of Occupied Beds
100 % (16.35 % higher than average)
vs
83.65 %

Health Survey Date 8/11/2011  
Fire Survey Date 8/12/2011  
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 - 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? No  vs 45.1% Nursing Homes USA don't have Multi Nursing Home Ownership?
Resident and Family Councils Both  vs 29.8% Nursing Homes USA have Both
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
(1.48 lower than average)
vs
7.48

Staff Information
Number of Residents
66  (25.38 lower than average)
vs
91.38

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

Total Number of Licensed Staff Hours Per Resident Per Day
0.36  (1.23 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: Some
level Of Harm: 2
deficiency: Make Sure That A Working Call System Is Available In Each Resident's Room Or Bathroom And Bathing Area.
survey Date: 04/30/2009
date Of Correction: 05/30/2009 

Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 01/12/2011
date Of Correction: 02/10/2011 

Deficiency #2 Scope: Few
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: 01/12/2011
date Of Correction: 02/10/2011 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 03/05/2010
date Of Correction: 04/10/2010 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.
survey Date: 06/17/2010
date Of Correction: 07/17/2010 

Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Make Sure That Special Or Therapeutic Diets Are Ordered By The Attending Doctor.
survey Date: 03/05/2010
date Of Correction: 04/15/2010 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
34.7 % (9.61 % 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
12.7 % (3.96 % lower than average)
vs
16.66 %

Percent of long-stay residents who lose too much weight
5.2 % (6.63 % lower than average)
vs
11.83 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
5.2 % (10.43 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
15.5 % (2.04 % 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
75.2 % (31.52 % higher than average)
vs
43.68 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
88.5 % (3.86 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
89.7 % (5.76 % higher than average)
vs
83.94 %

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
33.5 % (8.11 % 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
10 % (4.1 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
9.5 % (0.28 % higher than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
5 % (3.5 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
36.4 % (6.98 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.3 % (6.35 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection 12.6:1 % 
Percent of long-stay residents who have depressive symptoms
1.6 % (18.26 % 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
1.1 % (9.63 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
38.5 % (13.74 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
86.7 % (5.26 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened 9.4 / 10.4 % 
Percent of short-stay residents who newly received an antipsychotic medication
9.8 % (7.54 % lower than average)
vs
17.34 %



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