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PARK MANOR OF THE WOODLANDS

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PARK MANOR OF THE WOODLANDS VS
All other Nursing Homes USA
General
City THE WOODLANDS   vs 0% Nursing Homes USA have THE WOODLANDS
State attribute explanation TX   vs 7.6% Nursing Homes USA have TX
Street 1014 WINDSOR LAKE BOULEVARD  
Zip Code 77384  
Phone 9362739424  
Overall Star Rating
(0.11 lower than average)
vs
3.11

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

Number of Certified Beds
124  (15.06 higher than average)
vs
108.94

Total Number of Residents
106  (14.75 higher than average)
vs
91.25

Percent of Occupied Beds
85 % (1.35 % higher than average)
vs
83.65 %

Health Survey Date 3/1/2012  
Fire Survey Date 3/7/2012  
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
(2.48 lower than average)
vs
7.48

Staff Information
Number of Residents
106  (14.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.57  (0.2 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.82  (0.02 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.39  (0.2 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.1  (5.39 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.1  (equals average)
vs
0.10

Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Keep Each Resident's Personal And Medical Records Private And Confidential.
survey Date: 10/21/2011
date Of Correction: 11/10/2011 

Deficiency #2 Scope: Many
level Of Harm: 1
deficiency: Let The Resident Or The Resident's Legal Representative The Right To Access Or Purchase Copies Of All Records.
survey Date: 08/24/2011
date Of Correction: 09/24/2011 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Provide Enough Notice Before Discharging Or Transferring A Resident.
survey Date: 08/04/2011
date Of Correction: Not Available 

Resident Assessment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Assess The Resident When The Resident Enters The Nursing Home, In A Timely Manner.
survey Date: 08/24/2011
date Of Correction: 09/24/2011 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
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: 04/05/2012
date Of Correction: 04/12/2012 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication 8.9 / 9.9 % 
Percent of long-stay residents whose need for help with daily activities has increased
1.6 % (31.35 % lower 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 high-risk residents with pressure ulcers
4.3 % (8.28 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
1.2 % (10.63 % lower than average)
vs
11.83 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
7.5 % (8.13 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection 9.9:1 % 
Percent of long-stay residents who have depressive symptoms
6.8 % (21.58 % 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
75.2 % (50.18 % higher than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
100 % (15.36 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
97.6 % (13.66 % higher 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
8 % (7.52 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
8.3 % (17.09 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
1.2 % (22.5 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
6.1 % (8 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers 10.7:1 % 
Percent of long-stay residents who lose too much weight
1 % (7.5 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
61.8 % (18.42 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.7 % (5.95 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
5.3 % (4.28 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
4.3 % (15.56 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
0.4 % (38.13 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
7.3 % (3.43 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
2.7 % (22.06 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
97.8 % (16.36 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
91.9 % (17.15 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
3.1 % (14.24 % lower than average)
vs
17.34 %



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