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PASADENA CARE CENTER

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PASADENA CARE CENTER VS
All other Nursing Homes USA
General
Percent of short-stay residents with Pressure ulcers that are new or worsened 2 % 
City Pasadena  vs 0.1% Nursing Homes USA have Pasadena
State attribute explanation TX   vs 7.6% Nursing Homes USA have TX
Street 4006 VISTA RD  
Zip Code 77504  
Phone 7139431592  
Overall Star Rating
(2.11 lower than average)
vs
3.11

Health Inspections Star Rating
(1.83 lower than average)
vs
2.83

Nurse Staffing Star Rating
(2.17 lower than average)
vs
3.17

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

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

Number of Certified Beds
116  (7.06 higher than average)
vs
108.94

Total Number of Residents
102  (10.75 higher than average)
vs
91.25

Percent of Occupied Beds
88 % (4.35 % higher than average)
vs
83.65 %

Health Survey Date 8/10/2011  
Fire Survey Date 8/16/2011  
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? 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
(54.31 lower than average)
vs
56.31

# of deficiencies
22  (14.52 higher than average)
vs
7.48

Staff Information
Number of Residents
102  (10.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.23  (0.54 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.74  (0.1 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
0.97  (0.62 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.06  (5.43 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.06  (0.04 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: 03/14/2012
date Of Correction: 03/30/2012 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 11/19/2010
date Of Correction: 12/19/2010 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 07/08/2010
date Of Correction: 08/04/2010 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 06/17/2010
date Of Correction: 06/21/2010 

Mistreatment Deficiencies
Deficiency #1 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: 11/19/2010
date Of Correction: 12/19/2010 

Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.
survey Date: 03/14/2012
date Of Correction: 03/30/2012 

Deficiency #2 Scope: Some
level Of Harm: 1
deficiency: Try To Resolve Each Resident's Complaints Quickly.
survey Date: 08/19/2010
date Of Correction: 09/01/2010 

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: 03/14/2012
date Of Correction: 03/30/2012 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 03/14/2012
date Of Correction: 03/30/2012 

Deficiency #3 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: 03/14/2012
date Of Correction: 03/30/2012 

Deficiency #4 Scope: Some
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 03/14/2012
date Of Correction: 03/30/2012 

Deficiency #5 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: 10/26/2011
date Of Correction: 11/24/2011 

Deficiency #6 Scope: Some
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 10/26/2011
date Of Correction: 11/24/2011 

Deficiency #7 Scope: Some
level Of Harm: 2
deficiency: Properly Care For Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, And Prostheses.
survey Date: 04/22/2011
date Of Correction: 05/20/2011 

Deficiency #8 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 04/22/2011
date Of Correction: 05/20/2011 

Deficiency #9 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: 03/04/2010
date Of Correction: 03/18/2010 

Deficiency #10 Scope: Some
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 05/27/2009
date Of Correction: 06/15/2009 

Administration Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 04/22/2011
date Of Correction: 05/20/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 11/19/2010
date Of Correction: 12/19/2010 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Give Or Get X-rays And Other Tests In A Timely Manner To Meet The Needs Of Residents.
survey Date: 11/19/2010
date Of Correction: 12/19/2010 

Deficiency #4 Scope: Few
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: 11/19/2010
date Of Correction: 12/19/2010 

Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Prepare Food That Is Nutritional, Appetizing, Tasty, Attractive, Well-cooked, And At The Right Temperature.
survey Date: 10/26/2011
date Of Correction: 11/24/2011 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
27.2 % (2.11 % higher than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
0.9 % (32.05 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
5.4 % (11.26 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
17.5 % (4.92 % higher than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
9.8 % (2.03 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
45.9 % (1.36 % higher than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
6.6 % (9.03 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
7.3 % (6.16 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
10.6 % (17.78 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
1.2 % (42.48 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
40.7 % (15.68 % higher than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
91.2 % (6.56 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
87.9 % (3.96 % higher than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
6.7 % (39.2 % lower than average)
vs
45.90 %

Percent of long-stay residents experiencing one or more falls with major injury
4.7 % (10.82 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
27.1 % (1.71 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
1.8 % (21.9 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
5.7 % (8.4 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
12.7 % (3.48 % higher than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
11.7 % (3.2 % higher than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
55.1 % (11.72 % higher 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
7.7 % (1.88 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
9 % (10.86 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
1.2 % (37.33 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
2.7 % (8.03 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
37.1 % (12.34 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
93.9 % (12.46 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
92.3 % (17.55 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
4.9 % (12.44 % lower than average)
vs
17.34 %



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