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PENNSYLVANIA REHAB LP

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PENNSYLVANIA REHAB LP VS
All other Nursing Homes USA
General
City FORT WORTH   vs 0.2% Nursing Homes USA have FORT WORTH
State attribute explanation TX   vs 7.6% Nursing Homes USA have TX
Street 901 PENNSYLVANIA AVE  
Zip Code 76104  
Phone 8173353030  
Overall Star Rating
(0.11 lower than average)
vs
3.11

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

Nurse Staffing Star Rating
(0.83 higher 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
123  (14.06 higher than average)
vs
108.94

Total Number of Residents
80  (11.25 lower than average)
vs
91.25

Percent of Occupied Beds
65 % (18.65 % lower than average)
vs
83.65 %

Health Survey Date 10/6/2011  
Fire Survey Date 10/5/2011  
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 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
(55.16 lower than average)
vs
58.16

Total Enforcement Actions Count
(52.31 lower than average)
vs
56.31

# of deficiencies
24  (16.52 higher than average)
vs
7.48

Staff Information
Number of Residents
80  (11.38 lower 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
0.78  (0.06 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.19  (0.4 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.07  (5.42 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.07  (0.03 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: 03/08/2012
date Of Correction: Not Available 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 09/20/2011
date Of Correction: 10/14/2011 

Deficiency #3 Scope: Some
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: 07/08/2010
date Of Correction: 07/09/2010 

Deficiency #4 Scope: Many
level Of Harm: 2
deficiency: Make Sure There Is A Pest Control Program To Prevent/deal With Mice, Insects, Or Other Pests.
survey Date: 10/09/2009
date Of Correction: 11/09/2009 

Deficiency #5 Scope: Many
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 #6 Scope: Many
level Of Harm: 1
deficiency: Dispose Of Garbage And Refuse Properly.
survey Date: 10/09/2009
date Of Correction: 11/09/2009 

Deficiency #7 Scope: Some
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: 10/09/2009
date Of Correction: 11/09/2009 

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: 06/25/2010
date Of Correction: 07/23/2010 

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: 06/25/2010
date Of Correction: 07/23/2010 

Deficiency #3 Scope: Some
level Of Harm: 4
deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.
survey Date: 04/01/2009
date Of Correction: 04/01/2009 

Resident Rights Deficiencies
Deficiency #1 Scope: Some
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: 10/09/2009
date Of Correction: 11/09/2009 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Keep Each Resident's Personal And Medical Records Private And Confidential.
survey Date: 10/09/2009
date Of Correction: 11/09/2009 

Quality Care Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 3
deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So.
survey Date: 12/16/2009
date Of Correction: Not Available 

Deficiency #2 Scope: Some
level Of Harm: 3
deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So.
survey Date: 10/09/2009
date Of Correction: 01/12/2010 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Give Proper Treatment To Residents With Feeding Tubes To Prevent Problems (such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-pharyngeal Ulcers) And Help Restore Eating Skills, If Possible.
survey Date: 10/09/2009
date Of Correction: 11/09/2009 

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

Resident Assessment Deficiencies
Deficiency #1 Scope: Some
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: 10/09/2009
date Of Correction: 11/09/2009 

Administration Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Give Or Get Quality Lab Services/tests In A Timely Manner To Meet The Needs Of Residents.
survey Date: 10/09/2009
date Of Correction: 11/09/2009 

Deficiency #2 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 

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: 04/15/2010
date Of Correction: 05/17/2010 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: At Least Once A Month, Have A Licensed Pharmacist Review Each Resident's Medication(s) And Report Any Irregularities To The Attending Doctor.
survey Date: 10/09/2009
date Of Correction: 11/09/2009 

Deficiency #3 Scope: Some
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: 10/09/2009
date Of Correction: 01/12/2010 

Deficiency #4 Scope: Some
level Of Harm: 2
deficiency: 1) Make Sure That Each Resident's Drug Regimen Is Free From Unnecessary Drugs; 2) Each Resident's Entire Drug/medication Is Managed And Monitored To Achieve Highest Well Being.
survey Date: 10/09/2009
date Of Correction: 11/09/2009 

Deficiency #5 Scope: Some
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: 04/28/2009
date Of Correction: 06/15/2009 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
62.5 % (37.41 % higher than average)
vs
25.09 %

Percent of long-stay residents who self-report moderate to severe pain
27 % (10.34 % higher than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
12.9 (55.2) % (0.32 % higher than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight 2.6 / 3 % 
Percent of long-stay low-risk residents who lose control of their bowels or bladder 9.4 / 10.4 % 
Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.50 % (14.13 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection 2.6 / 3 % 
Percent of long-stay residents who have depressive symptoms
2.4 % (25.98 % 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 long-stay residents experiencing one or more falls with major injury
1.2 % (14.32 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
61.1 % (35.71 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
3.5 % (20.2 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
28.8 % (14.7 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
6 % (3.22 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
4.4 % (4.1 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
12 % (31.38 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.8 % (8.85 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
3.5 % (6.08 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
5.8 % (14.06 % 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 17.1:1 % 
Percent of short-stay residents who self-report moderate to severe pain
35 % (10.24 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
73.3 % (8.14 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
25 % (49.75 % lower than average)
vs
74.75 %



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