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RAYBURN HEALTH CARE & REHABILITATION

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RAYBURN HEALTH CARE & REHABILITATION VS
All other Nursing Homes USA
General
City JASPER   vs 0.1% Nursing Homes USA have JASPER
State attribute explanation TX   vs 7.6% Nursing Homes USA have TX
Street 144 BULLDOG AVENUE  
Zip Code 75951  
Phone 4093818500  
Overall Star Rating
(1.11 lower than average)
vs
3.11

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

Nurse Staffing Star Rating
(1.17 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
94  (14.94 lower than average)
vs
108.94

Total Number of Residents
50  (41.25 lower than average)
vs
91.25

Percent of Occupied Beds
53 % (30.65 % lower than average)
vs
83.65 %

Health Survey Date 12/8/2011  
Fire Survey Date 12/7/2011  
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
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
50  (41.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.39  (0.38 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.87  (0.03 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.26  (0.33 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.15  (5.34 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.15  (0.05 higher than average)
vs
0.10

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: 02/16/2012
date Of Correction: 03/16/2012 

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: 02/16/2012
date Of Correction: 03/16/2012 

Deficiency #3 Scope: Many
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 02/16/2012
date Of Correction: 03/16/2012 

Administration Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: Give Or Get Quality Lab Services/tests In A Timely Manner To Meet The Needs Of Residents.
survey Date: 02/16/2012
date Of Correction: 03/16/2012 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Many
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: 02/16/2012
date Of Correction: 03/16/2012 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
19.6 % (5.49 % 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
12.9 (55.2) % (3.76 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
3 % (9.58 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
10.4 % (1.43 % lower than average)
vs
11.83 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
10.5 % (5.13 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
14.6 % (1.14 % higher than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
4.2 % (24.18 % 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
13.5 % (11.52 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
92.1 % (7.46 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
97.8 % (13.86 % higher than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
6.3 % (39.6 % lower than average)
vs
45.90 %

Percent of long-stay residents experiencing one or more falls with major injury
4.2 % (11.32 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
18.4 % (6.99 % lower 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 9.4 / 10.4 % 
Percent of long-stay high-risk residents with pressure ulcers
6.7 % (2.52 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
12.2 % (3.7 % higher than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
57.7 % (14.32 % higher 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
7.2 % (2.38 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
8.5 % (11.36 % 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
2.1 % (8.63 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
6.2 % (18.56 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
94.2 % (12.76 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
97.3 % (22.55 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
29.9 % (12.56 % higher than average)
vs
17.34 %



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