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RETAMA MANOR NURSING CENTER/ALICE

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RETAMA MANOR NURSING CENTER/ALICE VS
All other Nursing Homes USA
General
City ALICE   vs 0% Nursing Homes USA have ALICE
State attribute explanation TX   vs 7.6% Nursing Homes USA have TX
Street 606 COYOTE TR  
Zip Code 78332  
Phone 3616645479  
Overall Star Rating
(1.11 lower than average)
vs
3.11

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

Number of Certified Beds
136  (27.06 higher than average)
vs
108.94

Total Number of Residents
120  (28.75 higher than average)
vs
91.25

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

Health Survey Date 4/26/2012  
Fire Survey Date 4/25/2012  
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 - 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
(57.16 lower than average)
vs
58.16

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

# of deficiencies
(3.48 lower than average)
vs
7.48

Staff Information
Number of Residents
120  (28.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.37  (0.4 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.88  (0.04 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.25  (0.34 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

Quality Care Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 3
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 04/08/2011
date Of Correction: 05/15/2011 

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: 09/09/2010
date Of Correction: 10/15/2010 

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: 04/08/2011
date Of Correction: 05/15/2011 

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: 09/09/2010
date Of Correction: 10/15/2010 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication 17.8:1 % 
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
5.8 % (10.86 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
1.1 % (11.48 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
3.7 % (8.13 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
83.6 % (39.06 % higher than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
0.9 % (14.73 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
11 % (2.46 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
75.2 % (46.82 % higher than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
8.3 % (35.38 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
4 % (21.02 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
36.5 % (48.14 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
28.6 % (55.34 % lower 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
2.8 % (12.72 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
17.9 (64.2) % (7.49 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
0.8 % (22.9 % 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
4.4 % (4.82 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
3.9 % (4.6 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
81.6 % (38.22 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
0.8 % (9.85 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
6.9 % (2.68 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
75.2 % (55.34 % higher than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
6 % (32.53 % 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
7.4 % (17.36 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
35.1 % (46.34 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
20.6 % (54.15 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
21.7 % (4.36 % higher than average)
vs
17.34 %



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