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RIDGECREST RETIREMENT CENTER

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RIDGECREST RETIREMENT CENTER VS
All other Nursing Homes USA
General
City WACO   vs 0.1% Nursing Homes USA have WACO
State attribute explanation TX   vs 7.6% Nursing Homes USA have TX
Street 1900 HWY 6 W  
Zip Code 76712  
Phone 2547769681  
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
(0.17 lower than average)
vs
3.17

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

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

Number of Certified Beds
90  (18.94 lower than average)
vs
108.94

Total Number of Residents
83  (8.25 lower than average)
vs
91.25

Percent of Occupied Beds
92 % (8.35 % higher than average)
vs
83.65 %

Health Survey Date 12/21/2011  
Fire Survey Date 12/22/2011  
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 - Individual  vs 3.5% Nursing Homes USA have For profit - Individual
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? Yes  vs 9.1% Nursing Homes USA 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
(55.31 lower than average)
vs
56.31

# of deficiencies
13  (5.52 higher than average)
vs
7.48

Staff Information
Number of Residents
83  (8.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.56  (0.21 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.52  (0.32 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.08  (0.51 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.01  (5.48 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.01  (0.09 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: 11/24/2010
date Of Correction: 12/19/2010 

Mistreatment Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 4
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 12/21/2011
date Of Correction: 01/13/2012 

Deficiency #2 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: 12/21/2011
date Of Correction: 01/13/2012 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 08/06/2010
date Of Correction: 09/06/2010 

Deficiency #4 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: 08/06/2010
date Of Correction: 09/06/2010 

Resident Rights Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Immediately Tell The Resident, The Resident's Doctor And A Family Member Of The Resident Of Situations (injury/decline/room, Etc.) That Affect The Resident.
survey Date: 06/27/2011
date Of Correction: 07/27/2011 

Quality Care Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 4
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 12/21/2011
date Of Correction: 01/13/2012 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 08/06/2010
date Of Correction: 09/06/2010 

Resident Assessment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure Each Resident Receives An Accurate Assessment By A Qualified Health Professional.
survey Date: 11/24/2010
date Of Correction: 12/19/2010 

Administration Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 4
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 12/21/2011
date Of Correction: 03/02/2012 

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: 08/06/2010
date Of Correction: 09/06/2010 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 4
deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.
survey Date: 12/21/2011
date Of Correction: 03/02/2012 

Deficiency #2 Scope: Some
level Of Harm: 4
deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.
survey Date: 12/21/2011
date Of Correction: 01/13/2012 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
27.4 % (2.31 % higher than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
4.8 % (28.15 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain 8.6:1 % 
Percent of long-stay high-risk residents with pressure ulcers
5.7 % (6.88 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
75.2 % (63.37 % higher than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
69 % (24.46 % higher than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
4 % (11.63 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection 5.6:1 % 
Percent of long-stay residents who have depressive symptoms
1.4 % (26.98 % 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 short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
17.6 % (67.04 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
5.9 % (78.04 % lower than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
2.9 % (43 % lower than average)
vs
45.90 %

Percent of long-stay residents experiencing one or more falls with major injury
2.7 % (12.82 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
27.3 % (1.91 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
3.3 % (20.4 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
9.3 % (4.8 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
7.2 % (2.02 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
2.8 % (5.7 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
71.1 % (27.72 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
5.5 % (5.15 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
10.2 % (0.62 % higher than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
0.9 % (18.96 % 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
4.1 % (6.63 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain 17.8:1 % 
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
23 % (58.44 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened 11.6:1 % 
Percent of short-stay residents who newly received an antipsychotic medication
18.7 % (1.36 % higher than average)
vs
17.34 %



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