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RIVER CITY CARE CENTER

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RIVER CITY CARE CENTER VS
All other Nursing Homes USA
General
City SAN ANTONIO   vs 0.4% Nursing Homes USA have SAN ANTONIO
State attribute explanation TX   vs 7.6% Nursing Homes USA have TX
Street 921 NOLAN ST  
Zip Code 78202  
Phone 2102266397  
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
(0.69 higher than average)
vs
3.31

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

Number of Certified Beds
100  (8.94 lower than average)
vs
108.94

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

Percent of Occupied Beds
83 % (0.65 % lower than average)
vs
83.65 %

Health Survey Date 3/2/2012  
Fire Survey Date 2/29/2012  
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 - 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? 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
(56.16 lower than average)
vs
58.16

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

# of deficiencies
36  (28.52 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
0.47  (0.3 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.76  (0.08 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.23  (0.36 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: 09/02/2011
date Of Correction: 09/09/2011 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Make Sure That The Nursing Home Area Is Safe, Easy To Use, Clean And Comfortable For Residents, Staff And The Public.
survey Date: 07/25/2011
date Of Correction: 08/01/2011 

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: 11/05/2010
date Of Correction: 12/05/2010 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 09/15/2010
date Of Correction: 10/15/2010 

Mistreatment Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 04/10/2012
date Of Correction: 05/12/2012 

Deficiency #2 Scope: Some
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: 04/10/2012
date Of Correction: 05/12/2012 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment.
survey Date: 02/03/2012
date Of Correction: 03/03/2012 

Deficiency #4 Scope: Some
level Of Harm: 4
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 09/12/2011
date Of Correction: 10/13/2011 

Deficiency #5 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: 09/12/2011
date Of Correction: 10/13/2011 

Deficiency #6 Scope: Some
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 09/02/2011
date Of Correction: 09/03/2011 

Deficiency #7 Scope: Some
level Of Harm: 2
deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.
survey Date: 09/02/2011
date Of Correction: 09/03/2011 

Deficiency #8 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: 11/05/2010
date Of Correction: 12/05/2010 

Deficiency #9 Scope: Some
level Of Harm: 2
deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.
survey Date: 11/05/2010
date Of Correction: 12/05/2010 

Deficiency #10 Scope: Few
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 02/23/2010
date Of Correction: 03/26/2010 

Deficiency #11 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: 02/23/2010
date Of Correction: 03/26/2010 

Resident Rights Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Let The Resident Refuse Treatment Or Refuse To Take Part In An Experiment And Formulate Advance Directives.
survey Date: 02/03/2012
date Of Correction: 03/03/2012 

Deficiency #2 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: 09/02/2011
date Of Correction: 09/03/2011 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Keep Each Resident's Personal And Medical Records Private And Confidential.
survey Date: 07/25/2011
date Of Correction: 07/26/2011 

Deficiency #4 Scope: Some
level Of Harm: 2
deficiency: Try To Resolve Each Resident's Complaints Quickly.
survey Date: 11/05/2010
date Of Correction: 12/05/2010 

Quality Care Deficiencies
Deficiency #1 Scope: Few
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: 02/03/2012
date Of Correction: 03/03/2012 

Deficiency #2 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: 09/12/2011
date Of Correction: 10/13/2011 

Deficiency #3 Scope: Some
level Of Harm: 4
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: 09/12/2011
date Of Correction: 10/13/2011 

Deficiency #4 Scope: Some
level Of Harm: 4
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 09/12/2011
date Of Correction: 10/13/2011 

Deficiency #5 Scope: Few
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: 09/02/2011
date Of Correction: 09/03/2011 

Deficiency #6 Scope: Some
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 09/02/2011
date Of Correction: 09/03/2011 

Deficiency #7 Scope: Few
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 11/05/2010
date Of Correction: 12/05/2010 

Deficiency #8 Scope: Some
level Of Harm: 2
deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So.
survey Date: 09/15/2010
date Of Correction: 10/15/2010 

Deficiency #9 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: 04/29/2010
date Of Correction: 05/21/2010 

Deficiency #10 Scope: Few
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: 04/01/2010
date Of Correction: 04/26/2010 

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: 09/12/2011
date Of Correction: 10/13/2011 

Deficiency #2 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: 09/15/2010
date Of Correction: 10/15/2010 

Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Quickly Tell The Resident's Doctor The Results Of Lab Tests.
survey Date: 09/12/2011
date Of Correction: 10/13/2011 

Deficiency #2 Scope: Many
level Of Harm: 1
deficiency: Post Nurse Staffing Information/data On A Daily Basis.
survey Date: 09/12/2011
date Of Correction: 10/13/2011 

Deficiency #3 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: 09/24/2009
date Of Correction: 11/06/2009 

Pharmacy Service Deficiencies
Deficiency #1 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: 09/02/2011
date Of Correction: 09/03/2011 

Deficiency #2 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: 10/15/2010
date Of Correction: 11/30/2010 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
51.2 % (26.11 % higher 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
3.3 % (13.36 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
2.20 % (10.38 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
7.5 % (4.33 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
49.1 % (4.56 % higher than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
6.7 % (8.93 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
2.5 % (10.96 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms 8.9 / 9.9 % 
Percent of long-stay residents who were physically restrained
1.3 % (42.38 % lower than average)
vs
43.68 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
76.2 % (8.44 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
81.8 % (2.14 % 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
3.8 % (11.72 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
52.3 % (26.91 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
1.9 % (21.8 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
8.3 % (5.8 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
4.8 % (4.42 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight 9.9:1 % 
Percent of long-stay low-risk residents who lose control of their bowels or bladder
38.8 % (4.58 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
6.9 % (3.75 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection 2.6 / 3 % 
Percent of long-stay residents who have depressive symptoms
13.2 % (6.66 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
1.3 % (37.23 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
2.20 % (8.53 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain 9.4 / 10.4 % 
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
68.6 % (12.84 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
91.1 % (16.35 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
11.5 % (5.84 % lower than average)
vs
17.34 %



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