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ROSE HAVEN RETREAT

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ROSE HAVEN RETREAT VS
All other Nursing Homes USA
General
City ATLANTA   vs 0.1% Nursing Homes USA have ATLANTA
State attribute explanation TX   vs 7.6% Nursing Homes USA have TX
Street 200 LIVE OAK ST  
Zip Code 75551  
Phone 9037964127  
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
(1.83 higher than average)
vs
3.17

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

RN Only Star Rating
(1.83 higher than average)
vs
3.17

Number of Certified Beds
108  (0.94 lower than average)
vs
108.94

Total Number of Residents
53  (38.25 lower than average)
vs
91.25

Percent of Occupied Beds
49 % (34.65 % lower than average)
vs
83.65 %

Health Survey Date 6/13/2012  
Fire Survey Date 6/12/2012  
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 - Corporation  vs 56.7% Nursing Homes USA have For profit - Corporation
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
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
(1.48 lower than average)
vs
7.48

Staff Information
Number of Residents
53  (38.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
1.01  (0.24 higher than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.93  (0.09 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.94  (0.35 higher than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.02  (5.47 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.02  (0.08 lower than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 1
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 09/07/2011
date Of Correction: 10/05/2011 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Provide A Safe, Clean, Comfortable And Homelike Environment.
survey Date: 09/07/2011
date Of Correction: 09/20/2011 

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: 09/07/2011
date Of Correction: 10/05/2011 

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: 09/07/2011
date Of Correction: 10/05/2011 

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: 05/09/2011
date Of Correction: 05/25/2011 

Deficiency #4 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: 05/09/2011
date Of Correction: 05/25/2011 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
34.8 % (9.71 % higher than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
9.3 % (23.65 % lower than average)
vs
32.95 %

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
13 % (1.17 % higher than average)
vs
11.83 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
5.9 % (9.73 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
10.9 % (2.56 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
17.4 % (10.98 % 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
90 % (5.36 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
85 % (1.06 % higher 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
10.9 % (4.62 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
35 % (9.61 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
9.5 % (14.2 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
30.1 % (16 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
7.5 % (1.72 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
13.3 % (4.8 % higher than average)
vs
8.50 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
7 % (3.65 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
19.3 % (9.72 % higher than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
30.9 % (11.04 % higher 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
13.2 % (2.47 % higher than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
43.2 % (18.44 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
91.7 % (10.26 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
71.7 % (3.05 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
8 % (9.34 % lower than average)
vs
17.34 %



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