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ROSENBERG HEALTH & REHABILITATION CENTER

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ROSENBERG HEALTH & REHABILITATION CENTER VS
All other Nursing Homes USA
General
City ROSENBERG   vs 0% Nursing Homes USA have ROSENBERG
State attribute explanation TX   vs 7.6% Nursing Homes USA have TX
Street 1419 MAHLMAN ST  
Zip Code 77471  
Phone 2813420065  
Overall Star Rating
(1.11 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
(1.69 higher than average)
vs
3.31

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

Number of Certified Beds
124  (15.06 higher than average)
vs
108.94

Total Number of Residents
86  (5.25 lower than average)
vs
91.25

Percent of Occupied Beds
69 % (14.65 % lower than average)
vs
83.65 %

Health Survey Date 12/21/2011  
Fire Survey Date 12/21/2011  
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 - 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 Both  vs 29.8% Nursing Homes USA have Both
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
(53.31 lower than average)
vs
56.31

# of deficiencies
15  (7.52 higher than average)
vs
7.48

Staff Information
Number of Residents
86  (5.38 lower than average)
vs
91.38

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

Number of LPN/LVN Hours Per Resident Per Day
0.75  (0.09 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.15  (0.44 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.08  (5.41 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.08  (0.02 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: 02/24/2010
date Of Correction: 03/25/2010 

Quality Care Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 4
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 04/05/2010
date Of Correction: 05/10/2010 

Deficiency #2 Scope: Some
level Of Harm: 4
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 04/05/2010
date Of Correction: 05/10/2010 

Deficiency #3 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: 02/24/2010
date Of Correction: 04/03/2010 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 02/24/2010
date Of Correction: 04/03/2010 

Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 02/24/2010
date Of Correction: 04/03/2010 

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: 12/21/2011
date Of Correction: 01/24/2012 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan.
survey Date: 10/26/2011
date Of Correction: 11/11/2011 

Deficiency #3 Scope: Few
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: 02/24/2010
date Of Correction: 03/25/2010 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Provide Doctors Orders For The Resident's Immediate Care, At The Time The Resident Was Admitted.
survey Date: 02/24/2010
date Of Correction: 03/25/2010 

Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Keep Complete, Dated Lab Records In The Resident's File.
survey Date: 12/21/2011
date Of Correction: 01/24/2012 

Deficiency #2 Scope: Few
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: 12/21/2011
date Of Correction: 01/24/2012 

Deficiency #3 Scope: Some
level Of Harm: 4
deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .
survey Date: 04/05/2010
date Of Correction: 05/10/2010 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 02/24/2010
date Of Correction: 03/25/2010 

Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.
survey Date: 12/21/2011
date Of Correction: 01/24/2012 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
39.4 % (14.31 % 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
2.9 % (13.76 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
75.2 % (62.62 % higher than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
5 % (6.83 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
58.7 % (14.16 % higher than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.2 % (14.43 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
1.3 % (12.16 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms 7.9:1 % 
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 22.2:1 % 
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
10.9 % (73.74 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
9.1 % (74.84 % lower than average)
vs
83.94 %

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

Percent of long-stay residents experiencing one or more falls with major injury
3.6 % (11.92 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
34.2 % (8.81 % higher 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 7.9:1 % 
Percent of long-stay high-risk residents with pressure ulcers
2 % (7.22 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
3.5 % (5 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
53.7 % (10.32 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
2 % (8.65 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
5.3 % (4.28 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
4.8 % (15.06 % 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
3.8 % (6.93 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
24.6 % (0.16 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
12.2 % (69.24 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
26.8 % (47.95 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
7.8 % (9.54 % lower than average)
vs
17.34 %



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