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SAGEBROOK SN HEALTH CENTER

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SAGEBROOK SN HEALTH CENTER VS
All other Nursing Homes USA
General
City CEDAR PARK   vs 0% Nursing Homes USA have CEDAR PARK
State attribute explanation TX   vs 7.6% Nursing Homes USA have TX
Street 901 DISCOVERY BLVD  
Zip Code 78613  
Phone 5122599993  
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
124  (15.06 higher than average)
vs
108.94

Total Number of Residents
113  (21.75 higher than average)
vs
91.25

Percent of Occupied Beds
91 % (7.35 % higher than average)
vs
83.65 %

Health Survey Date 7/28/2011  
Fire Survey Date 7/28/2011  
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 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
10  (2.52 higher than average)
vs
7.48

Staff Information
Number of Residents
113  (21.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.45  (0.32 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.3  (0.54 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
0.75  (0.84 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

Environmental Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 05/15/2009
date Of Correction: 06/15/2009 

Resident Rights Deficiencies
Deficiency #1 Scope: Few
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: 03/26/2011
date Of Correction: 04/26/2011 

Deficiency #2 Scope: Some
level Of Harm: 1
deficiency: Let The Resident Or The Resident's Legal Representative The Right To Access Or Purchase Copies Of All Records.
survey Date: 05/15/2009
date Of Correction: 06/05/2009 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 09/07/2010
date Of Correction: 09/17/2010 

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: 05/15/2009
date Of Correction: 06/08/2009 

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: 05/15/2009
date Of Correction: 06/08/2009 

Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Employ Qualified Full-time, Part-time Or Consultant Professionals That Must Be Licensed, Certified, Or Registered Staff To Give Needed Services.
survey Date: 08/17/2010
date Of Correction: 08/20/2010 

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: 05/15/2009
date Of Correction: 06/10/2009 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.
survey Date: 05/15/2009
date Of Correction: 06/09/2009 

Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: 1) Provide 3 Meals At Regular Times; 2) Serve Breakfast Within 14 Hours After Dinner; Or 3) Offer A Snack At Bedtime Each Day.
survey Date: 05/15/2009
date Of Correction: 06/09/2009 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
30.5 % (5.41 % 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
18.4 % (1.74 % higher than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
3.4 % (9.18 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
5.4 % (6.43 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
39.2 % (5.34 % lower than average)
vs
44.54 %

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
9.6 % (3.86 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
1.1 % (27.28 % 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 who self-report moderate to severe pain
36.8 % (11.78 % higher than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
89.6 % (4.96 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
92.1 % (8.16 % higher than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
6.2 % (39.7 % lower than average)
vs
45.90 %

Percent of long-stay residents experiencing one or more falls with major injury
4.2 % (11.32 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
32.4 (90.3) % (7.01 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
0.5 - 2.0 % (23.2 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
14 % (0.1 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
2.8 % (6.42 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
4.5 % (4 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
48.5 % (5.12 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.9 % (5.75 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection 10.3:1 % 
Percent of long-stay residents who have depressive symptoms
1.50 % (18.36 % 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 % (6.73 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
30 % (5.24 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
89.7 % (8.26 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
92.6 % (17.85 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
19 % (1.66 % higher than average)
vs
17.34 %



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