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SANDY LAKE REHABILITATION AND CARE CENTER

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SANDY LAKE REHABILITATION AND CARE CENTER VS
All other Nursing Homes USA
General
City COPPELL   vs 0% Nursing Homes USA have COPPELL
State attribute explanation TX   vs 7.6% Nursing Homes USA have TX
Street 1410 E SANDY LAKE RD  
Zip Code 75019  
Phone 9723044444  
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
(0.17 lower than average)
vs
3.17

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

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

Number of Certified Beds
123  (14.06 higher than average)
vs
108.94

Total Number of Residents
94  (2.75 higher than average)
vs
91.25

Percent of Occupied Beds
76 % (7.65 % lower than average)
vs
83.65 %

Health Survey Date 1/20/2012  
Fire Survey Date 1/20/2012  
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? 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
(57.16 lower than average)
vs
58.16

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

# of deficiencies
(1.52 higher than average)
vs
7.48

Staff Information
Number of Residents
94  (2.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.73  (0.04 lower than average)
vs
0.77

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

Total Number of Licensed Staff Hours Per Resident Per Day
1.73  (0.14 higher 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: Many
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: 01/26/2011
date Of Correction: 02/09/2011 

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: 09/21/2010
date Of Correction: 09/22/2010 

Quality Care Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 3
deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So.
survey Date: 09/21/2010
date Of Correction: 09/30/2010 

Administration Deficiencies
Deficiency #1 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: 01/26/2011
date Of Correction: 02/09/2011 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Keep Complete, Dated Lab Records In The Resident's File.
survey Date: 09/21/2010
date Of Correction: 10/01/2010 

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: 09/21/2010
date Of Correction: 10/01/2010 

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: 09/21/2010
date Of Correction: 10/01/2010 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Keep The Rate Of Medication Errors (wrong Drug, Wrong Dose, Wrong Time) To Less Than 5%.
survey Date: 09/21/2010
date Of Correction: 10/01/2010 

Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: Hire A Qualified Dietician.
survey Date: 09/21/2010
date Of Correction: 09/22/2010 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
29.5 % (4.41 % higher than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
0.7 % (32.25 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
16.2 % (0.46 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
12.9 (55.2) % (0.32 % higher than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
3.4 % (8.43 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
50 % (5.46 % higher than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.7 % (11.93 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
25.3 % (11.84 % higher than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
9 % (19.38 % 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
20 % (5.02 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
60.6 % (24.04 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
61.1 % (22.84 % 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
2.20 % (13.32 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
28.2 % (2.81 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
2.20 % (21.5 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
17.4 % (3.3 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers 15.9:1 % 
Percent of long-stay residents who lose too much weight
5.7 % (2.8 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
46.2 % (2.82 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.3 % (7.35 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
24 % (14.42 % higher than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms 12.8:1 % 
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
3.9 % (6.83 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
21.6 % (3.16 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
55.8 % (25.64 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
41.6 % (33.15 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
16.1 % (1.24 % lower than average)
vs
17.34 %



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