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SOUTHERN SPECIALTY REHAB & NURSING

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SOUTHERN SPECIALTY REHAB & NURSING VS
All other Nursing Homes USA
General
Percent of short-stay residents with Pressure ulcers that are new or worsened 75.2 % 
City LUBBOCK   vs 0.1% Nursing Homes USA have LUBBOCK
State attribute explanation TX   vs 7.6% Nursing Homes USA have TX
Street 4320 W 19TH ST  
Zip Code 79407  
Phone 8067951774  
Overall Star Rating
(0.89 higher than average)
vs
3.11

Health Inspections Star Rating
(0.17 higher than average)
vs
2.83

Nurse Staffing Star Rating
(0.83 higher 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
144  (35.06 higher than average)
vs
108.94

Total Number of Residents
108  (16.75 higher than average)
vs
91.25

Percent of Occupied Beds
75 % (8.65 % lower than average)
vs
83.65 %

Health Survey Date 10/6/2011  
Fire Survey Date 10/5/2011  
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? 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
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
(0.48 lower than average)
vs
7.48

Staff Information
Number of Residents
108  (16.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.85  (0.08 higher 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
1.6  (0.01 higher than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
75.2  (69.71 higher than average)
vs
5.49

Environmental Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 08/15/2011
date Of Correction: 09/29/2011 

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: 12/18/2009
date Of Correction: 02/01/2010 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Maintain Comfortable Sound Levels.
survey Date: 12/18/2009
date Of Correction: 02/01/2010 

Resident Rights Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Provide Access To A Telephone For Resident To Use In Private.
survey Date: 12/18/2009
date Of Correction: 02/01/2010 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Try To Resolve Each Resident's Complaints Quickly.
survey Date: 12/18/2009
date Of Correction: 02/01/2010 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Let Residents Voice A Complaint Or Grievance Without Being Treated Differently Or Badly.
survey Date: 12/18/2009
date Of Correction: 02/01/2010 

Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Prepare Food That Is Nutritional, Appetizing, Tasty, Attractive, Well-cooked, And At The Right Temperature.
survey Date: 12/18/2009
date Of Correction: 02/01/2010 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication 22.4:1 % 
Percent of long-stay residents whose need for help with daily activities has increased
2.4 % (30.55 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
20.6 % (3.94 % higher than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
25 % (12.42 % higher than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight 9.4 / 10.4 % 
Percent of long-stay low-risk residents who lose control of their bowels or bladder
31.6 % (12.94 % lower than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
18.3 % (2.67 % higher than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
5.7 % (7.76 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
4.1 % (24.28 % 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
52.9 % (27.88 % higher than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
53.8 % (30.84 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
52 % (31.94 % lower than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication 8.1 / 8.8 % 
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
21 % (4.39 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
3.1 % (20.6 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
25 % (10.9 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
32.2 % (22.98 % higher than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
9 % (0.5 % higher than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
28.3 % (15.08 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
16.1 % (5.45 % higher than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
5.9 % (3.68 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
5.4 % (14.46 % 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
1.8 % (8.93 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
50 % (25.24 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
65.3 % (16.14 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
55.2 % (19.55 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
16.2 % (1.14 % lower than average)
vs
17.34 %



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