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SOUTHWEST REGIONAL SKILLED NURSING CENTER

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SOUTHWEST REGIONAL SKILLED NURSING CENTER VS
All other Nursing Homes USA
General
City LUBBOCK   vs 0.1% Nursing Homes USA have LUBBOCK
State attribute explanation TX   vs 7.6% Nursing Homes USA have TX
Street 1409 9TH ST  
Zip Code 79401  
Phone 8067679133  
Overall Star Rating
(0.89 higher than average)
vs
3.11

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

Nurse Staffing Star Rating
(1.17 lower than average)
vs
3.17

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

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

Number of Certified Beds
58  (50.94 lower than average)
vs
108.94

Total Number of Residents
20  (71.25 lower than average)
vs
91.25

Percent of Occupied Beds
34 % (49.65 % lower than average)
vs
83.65 %

Health Survey Date 2/2/2012  
Fire Survey Date 2/2/2012  
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 - Limited Liability Company  vs 1.1% Nursing Homes USA have For profit - Limited liability company
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
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
20  (71.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.91  (0.14 higher than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.55  (0.29 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.46  (0.13 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.37  (5.12 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.37  (0.27 higher than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 Scope: Few
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: 09/24/2009
date Of Correction: 10/30/2009 

Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 03/18/2011
date Of Correction: 04/16/2011 

Deficiency #2 Scope: Few
level Of Harm: 3
deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.
survey Date: 03/18/2011
date Of Correction: 04/16/2011 

Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure Each Resident Has The Right To Have A Choice Over Activities, Their Schedules And Health Care According To His Or Her Interests, Assessment, And Plan Of Care.
survey Date: 11/19/2010
date Of Correction: 01/03/2011 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Give The Resident The Right To Receive Visitors.
survey Date: 11/19/2010
date Of Correction: 01/03/2011 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Provide Proof That All Residents' Personal Money Which Is Deposited With The Nursing Home, Is Secure.
survey Date: 09/24/2009
date Of Correction: 10/30/2009 

Pharmacy Service Deficiencies
Deficiency #1 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: 11/19/2010
date Of Correction: 01/03/2011 

Quality Measures Q1
Percent of long-stay residents whose need for help with daily activities has increased
1.2 % (31.75 % lower than average)
vs
32.95 %

Percent of short-stay residents who self-report moderate to severe pain
38.3 % (13.28 % higher than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
80.3 % (4.34 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
89.5 % (5.56 % 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 %

Quality Measures Q3
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 short-stay residents who self-report moderate to severe pain
37.2 % (12.44 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
79.1 % (2.34 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
90.1 % (15.35 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
0.7 % (16.64 % lower than average)
vs
17.34 %



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