SPRING BRANCH TRANSITIONAL CARE CENTER

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General
City	Houston	vs	0.4% Nursing Homes USA have Houston
State attribute explanation	TX	vs	7.6% Nursing Homes USA have TX	compare TX Nursing Homes USA
Street	1615 HILLENDAHL RD
Zip Code	77055
Phone	7133650561
Overall Star Rating	1 (2.11 lower than average)	vs	3.11	Compare similar Overall Star Rating (1)
Health Inspections Star Rating	2 (0.83 lower than average)	vs	2.83	Compare similar Health Inspections Star Rating (2)
Nurse Staffing Star Rating	1 (2.17 lower than average)	vs	3.17	Compare similar Nurse Staffing Star Rating (1)
Quality Measures Star Rating	4 (0.69 higher than average)	vs	3.31	Compare similar Quality Measures Star Rating (4)
RN Only Star Rating	1 (2.17 lower than average)	vs	3.17	Compare similar RN Only Star Rating (1)
Number of Certified Beds	198 (89.06 higher than average)	vs	108.94	Compare similar Number of Certified Beds (198)
Total Number of Residents	145 (53.75 higher than average)	vs	91.25	Compare similar Total Number of Residents (145)
Percent of Occupied Beds	73 % (10.65 % lower than average)	vs	83.65 %	Compare similar Percent of Occupied Beds (73) %
Health Survey Date	7/22/2011
Fire Survey Date	7/27/2011
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	compare Medicare and Medicaid Nursing Homes USA
Type of Ownership	For Profit - Corporation	vs	56.7% Nursing Homes USA have For profit - Corporation	compare For profit - Corporation Nursing Homes USA
Located Within a Hospital?	No	vs	93.6% Nursing Homes USA don't have Located Within a Hospital?	Compare similar 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	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	1 (57.16 lower than average)	vs	58.16
Total Enforcement Actions Count	2 (54.31 lower than average)	vs	56.31
# of deficiencies	48 (40.52 higher than average)	vs	7.48

Staff Information
Number of Residents	145 (53.62 higher than average)	vs	91.38
Number of RN Hours Per Resident Per Day	0.27 (0.5 lower than average)	vs	0.77
Number of LPN/LVN Hours Per Resident Per Day	0.89 (0.05 higher than average)	vs	0.84
Total Number of Licensed Staff Hours Per Resident Per Day	1.16 (0.43 lower than average)	vs	1.59
Number of CNA Hours Per Resident Per Day	0.02 (5.47 lower than average)	vs	5.49
Number Therapy Hours Per Resident Per Day	0.02 (0.08 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: 07/22/2011 date Of Correction: 09/16/2011
Deficiency #2		Scope: Some level Of Harm: 2 deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading. survey Date: 07/22/2011 date Of Correction: 09/02/2011
Deficiency #3		Scope: Some level Of Harm: 2 deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents. survey Date: 07/22/2011 date Of Correction: 08/28/2011
Deficiency #4		Scope: Many level Of Harm: 1 deficiency: Provide Housekeeping And Maintenance Services. survey Date: 07/22/2011 date Of Correction: 08/28/2011
Deficiency #5		Scope: Few level Of Harm: 3 deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading. survey Date: 11/18/2010 date Of Correction: 12/20/2010
Deficiency #6		Scope: Some level Of Harm: 2 deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading. survey Date: 09/03/2010 date Of Correction: 09/17/2010
Deficiency #7		Scope: Some level Of Harm: 1 deficiency: Put Firmly Secured Handrails On Each Side Of Hallways. survey Date: 06/24/2010 date Of Correction: 07/23/2010
Deficiency #8		Scope: Few level Of Harm: 2 deficiency: Make Sure That A Working Call System Is Available In Each Resident's Room Or Bathroom And Bathing Area. survey Date: 06/24/2010 date Of Correction: 07/23/2010
Deficiency #9		Scope: Some level Of Harm: 2 deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading. survey Date: 06/24/2010 date Of Correction: 07/23/2010
Deficiency #10		Scope: Some level Of Harm: 2 deficiency: Provide Housekeeping And Maintenance Services. survey Date: 06/24/2010 date Of Correction: 07/23/2010
Deficiency #11		Scope: Few level Of Harm: 2 deficiency: Provide A Safe, Clean, Comfortable And Homelike Environment. survey Date: 06/09/2010 date Of Correction: 06/25/2010
Deficiency #12		Scope: Some level Of Harm: 2 deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents. survey Date: 04/28/2010 date Of Correction: 05/25/2010
Deficiency #13		Scope: Some level Of Harm: 2 deficiency: Make Sure That A Working Call System Is Available In Each Resident's Room Or Bathroom And Bathing Area. survey Date: 09/03/2009 date Of Correction: 09/30/2009
Deficiency #14		Scope: Some level Of Harm: 2 deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading. survey Date: 06/25/2009 date Of Correction: 07/20/2009

Mistreatment Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment. survey Date: 06/24/2010 date Of Correction: 07/23/2010

Resident Rights Deficiencies
Deficiency #1		Scope: Some level Of Harm: 2 deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality. survey Date: 07/22/2011 date Of Correction: 09/02/2011
Deficiency #2		Scope: Many level Of Harm: 1 deficiency: Provide Access To A Telephone For Resident To Use In Private. survey Date: 07/22/2011 date Of Correction: 08/25/2011
Deficiency #3		Scope: Some level Of Harm: 1 deficiency: Give Each Resident A Notice Of Rights, Rules, Services And Charges. Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items And Services Medicaid Covers And Which The Resident Must Pay For. survey Date: 07/22/2011 date Of Correction: 08/28/2011
Deficiency #4		Scope: Few level Of Harm: 2 deficiency: Provide Enough Notice Before Discharging Or Transferring A Resident. survey Date: 07/24/2010 date Of Correction: 08/14/2010
Deficiency #5		Scope: Some level Of Harm: 2 deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident. survey Date: 06/24/2010 date Of Correction: 07/23/2010
Deficiency #6		Scope: Some level Of Harm: 2 deficiency: Try To Resolve Each Resident's Complaints Quickly. survey Date: 06/24/2010 date Of Correction: 07/23/2010
Deficiency #7		Scope: Few level Of Harm: 2 deficiency: Let The Resident Refuse Treatment Or Refuse To Take Part In An Experiment And Formulate Advance Directives. survey Date: 06/09/2010 date Of Correction: 06/25/2010
Deficiency #8		Scope: Some level Of Harm: 2 deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality. survey Date: 06/05/2009 date Of Correction: 06/25/2009

Quality Care Deficiencies
Deficiency #1		Scope: Some level Of Harm: 2 deficiency: Have Enough Nurses To Care For Every Resident In A Way That Maximizes The Resident's Well Being. survey Date: 07/22/2011 date Of Correction: 08/28/2011
Deficiency #2		Scope: Few level Of Harm: 2 deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care. survey Date: 07/22/2011 date Of Correction: 08/25/2011
Deficiency #3		Scope: Few level Of Harm: 2 deficiency: Provide Medically-related Social Services To Help Each Resident Achieve The Highest Possible Quality Of Life. survey Date: 07/22/2011 date Of Correction: 09/02/2011
Deficiency #4		Scope: Few level Of Harm: 2 deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care. survey Date: 10/19/2010 date Of Correction: 11/01/2010
Deficiency #5		Scope: Few level Of Harm: 2 deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care. survey Date: 04/28/2010 date Of Correction: 05/25/2010
Deficiency #6		Scope: Few level Of Harm: 2 deficiency: Properly Care For Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, And Prostheses. survey Date: 06/25/2009 date Of Correction: 07/20/2009
Deficiency #7		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: 06/25/2009 date Of Correction: 07/20/2009
Deficiency #8		Scope: Some level Of Harm: 2 deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores. survey Date: 06/25/2009 date Of Correction: 07/20/2009
Deficiency #9		Scope: Some level Of Harm: 2 deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene. survey Date: 06/05/2009 date Of Correction: 06/25/2009
Deficiency #10		Scope: Some level Of Harm: 2 deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care. survey Date: 06/05/2009 date Of Correction: 06/25/2009

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: 07/22/2011 date Of Correction: 09/02/2011
Deficiency #2		Scope: Few level Of Harm: 2 deficiency: Make Sure Each Resident Receives An Accurate Assessment By A Qualified Health Professional. survey Date: 07/22/2011 date Of Correction: 09/02/2011
Deficiency #3		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: 08/19/2010 date Of Correction: 09/17/2010
Deficiency #4		Scope: Some level Of Harm: 2 deficiency: Review Or Revise The Resident's Care Plan After Any Major Change In A Resident's Physical Or Mental Health. survey Date: 08/19/2010 date Of Correction: 09/17/2010
Deficiency #5		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: 06/24/2010 date Of Correction: 07/23/2010
Deficiency #6		Scope: Few 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: 04/28/2010 date Of Correction: 05/25/2010

Administration Deficiencies
Deficiency #1		Scope: Some level Of Harm: 2 deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards. survey Date: 07/22/2011 date Of Correction: 09/02/2011
Deficiency #2		Scope: Few level Of Harm: 2 deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards. survey Date: 09/03/2010 date Of Correction: 09/17/2010
Deficiency #3		Scope: Few level Of Harm: 2 deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards. survey Date: 07/24/2010 date Of Correction: 08/14/2010
Deficiency #4		Scope: Some level Of Harm: 2 deficiency: Train All Employees On What To Do In An Emergency, And Carry Out Announced Staff Drills. survey Date: 06/25/2009 date Of Correction: 07/20/2009

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: 07/22/2011 date Of Correction: 09/02/2011
Deficiency #2		Scope: Many level Of Harm: 2 deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards. survey Date: 06/24/2010 date Of Correction: 07/23/2010
Deficiency #3		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: 06/25/2009 date Of Correction: 07/20/2009

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: 06/24/2010 date Of Correction: 07/23/2010
Deficiency #2		Scope: Some level Of Harm: 2 deficiency: Store, Cook, And Serve Food In A Safe And Clean Way. survey Date: 06/25/2009 date Of Correction: 07/20/2009

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication	70.5 % (45.41 % higher than average)	vs	25.09 %
Percent of long-stay residents whose need for help with daily activities has increased	3.1 % (29.85 % lower than average)	vs	32.95 %
Percent of long-stay residents who self-report moderate to severe pain	0.9 % (15.76 % lower than average)	vs	16.66 %
Percent of long-stay high-risk residents with pressure ulcers	10.2 % (2.38 % lower than average)	vs	12.58 %
Percent of long-stay residents who lose too much weight	4.8 % (7.03 % lower than average)	vs	11.83 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder	34.1 % (10.44 % lower than average)	vs	44.54 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder	1.3 % (14.33 % lower than average)	vs	15.63 %
Percent of long-stay residents with a urinary tract infection	6.2 % (7.26 % lower than average)	vs	13.46 %
Percent of long-stay residents who have depressive symptoms	9.7 % (18.68 % lower than average)	vs	28.38 %
Percent of long-stay residents who were physically restrained	4.1 % (39.58 % lower than average)	vs	43.68 %
Percent of short-stay residents who self-report moderate to severe pain	75.2 % (50.18 % higher than average)	vs	25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine	1.8 % (82.84 % lower than average)	vs	84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened	1.8 % (82.14 % lower than average)	vs	83.94 %
Percent of short-stay residents who newly received an antipsychotic medication	1 (44.9 lower than average)	vs	45.90
Percent of long-stay residents experiencing one or more falls with major injury	2 % (13.52 % lower than average)	vs	15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication	67.1 % (41.71 % higher than average)	vs	25.39 %
Percent of long-stay residents whose need for help with daily activities has increased	2.7 % (21 % lower than average)	vs	23.70 %
Percent of long-stay residents who self-report moderate to severe pain	1 % (13.1 % lower than average)	vs	14.10 %
Percent of long-stay high-risk residents with pressure ulcers	9 % (0.22 % lower than average)	vs	9.22 %
Percent of long-stay residents who lose too much weight	5.5 % (3 % lower than average)	vs	8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder	31.2 % (12.18 % lower than average)	vs	43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder	2.9 % (7.75 % lower than average)	vs	10.65 %
Percent of long-stay residents with a urinary tract infection	6.4 % (3.18 % lower than average)	vs	9.58 %
Percent of long-stay residents who have depressive symptoms	11.2-20 % (8.66 % lower than average)	vs	19.86 %
Percent of long-stay residents who were physically restrained	3 % (35.53 % lower than average)	vs	38.53 %
Percent of long-stay residents experiencing one or more falls with major injury	1.4 % (9.33 % lower than average)	vs	10.73 %
Percent of short-stay residents who self-report moderate to severe pain	3 % (21.76 % lower than average)	vs	24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine	3.1 % (78.34 % lower than average)	vs	81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened	24 % (50.75 % lower than average)	vs	74.75 %
Percent of short-stay residents who newly received an antipsychotic medication	10 % (7.34 % lower than average)	vs	17.34 %