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ST JOSEPH MANOR

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ST JOSEPH MANOR VS
All other Nursing Homes USA
General
City BRYAN   vs 0% Nursing Homes USA have BRYAN
State attribute explanation TX   vs 7.6% Nursing Homes USA have TX
Street 2333 MANOR DR  
Zip Code 77802  
Phone 9798217330  
Overall Star Rating
(0.11 lower than average)
vs
3.11

Health Inspections Star Rating
(0.83 lower 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
81  (27.94 lower than average)
vs
108.94

Total Number of Residents
61  (30.25 lower than average)
vs
91.25

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

Health Survey Date 10/19/2011  
Fire Survey Date 10/20/2011  
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 Non Profit - Corporation  vs 18.7% Nursing Homes USA have Non 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
(56.16 lower than average)
vs
58.16

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

# of deficiencies
(0.48 lower than average)
vs
7.48

Staff Information
Number of Residents
61  (30.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.56  (0.21 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
1.68  (0.84 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
2.25  (0.66 higher than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.09  (5.4 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.09  (0.01 lower than average)
vs
0.10

Mistreatment Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 08/19/2010
date Of Correction: 09/19/2010 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: 1) Hire Only People With No Legal History Of Abusing, Neglecting Or Mistreating Residents; Or 2) Report And Investigate Any Acts Or Reports Of Abuse, Neglect Or Mistreatment Of Residents.
survey Date: 08/19/2010
date Of Correction: 09/19/2010 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Give Proper Treatment To Residents With Feeding Tubes To Prevent Problems (such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-pharyngeal Ulcers) And Help Restore Eating Skills, If Possible.
survey Date: 07/10/2009
date Of Correction: 08/10/2009 

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: 07/10/2009
date Of Correction: 08/10/2009 

Resident Assessment Deficiencies
Deficiency #1 Scope: Few
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: 07/10/2009
date Of Correction: 08/10/2009 

Administration Deficiencies
Deficiency #1 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: 07/10/2009
date Of Correction: 08/10/2009 

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: 07/10/2009
date Of Correction: 08/10/2009 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
10.6 % (14.49 % lower 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 lose too much weight
75.2 % (63.37 % higher than average)
vs
11.83 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
5.8 % (9.83 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
9.3 % (4.16 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
2.20 % (26.18 % 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
34.7 % (9.68 % higher than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
84.2 % (0.44 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
85.9 % (1.96 % higher than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
3.7 % (42.2 % lower than average)
vs
45.90 %

Percent of long-stay residents experiencing one or more falls with major injury
4.3 % (11.22 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
15.5 % (9.89 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
1.9 % (21.8 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
25.9 % (11.8 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers 8.1 / 8.8 % 
Percent of long-stay residents who lose too much weight
3.8 % (4.7 % lower than average)
vs
8.50 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
5 % (5.65 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
10.8 % (1.22 % higher than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
3 % (16.86 % 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
5.8 % (4.93 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
37.8 % (13.04 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
87 % (5.56 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
89.7 % (14.95 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
14.5 % (2.84 % lower than average)
vs
17.34 %



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