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STONEBRIDGE SN HEALTH CENTER

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STONEBRIDGE SN HEALTH CENTER VS
All other Nursing Homes USA
General
City AUSTIN   vs 0.2% Nursing Homes USA have AUSTIN
State attribute explanation TX   vs 7.6% Nursing Homes USA have TX
Street 11127 CIRCLE DR  
Zip Code 78736  
Phone 5122888844  
Overall Star Rating
(1.11 lower than average)
vs
3.11

Health Inspections Star Rating
(1.83 lower than average)
vs
2.83

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

Quality Measures Star Rating
(1.69 higher than average)
vs
3.31

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

Number of Certified Beds
120  (11.06 higher than average)
vs
108.94

Total Number of Residents
114  (22.75 higher than average)
vs
91.25

Percent of Occupied Beds
95 % (11.35 % higher than average)
vs
83.65 %

Health Survey Date 4/8/2011  
Fire Survey Date 4/8/2011  
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? 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
(55.16 lower than average)
vs
58.16

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

# of deficiencies
28  (20.52 higher than average)
vs
7.48

Staff Information
Number of Residents
92  (0.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.82  (0.05 higher than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.62  (0.22 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.44  (0.15 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.07  (5.42 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.07  (0.03 lower than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Make Sure There Is A Pest Control Program To Prevent/deal With Mice, Insects, Or Other Pests.
survey Date: 09/21/2009
date Of Correction: 10/21/2009 

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: 09/21/2009
date Of Correction: 10/21/2009 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Provide At Least One Room Set Aside To Use As A Resident Dining Room And For Activities, That Is A Good Size, With Good Lighting, Air Flow And Furniture.
survey Date: 09/21/2009
date Of Correction: 10/21/2009 

Deficiency #4 Scope: Many
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 09/21/2009
date Of Correction: 10/21/2009 

Deficiency #5 Scope: Many
level Of Harm: 2
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 09/21/2009
date Of Correction: 10/21/2009 

Mistreatment Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 4
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 09/21/2009
date Of Correction: 09/25/2009 

Deficiency #2 Scope: Many
level Of Harm: 4
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: 09/21/2009
date Of Correction: 09/25/2009 

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: 09/21/2009
date Of Correction: 10/21/2009 

Deficiency #2 Scope: Many
level Of Harm: 1
deficiency: Allow Residents To Easily View The Results Of The Nursing Home's Most Recent Survey.
survey Date: 09/21/2009
date Of Correction: 10/21/2009 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Try To Resolve Each Resident's Complaints Quickly.
survey Date: 09/21/2009
date Of Correction: 10/21/2009 

Deficiency #4 Scope: Some
level Of Harm: 1
deficiency: Keep Each Resident's Personal And Medical Records Private And Confidential.
survey Date: 09/21/2009
date Of Correction: 10/21/2009 

Deficiency #5 Scope: Few
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: 09/21/2009
date Of Correction: 10/15/2009 

Deficiency #6 Scope: Few
level Of Harm: 4
deficiency: Let The Resident Refuse Treatment Or Refuse To Take Part In An Experiment And Formulate Advance Directives.
survey Date: 09/21/2009
date Of Correction: 09/25/2009 

Quality Care Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Make Sure That Residents With Reduced Range Of Motion Get Proper Treatment And Services To Increase Range Of Motion.
survey Date: 09/21/2009
date Of Correction: 10/21/2009 

Deficiency #2 Scope: Few
level Of Harm: 3
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: 09/21/2009
date Of Correction: 10/21/2009 

Deficiency #3 Scope: Few
level Of Harm: 3
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 09/21/2009
date Of Correction: 10/21/2009 

Deficiency #4 Scope: Some
level Of Harm: 2
deficiency: Provide Medically-related Social Services To Help Each Resident Achieve The Highest Possible Quality Of Life.
survey Date: 09/21/2009
date Of Correction: 10/21/2009 

Deficiency #5 Scope: Some
level Of Harm: 2
deficiency: Provide Activities To Meet The Interests And Needs Of Each Resident.
survey Date: 09/21/2009
date Of Correction: 10/21/2009 

Resident Assessment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure Each Resident Receives An Accurate Assessment By A Qualified Health Professional.
survey Date: 09/21/2009
date Of Correction: 10/21/2009 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Check And Assess Each Resident's Assessment At Least Every 3 Months.
survey Date: 09/21/2009
date Of Correction: 10/21/2009 

Administration Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 4
deficiency: Set Up An Ongoing Quality Assessment And Assurance Group To Review Quality Deficiencies Quarterly, And Develop Corrective Plans Of Action.
survey Date: 09/21/2009
date Of Correction: 10/31/2009 

Deficiency #2 Scope: Few
level Of Harm: 4
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 09/21/2009
date Of Correction: 10/21/2009 

Deficiency #3 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: 09/21/2009
date Of Correction: 10/21/2009 

Deficiency #4 Scope: Many
level Of Harm: 4
deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .
survey Date: 09/21/2009
date Of Correction: 10/31/2009 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: At Least Once A Month, Have A Licensed Pharmacist Review Each Resident's Medication(s) And Report Any Irregularities To The Attending Doctor.
survey Date: 09/21/2009
date Of Correction: 10/21/2009 

Deficiency #2 Scope: Many
level Of Harm: 2
deficiency: 1) Make Sure That Each Resident's Drug Regimen Is Free From Unnecessary Drugs; 2) Each Resident's Entire Drug/medication Is Managed And Monitored To Achieve Highest Well Being.
survey Date: 09/21/2009
date Of Correction: 01/12/2010 

Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.
survey Date: 09/21/2009
date Of Correction: 10/21/2009 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide Special Eating Equipment And Utensils For Each Resident Who Needs Them.
survey Date: 09/21/2009
date Of Correction: 10/21/2009 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
18.6 (65.5) % (6.49 % lower than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
75.2 % (42.25 % higher than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
1.4 % (15.26 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
2.3 % (10.28 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
9 % (2.83 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
57.1 % (12.56 % higher than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
2 % (13.63 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
2 % (11.46 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms 13.1:1 % 
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
9 % (16.02 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
79.5 % (5.14 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
74 % (9.94 % lower than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
3.1 % (42.8 % lower than average)
vs
45.90 %

Percent of long-stay residents experiencing one or more falls with major injury
1 % (14.52 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication 21.2:1 % 
Percent of long-stay residents whose need for help with daily activities has increased
0.7 % (23 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
2 % (12.1 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
3.5 % (5.72 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
6.4 % (2.1 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
56.3 % (12.92 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.1 % (9.55 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
4.3 % (5.28 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
11.4 % (8.46 % 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
1.1 % (9.63 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
14.6 % (10.16 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
76.9 % (4.54 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
67.6 % (7.15 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
2.1 % (15.24 % lower than average)
vs
17.34 %



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