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STONEYBROOK HEALTHCARE CENTER

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STONEYBROOK HEALTHCARE CENTER VS
All other Nursing Homes USA
General
City Houston  vs 0.4% Nursing Homes USA have Houston
State attribute explanation TX   vs 7.6% Nursing Homes USA have TX
Street 2808 STONEYBROOK DRIVE  
Zip Code 77063  
Phone 7137824355  
Overall Star Rating
(2.11 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
(0.69 higher than average)
vs
3.31

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

Number of Certified Beds
112  (3.06 higher than average)
vs
108.94

Total Number of Residents
78  (13.25 lower than average)
vs
91.25

Percent of Occupied Beds
70 % (13.65 % lower than average)
vs
83.65 %

Health Survey Date 12/9/2011  
Fire Survey Date 12/8/2011  
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 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
(57.16 lower than average)
vs
58.16

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

# of deficiencies
27  (19.52 higher than average)
vs
7.48

Staff Information
Number of Residents
78  (13.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.34  (0.43 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
1.16  (0.32 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.51  (0.08 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.15  (5.34 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.15  (0.05 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 Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 02/15/2012
date Of Correction: 02/27/2012 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 11/18/2011
date Of Correction: 12/16/2011 

Deficiency #3 Scope: Few
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: 11/19/2010
date Of Correction: 11/22/2010 

Deficiency #4 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: 10/30/2009
date Of Correction: 11/05/2009 

Mistreatment Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.
survey Date: 06/06/2012
date Of Correction: 07/06/2012 

Resident Rights Deficiencies
Deficiency #1 Scope: Few
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: 06/06/2012
date Of Correction: 07/06/2012 

Deficiency #2 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: 10/21/2010
date Of Correction: 11/12/2010 

Deficiency #3 Scope: Few
level Of Harm: 3
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: 08/18/2010
date Of Correction: 08/20/2010 

Quality Care Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 11/18/2011
date Of Correction: 12/16/2011 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 11/18/2011
date Of Correction: 12/16/2011 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 09/21/2011
date Of Correction: 10/13/2011 

Deficiency #4 Scope: Few
level Of Harm: 3
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 08/18/2010
date Of Correction: Not Available 

Deficiency #5 Scope: Some
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: 06/25/2010
date Of Correction: 07/09/2010 

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: 06/20/2012
date Of Correction: 07/20/2012 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Check And Assess Each Resident's Assessment At Least Every 3 Months.
survey Date: 06/20/2012
date Of Correction: 07/20/2012 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Assess The Resident When The Resident Enters The Nursing Home, In A Timely Manner.
survey Date: 06/20/2012
date Of Correction: 07/20/2012 

Deficiency #4 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: 10/30/2009
date Of Correction: 11/06/2009 

Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Give Or Get Quality Lab Services/tests In A Timely Manner To Meet The Needs Of Residents.
survey Date: 06/06/2012
date Of Correction: 07/06/2012 

Deficiency #2 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: 10/30/2009
date Of Correction: 11/30/2009 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Keep Complete, Dated Lab Records In The Resident's File.
survey Date: 10/30/2009
date Of Correction: 11/06/2009 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Give Or Get Quality Lab Services/tests In A Timely Manner To Meet The Needs Of Residents.
survey Date: 10/30/2009
date Of Correction: 11/06/2009 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
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: 10/21/2010
date Of Correction: 11/12/2010 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Keep The Rate Of Medication Errors (wrong Drug, Wrong Dose, Wrong Time) To Less Than 5%.
survey Date: 10/21/2010
date Of Correction: 11/12/2010 

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: 10/30/2009
date Of Correction: 11/23/2009 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.
survey Date: 10/30/2009
date Of Correction: 11/06/2009 

Deficiency #5 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: 10/30/2009
date Of Correction: 11/27/2009 

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: 10/30/2009
date Of Correction: 11/24/2009 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
50 % (24.91 % higher than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
1.4 % (31.55 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
5.2 % (11.46 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
3.7 % (8.88 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
11 % (0.83 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
75.8 % (31.26 % higher than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
6.4 % (9.23 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
5.4 % (8.06 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
18.9 % (9.48 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
5.4 % (38.28 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain 18.2:1 % 
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
39.7 % (44.94 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
37.9 % (46.04 % lower than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
4 % (41.9 % lower than average)
vs
45.90 %

Percent of long-stay residents experiencing one or more falls with major injury
1.4 % (14.12 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
42.9 % (17.51 % higher than average)
vs
25.39 %

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 long-stay residents who self-report moderate to severe pain
2.1 % (12 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
5.8 % (3.42 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
6.7 % (1.8 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
56.8 % (13.42 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
5.8 % (4.85 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
4.2 % (5.38 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
16.7 % (3.16 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
5.1 % (33.43 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
1.9 % (8.83 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain 12.6:1 % 
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
23.9 % (57.54 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
22.1 (71.8) % (52.65 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
28.8 % (11.46 % higher than average)
vs
17.34 %



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