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SUNDANCE INN HEALTH CENTER

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SUNDANCE INN HEALTH CENTER VS
All other Nursing Homes USA
General
City NEW BRAUNFELS   vs 0% Nursing Homes USA have NEW BRAUNFELS
State attribute explanation TX   vs 7.6% Nursing Homes USA have TX
Street 2034 SUNDANCE PKWY  
Zip Code 78130  
Phone 8302211400  
Overall Star Rating
(1.11 lower than average)
vs
3.11

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

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

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

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

Number of Certified Beds
128  (19.06 higher than average)
vs
108.94

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

Percent of Occupied Beds
89 % (5.35 % higher than average)
vs
83.65 %

Health Survey Date 10/20/2011  
Fire Survey Date 10/19/2011  
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
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
(4.48 lower than average)
vs
7.48

Staff Information
Number of Residents
114  (22.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.46  (0.31 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.91  (0.07 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.37  (0.22 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.05  (5.44 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.05  (0.05 lower than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 03/17/2010
date Of Correction: 03/22/2010 

Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 05/06/2010
date Of Correction: 05/07/2010 

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: 03/17/2010
date Of Correction: 03/22/2010 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
18.8 % (6.29 % lower than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
0.6 % (32.35 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
28.6 % (11.94 % higher than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
7.6 % (4.98 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight 8.9 / 9.9 % 
Percent of long-stay low-risk residents who lose control of their bowels or bladder
43.3 % (1.24 % lower than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.6 % (12.03 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection 11.8:1 % 
Percent of long-stay residents who have depressive symptoms
1 % (27.38 % 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
11.2-20 % (13.82 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
66.2 % (18.44 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
71.5 % (12.44 % lower than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
2.1 % (43.8 % lower than average)
vs
45.90 %

Percent of long-stay residents experiencing one or more falls with major injury
1.9 % (13.62 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
17.5 % (7.89 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
0.8 % (22.9 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
35.5 % (21.4 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
6.2 % (3.02 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
10.4 % (1.9 % higher than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
49.5 % (6.12 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder 5.6:1 % 
Percent of long-stay residents with a urinary tract infection
16.4 % (6.82 % higher than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
0.4 % (19.46 % 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
2.8 % (7.93 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
19.3 % (5.46 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
64.8 % (16.64 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
66.9 % (7.85 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
26.7 % (9.36 % higher than average)
vs
17.34 %



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