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TEXAN NURSING & REHAB OF SAN MARCOS LLC

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TEXAN NURSING & REHAB OF SAN MARCOS LLC VS
All other Nursing Homes USA
General
City SAN MARCOS   vs 0% Nursing Homes USA have SAN MARCOS
State attribute explanation TX   vs 7.6% Nursing Homes USA have TX
Street 1600 N I H 35  
Zip Code 78666  
Phone 5123535026  
Overall Star Rating
(2.11 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
(0.31 lower than average)
vs
3.31

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

Number of Certified Beds
129  (20.06 higher than average)
vs
108.94

Total Number of Residents
97  (5.75 higher than average)
vs
91.25

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

Health Survey Date 4/20/2011  
Fire Survey Date 4/20/2011  
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 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
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
12  (4.52 higher than average)
vs
7.48

Staff Information
Number of Residents
85  (6.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.39  (0.38 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.74  (0.1 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.13  (0.46 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.01  (5.48 lower than average)
vs
5.49

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

Environmental Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 03/05/2010
date Of Correction: 04/04/2010 

Deficiency #2 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: 03/05/2010
date Of Correction: 04/04/2010 

Deficiency #3 Scope: Many
level Of Harm: 1
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 03/05/2010
date Of Correction: 04/04/2010 

Mistreatment Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment.
survey Date: 03/05/2010
date Of Correction: 04/04/2010 

Resident Rights Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 1
deficiency: Send And Promptly Deliver Unopened Mail To Residents.
survey Date: 03/05/2010
date Of Correction: 04/04/2010 

Quality Care Deficiencies
Deficiency #1 Scope: Some
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: 06/10/2010
date Of Correction: 07/02/2010 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 06/10/2010
date Of Correction: 07/02/2010 

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: 03/05/2010
date Of Correction: 04/04/2010 

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: 06/10/2010
date Of Correction: 07/10/2010 

Pharmacy Service Deficiencies
Deficiency #1 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: 03/05/2010
date Of Correction: 04/04/2010 

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: 03/05/2010
date Of Correction: 04/04/2010 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Prepare Food That Is Nutritional, Appetizing, Tasty, Attractive, Well-cooked, And At The Right Temperature.
survey Date: 03/05/2010
date Of Correction: 04/04/2010 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
45.8 % (20.71 % higher than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased 10.3:1 % 
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
11.1 % (1.48 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
9.1 % (2.73 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
48.6 % (4.06 % higher than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.9 % (11.73 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
3.4 % (10.06 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
1.1 % (27.28 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
1.1 % (42.58 % lower than average)
vs
43.68 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
66.7 % (17.94 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
64 % (19.94 % lower than average)
vs
83.94 %

Percent of long-stay residents experiencing one or more falls with major injury
4.5 % (11.02 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
46.5 % (21.11 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
4.7 % (19 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
6.4 % (7.7 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
7 % (2.22 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight 8.1 / 8.8 % 
Percent of long-stay low-risk residents who lose control of their bowels or bladder
37.7 % (5.68 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.1 % (7.55 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
4.4 % (5.18 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
2.9 % (16.96 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
1.50 % (37.03 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
4 % (6.73 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
6.7 % (18.06 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
48.6 % (32.84 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
59.8 % (14.95 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
75.2 % (57.86 % higher than average)
vs
17.34 %



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