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THE FORUM AT MEMORIAL WOODS HEALTHCARE CENTER

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THE FORUM AT MEMORIAL WOODS 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 777 N POST OAK RD  
Zip Code 77024  
Phone 7139566407  
Overall Star Rating
(0.89 higher than average)
vs
3.11

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

Nurse Staffing Star Rating
(0.83 higher than average)
vs
3.17

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

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

Number of Certified Beds
93  (15.94 lower than average)
vs
108.94

Total Number of Residents
60  (31.25 lower than average)
vs
91.25

Percent of Occupied Beds
65 % (18.65 % lower than average)
vs
83.65 %

Health Survey Date 8/5/2011  
Fire Survey Date 8/5/2011  
Sprinkler Status Fully Sprinklered  vs 90.2% Nursing Homes USA have Fully Sprinklered
Program Participation Medicare  vs 5% Nursing Homes USA have Medicare
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? Yes  vs 9.1% Nursing Homes USA 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
(55.31 lower than average)
vs
56.31

# of deficiencies
(0.52 higher than average)
vs
7.48

Staff Information
Number of Residents
60  (31.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.73  (0.04 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
1.31  (0.47 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
2.04  (0.45 higher than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.27  (5.22 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.27  (0.17 higher 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: 08/05/2011
date Of Correction: Not Available 

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: 03/23/2012
date Of Correction: 04/06/2012 

Quality Care Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 08/05/2011
date Of Correction: Not Available 

Deficiency #2 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: 04/08/2011
date Of Correction: Not Available 

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: 08/05/2011
date Of Correction: Not Available 

Deficiency #2 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: 04/28/2011
date Of Correction: 05/28/2011 

Administration Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 08/05/2011
date Of Correction: Not Available 

Deficiency #2 Scope: Some
level Of Harm: 1
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 05/11/2010
date Of Correction: 06/03/2010 

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
1.1 % (31.85 % lower than average)
vs
32.95 %

Percent of long-stay residents who lose too much weight
6.7 % (5.13 % lower than average)
vs
11.83 %

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
16.7 % (3.24 % higher than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
75.2 % (46.82 % higher 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
11.1 % (13.92 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
65.3 % (19.34 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
35.6 % (48.34 % lower than average)
vs
83.94 %

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

Percent of long-stay residents experiencing one or more falls with major injury
75.2 % (59.68 % higher than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
19.8 % (5.59 % lower than average)
vs
25.39 %

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 2.6 / 3 % 
Percent of long-stay high-risk residents with pressure ulcers
18.4 % (9.18 % higher than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
13.3 % (4.8 % higher 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
21.4 % (11.82 % higher than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
75.2 % (55.34 % higher 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 % (8.73 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain 9.4 / 10.4 % 
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
70.3 % (11.14 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
36.9 % (37.85 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
1.3 % (16.04 % lower than average)
vs
17.34 %



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