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THE HIGHLANDS OF DALLAS

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THE HIGHLANDS OF DALLAS VS
All other Nursing Homes USA
General
City DALLAS   vs 0.3% Nursing Homes USA have DALLAS
State attribute explanation TX   vs 7.6% Nursing Homes USA have TX
Street 9009 FOREST LN  
Zip Code 75243  
Phone 9727831771  
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
(0.31 lower than average)
vs
3.31

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

Number of Certified Beds
116  (7.06 higher than average)
vs
108.94

Total Number of Residents
73  (18.25 lower than average)
vs
91.25

Percent of Occupied Beds
63 % (20.65 % lower than average)
vs
83.65 %

Health Survey Date 3/30/2012  
Fire Survey Date 3/29/2012  
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 - Individual  vs 3.5% Nursing Homes USA have For profit - Individual
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
(54.16 lower than average)
vs
58.16

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

# of deficiencies
16  (8.52 higher than average)
vs
7.48

Staff Information
Number of Residents
73  (18.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.28  (0.49 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.84  (equals average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.12  (0.47 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.08  (5.41 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.08  (0.02 lower than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: Make Sure There Is A Pest Control Program To Prevent/deal With Mice, Insects, Or Other Pests.
survey Date: 10/02/2009
date Of Correction: 10/22/2009 

Deficiency #2 Scope: Many
level Of Harm: 2
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 10/02/2009
date Of Correction: 10/22/2009 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Provide Clean Bed And Bath Linens That Are In Good Condition.
survey Date: 06/16/2009
date Of Correction: 07/24/2009 

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: 05/06/2011
date Of Correction: 06/03/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
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: 05/06/2011
date Of Correction: 06/03/2011 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 03/19/2010
date Of Correction: 04/09/2010 

Deficiency #4 Scope: Some
level Of Harm: 2
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: 03/19/2010
date Of Correction: 04/09/2010 

Deficiency #5 Scope: Some
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 10/02/2009
date Of Correction: 10/22/2009 

Deficiency #6 Scope: Some
level Of Harm: 2
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: 10/02/2009
date Of Correction: 10/22/2009 

Deficiency #7 Scope: Some
level Of Harm: 2
deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.
survey Date: 10/02/2009
date Of Correction: 10/22/2009 

Deficiency #8 Scope: Many
level Of Harm: 4
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 08/06/2009
date Of Correction: 08/24/2009 

Deficiency #9 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: 08/06/2009
date Of Correction: 08/24/2009 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 03/19/2010
date Of Correction: 04/09/2010 

Administration Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 4
deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .
survey Date: 08/06/2009
date Of Correction: 08/24/2009 

Deficiency #2 Scope: Many
level Of Harm: 1
deficiency: Post Nurse Staffing Information/data On A Daily Basis.
survey Date: 08/06/2009
date Of Correction: 08/24/2009 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Some
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: 06/16/2009
date Of Correction: 07/24/2009 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
29.5 % (4.41 % higher than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
4.7 % (28.25 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
7.6 % (9.06 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
7.8 % (4.78 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
4.8 % (7.03 % lower than average)
vs
11.83 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.2 % (12.43 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
11.1 % (2.36 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
3.4 % (24.98 % 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
27 % (1.98 % higher than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
37.8 % (46.84 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
30.2 % (53.74 % lower than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
75.2  (29.3 higher 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
29.2 % (3.81 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
1.9 % (21.8 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
8 % (6.1 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
6.9 % (2.32 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
6.3 % (2.2 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
42.6 % (0.78 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
2.20 % (8.45 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
10 % (0.42 % higher than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
4.5 % (15.36 % 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 % (9.73 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
29.8 % (5.04 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
32.2 % (49.24 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
20.2 (68.4) % (54.55 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
35.5 % (18.16 % higher than average)
vs
17.34 %



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