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THE OAKS AT RADFORD HILLS

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THE OAKS AT RADFORD HILLS VS
All other Nursing Homes USA
General
City ABILENE   vs 0.1% Nursing Homes USA have ABILENE
State attribute explanation TX   vs 7.6% Nursing Homes USA have TX
Street 725 MEDICAL DR  
Zip Code 79601  
Phone 3256723236  
Overall Star Rating
(0.11 lower than average)
vs
3.11

Health Inspections Star Rating
(1.17 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
(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
103  (11.75 higher than average)
vs
91.25

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

Health Survey Date 3/8/2012  
Fire Survey Date 3/8/2012  
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 - Partnership  vs 7.9% Nursing Homes USA have For profit - Partnership
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
(57.16 lower than average)
vs
58.16

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

# of deficiencies
11  (3.52 higher than average)
vs
7.48

Staff Information
Number of Residents
103  (11.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.37  (0.4 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.72  (0.12 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.08  (0.51 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
75.2  (69.71 higher than average)
vs
5.49

Environmental Deficiencies
Deficiency #1 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: 05/17/2010
date Of Correction: 06/15/2010 

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: 12/03/2009
date Of Correction: 01/06/2010 

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: 09/14/2009
date Of Correction: 10/09/2009 

Resident Assessment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Doctors Visit Residents Regularly, As Required.
survey Date: 12/03/2009
date Of Correction: 01/06/2010 

Deficiency #2 Scope: Many
level Of Harm: 1
deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.
survey Date: 12/03/2009
date Of Correction: 01/06/2010 

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: 12/03/2009
date Of Correction: 01/06/2010 

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: 12/03/2009
date Of Correction: 01/06/2010 

Deficiency #2 Scope: Few
level Of Harm: 3
deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.
survey Date: 09/23/2009
date Of Correction: 10/09/2009 

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: 09/14/2009
date Of Correction: 10/09/2009 

Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: 1) Provide 3 Meals At Regular Times; 2) Serve Breakfast Within 14 Hours After Dinner; Or 3) Offer A Snack At Bedtime Each Day.
survey Date: 12/03/2009
date Of Correction: 01/06/2010 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Make Sure Menus Meet The Resident's Nutritional Needs And That There Is A Prepared Menu By Which Nutritious Meals Have Been Planned For The Resident And Followed.
survey Date: 12/03/2009
date Of Correction: 01/06/2010 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
31.3 % (6.21 % higher than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
1.7 % (31.25 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
16.1 % (0.56 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers 10.1:1 % 
Percent of long-stay residents who lose too much weight
5.2 % (6.63 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
38.9 % (5.64 % lower than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
6.2 % (9.43 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
1 % (12.46 % lower 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
2 % (41.68 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
21.6 % (3.42 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
76.1 % (8.54 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
79.6 % (4.34 % 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
6.1 % (9.42 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
30.3 % (4.91 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
2.3 % (21.4 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
23.1 % (9 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
7.8 % (1.42 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
4.3 % (4.2 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
38.7 % (4.68 % lower 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
6.6 % (2.98 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
0.3 % (19.56 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
2 % (36.53 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
4.6 % (6.13 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
25.7 % (0.94 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
60.2 % (21.24 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
61.6 % (13.15 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
3.1 % (14.24 % lower than average)
vs
17.34 %



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