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THE POINTE REHABILITATION AND HEALTHCARE CENTER

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THE POINTE REHABILITATION AND HEALTHCARE CENTER VS
All other Nursing Homes USA
General
Percent of short-stay residents with Pressure ulcers that are new or worsened 75.2 % 
City WEBSTER   vs 0% Nursing Homes USA have WEBSTER
State attribute explanation TX   vs 7.6% Nursing Homes USA have TX
Street 17231 MILL FOREST  
Zip Code 77598  
Phone 2814885224  
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
(2.17 lower than average)
vs
3.17

Number of Certified Beds
120  (11.06 higher than average)
vs
108.94

Total Number of Residents
117  (25.75 higher than average)
vs
91.25

Percent of Occupied Beds
98 % (14.35 % higher than average)
vs
83.65 %

Health Survey Date 10/13/2011  
Fire Survey Date 10/12/2011  
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
(1.52 higher than average)
vs
7.48

Staff Information
Number of Residents
117  (25.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.51  (0.26 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.79  (0.05 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.3  (0.29 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.1  (5.39 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.1  (equals 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: 09/11/2009
date Of Correction: 10/20/2009 

Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.
survey Date: 09/11/2009
date Of Correction: 10/20/2009 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.
survey Date: 02/01/2012
date Of Correction: 02/18/2012 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 07/11/2011
date Of Correction: 07/26/2011 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Give Proper Treatment To Residents With Feeding Tubes To Prevent Problems (such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-pharyngeal Ulcers) And Help Restore Eating Skills, If Possible.
survey Date: 09/11/2009
date Of Correction: 10/20/2009 

Deficiency #4 Scope: Some
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 09/11/2009
date Of Correction: 10/20/2009 

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: 09/11/2009
date Of Correction: 10/20/2009 

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: 07/23/2010
date Of Correction: 08/31/2010 

Deficiency #2 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: 07/23/2010
date Of Correction: 08/31/2010 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
23.2 % (1.89 % lower than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
75.2 % (42.25 % higher than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain 12.1:1 % 
Percent of long-stay high-risk residents with pressure ulcers
5.2 % (7.38 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
4.2 % (7.63 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
65.7 % (21.16 % higher than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
10.4 % (5.23 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection 9.4 / 10.4 % 
Percent of long-stay residents who have depressive symptoms
4.4 % (23.98 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
4.1 % (39.58 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
26.5 % (1.48 % higher than average)
vs
25.02 %

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
69.2 % (14.74 % lower than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
4.4 % (41.5 % lower 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 22.2:1 % 
Percent of long-stay residents whose need for help with daily activities has increased
0.3 % (23.4 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
13.5 % (0.6 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
7.2 % (2.02 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
5.5 % (3 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
56.2 % (12.82 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
7.6 % (3.05 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
9.6 % (0.02 % higher than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
6.3 % (13.56 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
2.7 % (35.83 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
5.7 % (5.03 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
24.8 % (0.04 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
71.1 % (10.34 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
70.5 % (4.25 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
9.1 % (8.24 % lower than average)
vs
17.34 %



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