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THE WESLEYAN AT SCENIC

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THE WESLEYAN AT SCENIC VS
All other Nursing Homes USA
General
City GEORGETOWN   vs 0.1% Nursing Homes USA have GEORGETOWN
State attribute explanation TX   vs 7.6% Nursing Homes USA have TX
Street 2001 SCENIC DR  
Zip Code 78626  
Phone 5128639511  
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
(0.17 lower than average)
vs
3.17

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

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

Number of Certified Beds
222  (113.06 higher than average)
vs
108.94

Total Number of Residents
185  (93.75 higher than average)
vs
91.25

Percent of Occupied Beds
83 % (0.65 % lower than average)
vs
83.65 %

Health Survey Date 3/22/2012  
Fire Survey Date 3/21/2012  
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 Non Profit - Church Related  vs 4.4% Nursing Homes USA have Non profit - Church related
Located Within a Hospital? No  vs 93.6% Nursing Homes USA don't have Located Within a Hospital?
Multi Nursing Home Ownership? No  vs 45.1% Nursing Homes USA don't 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
(55.16 lower than average)
vs
58.16

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

# of deficiencies
(1.52 higher than average)
vs
7.48

Staff Information
Number of Residents
185  (93.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.33  (0.44 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.92  (0.08 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.25  (0.34 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.06  (5.43 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.06  (0.04 lower than average)
vs
0.10

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: 07/29/2011
date Of Correction: 08/05/2011 

Deficiency #2 Scope: Few
level Of Harm: 4
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 06/10/2011
date Of Correction: 06/25/2011 

Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 4
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 06/10/2011
date Of Correction: 06/25/2011 

Deficiency #2 Scope: Few
level Of Harm: 4
deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.
survey Date: 06/10/2011
date Of Correction: 06/25/2011 

Deficiency #3 Scope: Few
level Of Harm: 4
deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.
survey Date: 06/10/2011
date Of Correction: 06/25/2011 

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: 07/29/2011
date Of Correction: 08/05/2011 

Administration Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: 1) Review The Work Of Each Nurse Aide Every Year; And 2) Give Regular In-service Training Based Upon These Reviews.
survey Date: 06/10/2011
date Of Correction: 07/08/2011 

Deficiency #2 Scope: Few
level Of Harm: 4
deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .
survey Date: 06/10/2011
date Of Correction: 06/25/2011 

Deficiency #3 Scope: Few
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: 12/10/2009
date Of Correction: 01/06/2010 

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
75.2 % (42.25 % higher than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
30.2 % (13.54 % higher than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
2.5 % (10.08 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
8.4 % (3.43 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
47.1 % (2.56 % higher than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
0.7 % (14.93 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection 10.1:1 % 
Percent of long-stay residents who have depressive symptoms
1.7 % (26.68 % 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
19.7 % (5.32 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
95.7 % (11.06 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
98.6 % (14.66 % higher 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 5.6:1 % 
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
27.4 % (2.01 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
0.8 % (22.9 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
24.6 % (10.5 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
2.9 % (6.32 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
8.8 % (0.3 % higher than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
51.1 % (7.72 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.6 % (9.05 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
9.7 % (0.12 % higher than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
3.2 % (16.66 % 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
5 % (5.73 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
17.2 % (7.56 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
97.5 % (16.06 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
99.1 % (24.35 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
18.6 (65.5) % (1.26 % higher than average)
vs
17.34 %



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