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THE WESTBURY PLACE

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THE WESTBURY PLACE 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 5201 S WILLOW DR  
Zip Code 77035  
Phone 7137210297  
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
(0.69 higher than average)
vs
3.31

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

Number of Certified Beds
148  (39.06 higher than average)
vs
108.94

Total Number of Residents
119  (27.75 higher than average)
vs
91.25

Percent of Occupied Beds
80 % (3.65 % lower than average)
vs
83.65 %

Health Survey Date 4/28/2012  
Fire Survey Date 5/16/2012  
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
(55.16 lower than average)
vs
58.16

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

# of deficiencies
24  (16.52 higher than average)
vs
7.48

Staff Information
Number of Residents
119  (27.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.32  (0.45 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
1.14  (0.3 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.46  (0.13 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.11  (5.38 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.11  (0.01 higher than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Make Sure That The Nursing Home Area Is Safe, Easy To Use, Clean And Comfortable For Residents, Staff And The Public.
survey Date: 03/17/2011
date Of Correction: 04/18/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Keep All Essential Equipment Working Safely.
survey Date: 01/26/2011
date Of Correction: 03/01/2011 

Deficiency #3 Scope: Few
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: 01/26/2011
date Of Correction: 02/25/2011 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Keep All Essential Equipment Working Safely.
survey Date: 04/30/2009
date Of Correction: 06/03/2009 

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: 03/17/2011
date Of Correction: 04/18/2011 

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: 03/17/2011
date Of Correction: 04/18/2011 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 01/18/2012
date Of Correction: 02/01/2012 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 12/01/2011
date Of Correction: 12/27/2011 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Have Enough Nurses To Care For Every Resident In A Way That Maximizes The Resident's Well Being.
survey Date: 03/17/2011
date Of Correction: 04/18/2011 

Deficiency #4 Scope: Few
level Of Harm: 3
deficiency: Give Each Resident Enough Fluids To Keep Them Healthy And Prevent Dehydration.
survey Date: 03/17/2011
date Of Correction: 04/18/2011 

Deficiency #5 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: 03/17/2011
date Of Correction: 04/18/2011 

Deficiency #6 Scope: Few
level Of Harm: 3
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 03/17/2011
date Of Correction: 04/18/2011 

Deficiency #7 Scope: Some
level Of Harm: 2
deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.
survey Date: 03/17/2011
date Of Correction: 04/18/2011 

Deficiency #8 Scope: Some
level Of Harm: 2
deficiency: Provide Activities To Meet The Interests And Needs Of Each Resident.
survey Date: 03/17/2011
date Of Correction: 04/18/2011 

Deficiency #9 Scope: Few
level Of Harm: 2
deficiency: Properly Care For Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, And Prostheses.
survey Date: 04/30/2009
date Of Correction: 06/03/2009 

Deficiency #10 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: 04/30/2009
date Of Correction: 06/03/2009 

Deficiency #11 Scope: Some
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 04/30/2009
date Of Correction: 06/03/2009 

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: 12/01/2011
date Of Correction: 12/27/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 01/26/2011
date Of Correction: 03/01/2011 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 04/30/2009
date Of Correction: 06/03/2009 

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: 01/26/2011
date Of Correction: 02/25/2011 

Deficiency #2 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: 04/30/2009
date Of Correction: 06/03/2009 

Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.
survey Date: 03/17/2011
date Of Correction: 04/18/2011 

Deficiency #2 Scope: Many
level Of Harm: 2
deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.
survey Date: 04/30/2009
date Of Correction: 06/03/2009 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
33 % (7.91 % higher than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
1.4 % (31.55 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
1.8 % (14.86 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
18.3 % (5.72 % higher than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
4.5 % (7.33 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
53.3 % (8.76 % higher 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
4.5 % (8.96 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
0.9 % (27.48 % 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
17.5 % (7.52 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
29.3 % (55.34 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
27.4 % (56.54 % 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
2.7 % (12.82 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
33 % (7.61 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
1.4 % (22.3 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
1.8 % (12.3 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
14.5 % (5.28 % higher than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
9.6 % (1.1 % higher than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
62.3 % (18.92 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
4 % (6.65 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
4.5 % (5.08 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
0.6 % (19.26 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
0.3 % (38.23 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
3.1 % (7.63 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
13.3 % (11.46 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
16.6 % (64.84 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
22.3 % (52.45 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
6.7 % (10.64 % lower than average)
vs
17.34 %



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