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TOMBALL NURSING CENTER

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TOMBALL NURSING CENTER VS
All other Nursing Homes USA
General
City TOMBALL   vs 0% Nursing Homes USA have TOMBALL
State attribute explanation TX   vs 7.6% Nursing Homes USA have TX
Street 815 N PEACH ST  
Zip Code 77375  
Phone 2813515443  
Overall Star Rating
(2.11 lower than average)
vs
3.11

Health Inspections Star Rating
(0.83 lower 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
126  (17.06 higher than average)
vs
108.94

Total Number of Residents
122  (30.75 higher than average)
vs
91.25

Percent of Occupied Beds
97 % (13.35 % higher than average)
vs
83.65 %

Health Survey Date 8/11/2011  
Fire Survey Date 8/11/2011  
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
(55.31 lower than average)
vs
56.31

# of deficiencies
(5.48 lower than average)
vs
7.48

Percent of long-stay residents experiencing one or more falls with major injury 1 % 
Staff Information
Number of Residents
122  (30.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.16  (0.61 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.26  (0.58 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
0.42  (1.17 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.02  (5.47 lower than average)
vs
5.49

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

Environmental Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 3
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 09/13/2010
date Of Correction: 09/14/2010 

Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 4
deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .
survey Date: 09/13/2010
date Of Correction: 09/14/2010 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
24.5 % (0.59 % lower than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
1.8 % (31.15 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
22.5 % (5.84 % higher than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
3.9 % (8.68 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
3.8 % (8.03 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
41.9 % (2.64 % lower than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
5.4 % (10.23 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
13.2 % (0.26 % 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
2.7 % (40.98 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
26.9 % (1.88 % higher than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
56.7 % (27.94 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
63.3 % (20.64 % lower than average)
vs
83.94 %

Percent of long-stay residents experiencing one or more falls with major injury
3.5 % (12.02 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
25.5 % (0.11 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
2 % (21.7 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
21.6 % (7.5 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
5.1 % (4.12 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
4.1 % (4.4 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
46.7 % (3.32 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
5.3 % (5.35 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
11.9 % (2.32 % higher 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
2.4 % (36.13 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
3.6 % (7.13 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
22.9 % (1.86 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
63.8 % (17.64 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
28.2 % (46.55 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
75.2 % (57.86 % higher than average)
vs
17.34 %



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