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TREEMONT HEALTHCARE AND REHABILITATION CENTER

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TREEMONT HEALTHCARE AND REHABILITATION CENTER VS
All other Nursing Homes USA
General
City DALLAS   vs 0.3% Nursing Homes USA have DALLAS
State attribute explanation TX   vs 7.6% Nursing Homes USA have TX
Street 5550 HARVEST HILL RD  
Zip Code 75230  
Phone 9726611862  
Overall Star Rating
(0.89 higher 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
(1.69 higher than average)
vs
3.31

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

Number of Certified Beds
130  (21.06 higher than average)
vs
108.94

Total Number of Residents
116  (24.75 higher than average)
vs
91.25

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

Health Survey Date 2/3/2012  
Fire Survey Date 2/3/2012  
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 - 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 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
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
116  (24.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.47  (0.3 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.76  (0.08 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.23  (0.36 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.05  (5.44 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.05  (0.05 lower than average)
vs
0.10

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So.
survey Date: 09/04/2009
date Of Correction: 10/07/2009 

Deficiency #2 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: 09/04/2009
date Of Correction: 10/07/2009 

Administration Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: Make Sure Medically Necessary Lab Services/tests Are Ordered By The Attending Physician.
survey Date: 03/31/2011
date Of Correction: 05/16/2011 

Deficiency #2 Scope: Many
level Of Harm: 2
deficiency: Give Or Get Quality Lab Services/tests In A Timely Manner To Meet The Needs Of Residents.
survey Date: 03/31/2011
date Of Correction: 05/16/2011 

Deficiency #3 Scope: Many
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: 01/19/2011
date Of Correction: 03/11/2011 

Deficiency #4 Scope: Some
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 02/17/2010
date Of Correction: 04/07/2010 

Deficiency #5 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: 09/04/2009
date Of Correction: 10/07/2009 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Keep The Rate Of Medication Errors (wrong Drug, Wrong Dose, Wrong Time) To Less Than 5%.
survey Date: 02/17/2010
date Of Correction: 04/07/2010 

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: 07/29/2009
date Of Correction: 08/24/2009 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
10.6 % (14.49 % 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
6.8 % (9.86 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
3.3 % (9.28 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
75.2 % (63.37 % higher than average)
vs
11.83 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.1 % (12.53 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection 10.7:1 % 
Percent of long-stay residents who have depressive symptoms
7.5 % (20.88 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
1 % (42.68 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain 12.3:1 % 
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
69 % (15.64 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
88.1 % (4.16 % 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
1.9 % (13.62 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication 11.8:1 % 
Percent of long-stay residents whose need for help with daily activities has increased
75.2 % (51.5 % higher than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
8.4 % (5.7 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
3.3 % (5.92 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
1.3 % (7.2 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
29.9 % (13.48 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.5 % (7.15 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
7.5 % (2.08 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
3 % (16.86 % 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
1.9 % (8.83 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
17.5 % (7.26 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
41.9 % (39.54 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
93.9 % (19.15 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
15.8 % (1.54 % lower than average)
vs
17.34 %



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