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TRISUN CARE CENTER WINDCREST

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TRISUN CARE CENTER WINDCREST VS
All other Nursing Homes USA
General
City SAN ANTONIO   vs 0.4% Nursing Homes USA have SAN ANTONIO
State attribute explanation TX   vs 7.6% Nursing Homes USA have TX
Street 8800 FOURWINDS DR  
Zip Code 78239  
Phone 2106372700  
Overall Star Rating
(0.11 lower than average)
vs
3.11

Health Inspections Star Rating
(0.83 lower than average)
vs
2.83

Nurse Staffing Star Rating
(1.17 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
180  (71.06 higher than average)
vs
108.94

Total Number of Residents
149  (57.75 higher than average)
vs
91.25

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

Health Survey Date 9/16/2011  
Fire Survey Date 9/15/2011  
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 - 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 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
(57.16 lower than average)
vs
58.16

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

# of deficiencies
(0.52 higher than average)
vs
7.48

Staff Information
Number of Residents
149  (57.62 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
0.94  (0.1 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.41  (0.18 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.03  (5.46 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.03  (0.07 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: 03/30/2012
date Of Correction: 05/04/2012 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 12/07/2011
date Of Correction: 12/08/2011 

Deficiency #3 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: 07/30/2009
date Of Correction: 08/30/2009 

Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Keep Each Resident's Personal And Medical Records Private And Confidential.
survey Date: 11/30/2010
date Of Correction: 12/15/2010 

Quality Care Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 03/30/2012
date Of Correction: 05/04/2012 

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: 03/30/2012
date Of Correction: 05/04/2012 

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: 11/30/2010
date Of Correction: 12/01/2010 

Administration Deficiencies
Deficiency #1 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: 11/30/2010
date Of Correction: 01/06/2011 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
40.2 % (15.11 % higher than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
0.8 % (32.15 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
3.9 % (12.76 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
8.5 % (4.08 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
7.1 % (4.73 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
58.3 % (13.76 % higher than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.4 % (14.23 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
4.3 % (9.16 % 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
75.2 % (31.52 % higher than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
5.4 % (19.62 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
89.6 % (4.96 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
96.9 % (12.96 % higher than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
1.6 % (44.3 % lower than average)
vs
45.90 %

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
40 % (14.61 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
0.9 % (22.8 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
4.7 % (9.4 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers 7.9:1 % 
Percent of long-stay residents who lose too much weight
5.2 % (3.3 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
56.3 % (12.92 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.50 % (9.15 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
5.5 % (4.08 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms 2.6 / 3 % 
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
4.7 % (6.03 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
5.9 % (18.86 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
65.3 % (16.14 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
96.3 % (21.55 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
1.9 % (15.44 % lower than average)
vs
17.34 %



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