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UPSHUR MANOR NURSING HOME

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UPSHUR MANOR NURSING HOME VS
All other Nursing Homes USA
General
Percent of short-stay residents with Pressure ulcers that are new or worsened 75.2 % 
City GILMER   vs 0% Nursing Homes USA have GILMER
State attribute explanation TX   vs 7.6% Nursing Homes USA have TX
Street 623 HWY 155N  
Zip Code 75644  
Phone 9037972143  
Overall Star Rating
(0.11 lower than average)
vs
3.11

Health Inspections Star Rating
(0.17 higher than average)
vs
2.83

Nurse Staffing Star Rating
(1.17 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
112  (3.06 higher than average)
vs
108.94

Total Number of Residents
74  (17.25 lower than average)
vs
91.25

Percent of Occupied Beds
66 % (17.65 % lower than average)
vs
83.65 %

Health Survey Date 1/11/2012  
Fire Survey Date 1/10/2012  
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 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
75.2  (18.89 higher than average)
vs
56.31

# of deficiencies
(1.48 lower than average)
vs
7.48

Staff Information
Number of Residents
74  (17.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.39  (0.38 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
1.1  (0.26 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.49  (0.1 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.08  (5.41 lower than average)
vs
5.49

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

Resident Rights Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Keep Each Resident's Personal And Medical Records Private And Confidential.
survey Date: 05/04/2012
date Of Correction: 06/04/2012 

Deficiency #2 Scope: Few
level Of Harm: 3
deficiency: Immediately Tell The Resident, The Resident's Doctor And A Family Member Of The Resident Of Situations (injury/decline/room, Etc.) That Affect The Resident.
survey Date: 08/05/2009
date Of Correction: 08/25/2009 

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: 05/22/2012
date Of Correction: 06/15/2012 

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: 05/04/2012
date Of Correction: 06/04/2012 

Deficiency #3 Scope: Few
level Of Harm: 3
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 08/05/2009
date Of Correction: 08/25/2009 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.
survey Date: 12/31/2009
date Of Correction: 01/12/2010 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
27.9 % (2.81 % 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 12.6:1 % 
Percent of long-stay high-risk residents with pressure ulcers
4.9 % (7.68 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
23.4 % (11.57 % higher than average)
vs
11.83 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.4 % (12.23 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
7.8 % (5.66 % lower than average)
vs
13.46 %

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
1.50 % (42.18 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
14.1 % (10.92 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
48.7 % (35.94 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
92.8 % (8.86 % higher than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
5.8 % (40.1 % lower than average)
vs
45.90 %

Percent of long-stay residents experiencing one or more falls with major injury
4.5 % (11.02 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
23.5 % (1.89 % lower 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
14.3 % (0.2 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers 5.6:1 % 
Percent of long-stay residents who lose too much weight 12.6:1 % 
Percent of long-stay low-risk residents who lose control of their bowels or bladder
40 % (3.38 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.8 % (6.85 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
5.3 % (4.28 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
6.5 % (13.36 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
0.5 - 2.0 % (38.03 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury 5.6:1 % 
Percent of short-stay residents who self-report moderate to severe pain
16 % (8.76 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
51.2 % (30.24 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
74.7 % (0.05 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication 22.2:1 % 


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