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USSERY ROAN TEXAS STATE VETERANS HOME

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USSERY ROAN TEXAS STATE VETERANS HOME VS
All other Nursing Homes USA
General
City AMARILLO   vs 0.1% Nursing Homes USA have AMARILLO
State attribute explanation TX   vs 7.6% Nursing Homes USA have TX
Street 1020 TASCOSA RD  
Zip Code 79124  
Phone 8063228387  
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
(1.17 lower than average)
vs
3.17

Quality Measures Star Rating
(1.31 lower than average)
vs
3.31

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

Number of Certified Beds
120  (11.06 higher than average)
vs
108.94

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

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

Health Survey Date 12/9/2011  
Fire Survey Date 12/8/2011  
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 Government - State  vs 0.9% Nursing Homes USA have Government - State
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
(57.16 lower than average)
vs
58.16

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

# of deficiencies
18  (10.52 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
0.38  (0.39 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.91  (0.07 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.29  (0.3 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
75.2  (69.71 higher than average)
vs
5.49

Environmental Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 07/07/2011
date Of Correction: 08/01/2011 

Deficiency #2 Scope: Few
level Of Harm: 4
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 04/14/2011
date Of Correction: 05/25/2011 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 04/27/2009
date Of Correction: 05/29/2009 

Deficiency #4 Scope: Some
level Of Harm: 4
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 04/27/2009
date Of Correction: 05/29/2009 

Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 4
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 04/14/2011
date Of Correction: 05/25/2011 

Deficiency #2 Scope: Some
level Of Harm: 3
deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.
survey Date: 04/14/2011
date Of Correction: 05/25/2011 

Deficiency #3 Scope: Some
level Of Harm: 4
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 04/27/2009
date Of Correction: 05/29/2009 

Deficiency #4 Scope: Some
level Of Harm: 4
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: 04/27/2009
date Of Correction: 05/29/2009 

Deficiency #5 Scope: Some
level Of Harm: 4
deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.
survey Date: 04/27/2009
date Of Correction: 05/29/2009 

Resident Rights Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Try To Resolve Each Resident's Complaints Quickly.
survey Date: 04/27/2009
date Of Correction: 05/29/2009 

Deficiency #2 Scope: Some
level Of Harm: 1
deficiency: Keep Each Resident's Personal And Medical Records Private And Confidential.
survey Date: 04/27/2009
date Of Correction: 05/29/2009 

Resident Assessment Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan.
survey Date: 11/10/2009
date Of Correction: 12/31/2009 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Make Sure Each Resident Receives An Accurate Assessment By A Qualified Health Professional.
survey Date: 11/10/2009
date Of Correction: 12/31/2009 

Administration Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Employ Qualified Full-time, Part-time Or Consultant Professionals That Must Be Licensed, Certified, Or Registered Staff To Give Needed Services.
survey Date: 07/07/2011
date Of Correction: 08/01/2011 

Deficiency #2 Scope: Some
level Of Harm: 4
deficiency: Set Up An Ongoing Quality Assessment And Assurance Group To Review Quality Deficiencies Quarterly, And Develop Corrective Plans Of Action.
survey Date: 04/27/2009
date Of Correction: 05/29/2009 

Deficiency #3 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: 04/27/2009
date Of Correction: 05/29/2009 

Deficiency #4 Scope: Some
level Of Harm: 4
deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .
survey Date: 04/27/2009
date Of Correction: 05/29/2009 

Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 1
deficiency: 1) Provide 3 Meals At Regular Times; 2) Serve Breakfast Within 14 Hours After Dinner; Or 3) Offer A Snack At Bedtime Each Day.
survey Date: 04/27/2009
date Of Correction: 05/29/2009 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
25 % (0.09 % lower than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
13.4 % (19.55 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
2.20 % (14.46 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
10.8 % (1.78 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight 5.6:1 % 
Percent of long-stay low-risk residents who lose control of their bowels or bladder
30.6 % (13.94 % lower than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
5.3 % (10.33 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
13 % (0.46 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
1 % (27.38 % 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
12.9 (55.2) % (12.12 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
91.7 % (7.06 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
70.3 % (13.64 % lower 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
7.3 % (8.22 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
26.5 % (1.11 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
9.2 % (14.5 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
6.4 % (7.7 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
7.6 % (1.62 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
4.9 % (3.6 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
26.5 % (16.88 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.2 % (7.45 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection 8.6:1 % 
Percent of long-stay residents who have depressive symptoms
1.3 % (18.56 % lower than average)
vs
19.86 %

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
7 % (3.73 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
13.5 % (11.26 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
89.4 % (7.96 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
71.4 % (3.35 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
1.50 % (15.84 % lower than average)
vs
17.34 %



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