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VILLAGES OF LAKE HIGHLANDS

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VILLAGES OF LAKE HIGHLANDS 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 8615 LULLWATER DR  
Zip Code 75238  
Phone 2142210444  
Overall Star Rating
(1.89 higher than average)
vs
3.11

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

Nurse Staffing Star Rating
(0.83 higher than average)
vs
3.17

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

RN Only Star Rating
(0.83 higher than average)
vs
3.17

Number of Certified Beds
92  (16.94 lower than average)
vs
108.94

Total Number of Residents
47  (44.25 lower than average)
vs
91.25

Percent of Occupied Beds
51 % (32.65 % lower than average)
vs
83.65 %

Health Survey Date 11/18/2011  
Fire Survey Date 11/16/2011  
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? No  vs 45.1% Nursing Homes USA don't 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
(5.48 lower than average)
vs
7.48

Staff Information
Number of Residents
47  (44.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
1.35  (0.58 higher than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
1.54  (0.7 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
2.89  (1.3 higher than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.31  (5.18 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.31  (0.21 higher than average)
vs
0.10

Mistreatment Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 02/09/2012
date Of Correction: 02/10/2012 

Deficiency #2 Scope: Some
level Of Harm: 2
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: 02/09/2012
date Of Correction: 02/10/2012 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
9.3 % (15.79 % lower than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
0.5 - 2.0 % (32.45 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain 7.9:1 % 
Percent of long-stay high-risk residents with pressure ulcers
9.7 % (2.88 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
13.2 % (1.37 % higher than average)
vs
11.83 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
11.9 % (3.73 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
21.1 % (7.64 % higher than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
9.8 % (18.58 % 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
24.4 % (0.62 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
94.2 % (9.56 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
99.5 % (15.56 % 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
75.2 % (59.68 % higher than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
9 % (16.39 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
0.7 % (23 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
11.9 % (2.2 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers 10.3:1 % 
Percent of long-stay residents who lose too much weight 11.8:1 % 
Percent of long-stay low-risk residents who lose control of their bowels or bladder
27.5 % (15.88 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
7.6 % (3.05 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
15.8 % (6.22 % higher than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
9.5 % (10.36 % 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
2.3 % (8.43 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
20.9 % (3.86 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
91.4 % (9.96 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
99.3 % (24.55 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
1.1 % (16.24 % lower than average)
vs
17.34 %



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