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WESTWOOD REHABILITATION AND HEALTHCARE CENTER

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WESTWOOD REHABILITATION AND HEALTHCARE CENTER VS
All other Nursing Homes USA
General
City Houston  vs 0.4% Nursing Homes USA have Houston
State attribute explanation TX   vs 7.6% Nursing Homes USA have TX
Street 8702 S COURSE DR  
Zip Code 77099  
Phone 2814985796  
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
(0.17 lower than average)
vs
3.17

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

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

Number of Certified Beds
125  (16.06 higher than average)
vs
108.94

Total Number of Residents
114  (22.75 higher than average)
vs
91.25

Percent of Occupied Beds
91 % (7.35 % higher than average)
vs
83.65 %

Health Survey Date 8/26/2011  
Fire Survey Date 8/24/2011  
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? 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
(54.31 lower than average)
vs
56.31

# of deficiencies
17  (9.52 higher than average)
vs
7.48

Staff Information
Number of Residents
114  (22.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.88  (0.11 higher than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.77  (0.07 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.65  (0.06 higher than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.06  (5.43 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.06  (0.04 lower than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 08/20/2009
date Of Correction: Not Available 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 04/17/2009
date Of Correction: 05/22/2009 

Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Try To Resolve Each Resident's Complaints Quickly.
survey Date: 03/15/2012
date Of Correction: 04/06/2012 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Tell The Resident Completely About His Or Her Health Status, Care And Treatments.
survey Date: 11/24/2010
date Of Correction: 12/17/2010 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Properly Care For Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, And Prostheses.
survey Date: 05/22/2012
date Of Correction: 06/15/2012 

Deficiency #2 Scope: Many
level Of Harm: 2
deficiency: Properly Care For Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, And Prostheses.
survey Date: 08/20/2009
date Of Correction: Not Available 

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: 08/20/2009
date Of Correction: Not Available 

Deficiency #4 Scope: Some
level Of Harm: 2
deficiency: Make Sure That Each Resident Who Enters The Nursing Home Without A Catheter Is Not Given A Catheter, And Receive Proper Services To Prevent Urinary Tract Infections And Restore Normal Bladder Function.
survey Date: 08/20/2009
date Of Correction: Not Available 

Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 04/17/2009
date Of Correction: 05/22/2009 

Resident Assessment Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Maintain 15 Months Of Resident Assessments In The Resident's Active Clinical Record.
survey Date: 02/24/2010
date Of Correction: 03/26/2010 

Administration Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 1
deficiency: Hire A Qualified Full-time Social Worker In A Facility With More Than 120 Beds.
survey Date: 01/15/2010
date Of Correction: 02/08/2010 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Keep Complete, Dated Lab Records In The Resident's File.
survey Date: 08/20/2009
date Of Correction: Not Available 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: 1) Review The Work Of Each Nurse Aide Every Year; And 2) Give Regular In-service Training Based Upon These Reviews.
survey Date: 08/20/2009
date Of Correction: Not Available 

Deficiency #4 Scope: Many
level Of Harm: 2
deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .
survey Date: 08/20/2009
date Of Correction: Not Available 

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: 04/17/2009
date Of Correction: 05/22/2009 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.
survey Date: 08/20/2009
date Of Correction: Not Available 

Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.
survey Date: 08/20/2009
date Of Correction: Not Available 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
15.5 % (9.59 % lower than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
4.1 % (28.85 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
25.9 % (9.24 % higher than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
8.3 % (4.28 % 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
8 % (7.63 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
1 % (12.46 % 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
1 % (42.68 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
13.4 % (11.62 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
98.9 % (14.26 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
98.9 % (14.96 % higher than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
4.1 % (41.8 % lower 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
17.9 (64.2) % (7.49 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
2.20 % (21.5 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
21.7 % (7.6 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
11.4 % (2.18 % higher than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
75.2 % (66.7 % higher than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
62.7 % (19.32 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
6.7 % (3.95 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
1.9 % (7.68 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
0.6 % (19.26 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
0.9 % (37.63 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
1.6 % (9.13 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
15.8 % (8.96 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
98.7 % (17.26 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
98.3 % (23.55 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
19.8 % (2.46 % higher than average)
vs
17.34 %



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