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WISTERIA PLACE

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WISTERIA PLACE VS
All other Nursing Homes USA
General
City ABILENE   vs 0.1% Nursing Homes USA have ABILENE
State attribute explanation TX   vs 7.6% Nursing Homes USA have TX
Street 3202 S WILLIS ST  
Zip Code 79605  
Phone 3256926145  
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
(0.83 higher than average)
vs
3.17

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

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

Number of Certified Beds
123  (14.06 higher than average)
vs
108.94

Total Number of Residents
90  (1.25 lower than average)
vs
91.25

Percent of Occupied Beds
73 % (10.65 % lower than average)
vs
83.65 %

Health Survey Date 8/26/2011  
Fire Survey Date 9/16/2011  
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? 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? Yes  vs 9.1% Nursing Homes USA 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
10  (2.52 higher than average)
vs
7.48

Staff Information
Number of Residents
90  (1.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.63  (0.14 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.8  (0.04 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.43  (0.16 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.13  (5.36 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.13  (0.03 higher 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: 12/08/2010
date Of Correction: 01/10/2011 

Deficiency #2 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: 11/09/2010
date Of Correction: 12/18/2010 

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: 02/25/2010
date Of Correction: 04/15/2010 

Mistreatment Deficiencies
Deficiency #1 Scope: Few
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: 03/25/2010
date Of Correction: 05/07/2010 

Deficiency #2 Scope: Few
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: 12/11/2009
date Of Correction: 01/25/2010 

Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
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: 08/08/2011
date Of Correction: 09/09/2011 

Deficiency #2 Scope: Some
level Of Harm: 1
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: 12/17/2010
date Of Correction: 01/21/2011 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 12/11/2009
date Of Correction: 01/25/2010 

Administration Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 1
deficiency: Post Nurse Staffing Information/data On A Daily Basis.
survey Date: 03/25/2010
date Of Correction: 05/07/2010 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Some
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: 07/09/2010
date Of Correction: 08/24/2010 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
21.1 % (3.99 % lower 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
20.3 % (3.64 % higher than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
1.6 % (10.98 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
5.1 % (6.73 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
62.2 % (17.66 % higher than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
6.8 % (8.83 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
7.6 % (5.86 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
6.7 % (21.68 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
1.3 % (42.38 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
26.9 % (1.88 % higher than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
35.6 % (49.04 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
34.4 % (49.54 % 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
5.1 % (10.42 % lower 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
0.6 % (23.1 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
25.4 % (11.3 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
2.20 % (7.02 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
3.1 % (5.4 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
64.2 % (20.82 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.3 % (6.35 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
5.7 % (3.88 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
6.3 % (13.56 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
3.1 % (35.43 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
5.2 % (5.53 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
23.4 % (1.36 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
32 % (49.44 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
33.7 % (41.05 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
23.2 % (5.86 % higher than average)
vs
17.34 %



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