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General |
| City |
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BRENHAM |
0% Nursing Homes USA have BRENHAM |
| State attribute explanation |
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TX |
7.6% Nursing Homes USA have TX
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| Street |
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400 SAYLES ST |
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| Zip Code |
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77833 |
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| Phone |
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9798369770 |
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| Overall Star Rating |
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| Health Inspections Star Rating |
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| Nurse Staffing Star Rating |
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| Quality Measures Star Rating |
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| RN Only Star Rating |
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| Number of Certified Beds |
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| Total Number of Residents |
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| Percent of Occupied Beds |
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| Health Survey Date |
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3/15/2012 |
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| Fire Survey Date |
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3/16/2012 |
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| Sprinkler Status |
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Fully Sprinklered |
90.2% Nursing Homes USA have Fully Sprinklered |
| Program Participation |
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Medicare And Medicaid |
91.5% Nursing Homes USA have Medicare and Medicaid
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| Type of Ownership |
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For Profit - Corporation |
56.7% Nursing Homes USA have For profit - Corporation
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| Located Within a Hospital? |
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No |
93.6% Nursing Homes USA don't have Located Within a Hospital?
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| Multi Nursing Home Ownership? |
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Yes |
54.9% Nursing Homes USA have Multi Nursing Home Ownership? |
| Resident and Family Councils |
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RESIDENT |
66% Nursing Homes USA have RESIDENT |
| Continuing Care Retirement Community? |
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No |
90.9% Nursing Homes USA don't have Continuing Care Retirement Community? |
| Quality Indicator Survey? |
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No |
68.7% Nursing Homes USA don't have Quality Indicator Survey? |
| Special Focus Facility? |
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No |
99% Nursing Homes USA don't have Special Focus Facility? |
| Civil Money Penalty Count |
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| Total Enforcement Actions Count |
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| # of deficiencies |
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Staff Information |
| Number of Residents |
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| Number of RN Hours Per Resident Per Day |
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| Number of LPN/LVN Hours Per Resident Per Day |
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| Total Number of Licensed Staff Hours Per Resident Per Day |
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| Number of CNA Hours Per Resident Per Day |
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| Number Therapy Hours Per Resident Per Day |
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Environmental Deficiencies |
| Deficiency #1 |
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Scope: Some
level Of Harm: 2
deficiency: Make Sure That The Nursing Home Area Is Safe, Easy To Use, Clean And Comfortable For Residents, Staff And The Public.
survey Date: 03/15/2012
date Of Correction: 04/25/2012 |
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| Deficiency #2 |
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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: 03/15/2012
date Of Correction: 04/25/2012 |
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| Deficiency #3 |
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Scope: Some
level Of Harm: 2
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 12/03/2009
date Of Correction: 01/02/2010 |
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| Deficiency #4 |
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Scope: Some
level Of Harm: 3
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 10/16/2009
date Of Correction: 11/18/2009 |
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| Deficiency #5 |
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Scope: Some
level Of Harm: 2
deficiency: Make Sure That A Working Call System Is Available In Each Resident's Room Or Bathroom And Bathing Area.
survey Date: 08/13/2009
date Of Correction: 09/13/2009 |
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| Deficiency #6 |
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Scope: Some
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 08/13/2009
date Of Correction: 09/13/2009 |
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Mistreatment Deficiencies |
| Deficiency #1 |
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Scope: Some
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 03/15/2012
date Of Correction: 04/25/2012 |
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| Deficiency #2 |
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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: 03/15/2012
date Of Correction: 04/25/2012 |
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| Deficiency #3 |
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Scope: Some
level Of Harm: 2
deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment.
survey Date: 03/15/2012
date Of Correction: 04/25/2012 |
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| Deficiency #4 |
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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: 10/16/2009
date Of Correction: 11/18/2009 |
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| Deficiency #5 |
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Scope: Some
level Of Harm: 4
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 09/25/2009
date Of Correction: 10/25/2009 |
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| Deficiency #6 |
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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: 09/25/2009
date Of Correction: 10/25/2009 |
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| Deficiency #7 |
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Scope: Some
level Of Harm: 4
deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.
survey Date: 09/25/2009
date Of Correction: 10/25/2009 |
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Resident Rights Deficiencies |
| Deficiency #1 |
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Scope: Few
level Of Harm: 2
deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.
survey Date: 03/09/2010
date Of Correction: 04/07/2010 |
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| Deficiency #2 |
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Scope: Some
level Of Harm: 2
deficiency: Try To Resolve Each Resident's Complaints Quickly.
survey Date: 12/03/2009
date Of Correction: 01/02/2010 |
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| Deficiency #3 |
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Scope: Some
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: 12/03/2009
date Of Correction: 01/02/2010 |
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| Deficiency #4 |
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Scope: Some
level Of Harm: 2
deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.
survey Date: 08/13/2009
date Of Correction: 09/13/2009 |
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Quality Care Deficiencies |
| Deficiency #1 |
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Scope: Some
level Of Harm: 2
deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So.
survey Date: 12/03/2009
date Of Correction: 01/02/2010 |
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| Deficiency #2 |
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Scope: Some
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 12/03/2009
date Of Correction: 01/02/2010 |
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| Deficiency #3 |
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Scope: Some
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 12/03/2009
date Of Correction: 01/02/2010 |
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| Deficiency #4 |
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Scope: Some
level Of Harm: 2
deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.
survey Date: 08/13/2009
date Of Correction: 09/13/2009 |
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| Deficiency #5 |
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Scope: Some
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 08/13/2009
date Of Correction: 09/13/2009 |
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Administration Deficiencies |
| Deficiency #1 |
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Scope: Some
level Of Harm: 2
deficiency: Give Or Get Quality Lab Services/tests In A Timely Manner To Meet The Needs Of Residents.
survey Date: 03/15/2012
date Of Correction: 04/25/2012 |
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| Deficiency #2 |
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Scope: Some
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 12/03/2009
date Of Correction: 01/02/2010 |
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| Deficiency #3 |
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Scope: Some
level Of Harm: 4
deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .
survey Date: 09/25/2009
date Of Correction: 10/25/2009 |
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| Deficiency #4 |
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Scope: Some
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 08/13/2009
date Of Correction: 09/13/2009 |
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| Deficiency #5 |
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Scope: Some
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: 08/13/2009
date Of Correction: 09/13/2009 |
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| Deficiency #6 |
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Scope: Some
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: 08/13/2009
date Of Correction: 09/13/2009 |
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Pharmacy Service Deficiencies |
| Deficiency #1 |
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Scope: Some
level Of Harm: 2
deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.
survey Date: 12/03/2009
date Of Correction: 01/02/2010 |
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Nutrition and Dietary Deficiencies |
| Deficiency #1 |
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Scope: Some
level Of Harm: 2
deficiency: Prepare Food That Is Nutritional, Appetizing, Tasty, Attractive, Well-cooked, And At The Right Temperature.
survey Date: 03/15/2012
date Of Correction: 04/25/2012 |
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| Deficiency #2 |
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Scope: Some
level Of Harm: 2
deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.
survey Date: 12/03/2009
date Of Correction: 01/02/2010 |
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| Deficiency #3 |
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Scope: Some
level Of Harm: 2
deficiency: Provide Food In A Way That Meets A Resident's Needs.
survey Date: 12/03/2009
date Of Correction: 01/02/2010 |
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Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
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| Percent of long-stay residents whose need for help with daily activities has increased |
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| Percent of long-stay residents who self-report moderate to severe pain |
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11.8:1 % |
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| Percent of long-stay high-risk residents with pressure ulcers |
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| Percent of long-stay residents who lose too much weight |
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| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
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| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
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| Percent of long-stay residents with a urinary tract infection |
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| Percent of long-stay residents who have depressive symptoms |
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| Percent of long-stay residents who were physically restrained |
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| Percent of short-stay residents who self-report moderate to severe pain |
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| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
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| Percent of short-stay residents with Pressure ulcers that are new or worsened |
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| Percent of short-stay residents who newly received an antipsychotic medication |
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| Percent of long-stay residents experiencing one or more falls with major injury |
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Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
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| Percent of long-stay residents whose need for help with daily activities has increased |
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| Percent of long-stay residents who self-report moderate to severe pain |
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| Percent of long-stay high-risk residents with pressure ulcers |
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| Percent of long-stay residents who lose too much weight |
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| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
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| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
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| Percent of long-stay residents with a urinary tract infection |
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11.6:1 % |
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| Percent of long-stay residents who have depressive symptoms |
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| Percent of long-stay residents who were physically restrained |
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| Percent of long-stay residents experiencing one or more falls with major injury |
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| Percent of short-stay residents who self-report moderate to severe pain |
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14.7:1 % |
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| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
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| Percent of short-stay residents with Pressure ulcers that are new or worsened |
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| Percent of short-stay residents who newly received an antipsychotic medication |
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