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BRIARCLIFF NURSING AND REHABILITATION CENTER LP

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BRIARCLIFF NURSING AND REHABILITATION CENTER LP VS
Nursing Homes USA
General
City MCALLEN   0% Nursing Homes USA have MCALLEN
State attribute explanation TX   7.6% Nursing Homes USA have TX
Street 3201 N WARE RD  
Zip Code 78501  
Phone 9566315542  
Overall Star Rating
3.11
Health Inspections Star Rating
2.83
Nurse Staffing Star Rating
3.17
Quality Measures Star Rating
3.31
RN Only Star Rating
3.17
Number of Certified Beds
194 
108.94
Total Number of Residents
158 
91.25
Percent of Occupied Beds
81 %
83.65 %
Health Survey Date 7/14/2011  
Fire Survey Date 7/12/2011  
Sprinkler Status Fully Sprinklered  90.2% Nursing Homes USA have Fully Sprinklered
Program Participation Medicare And Medicaid  91.5% Nursing Homes USA have Medicare and Medicaid
Type of Ownership For Profit - Partnership  7.9% Nursing Homes USA have For profit - Partnership
Located Within a Hospital? No  93.6% Nursing Homes USA don't have Located Within a Hospital?
Multi Nursing Home Ownership? Yes  54.9% Nursing Homes USA have Multi Nursing Home Ownership?
Resident and Family Councils RESIDENT   66% Nursing Homes USA have RESIDENT
Continuing Care Retirement Community? No  90.9% Nursing Homes USA don't have Continuing Care Retirement Community?
Quality Indicator Survey? No  68.7% Nursing Homes USA don't have Quality Indicator Survey?
Special Focus Facility? No  99% Nursing Homes USA don't have Special Focus Facility?
Civil Money Penalty Count
75.2 
58.16
Total Enforcement Actions Count
75.2 
56.31
# of deficiencies
17 
7.48
Staff Information
Number of Residents
158 
91.38
Number of RN Hours Per Resident Per Day
0.47 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.74 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.21 
1.59
Number of CNA Hours Per Resident Per Day
0.13 
5.49
Number Therapy Hours Per Resident Per Day
0.13 
0.10
Environmental Deficiencies
Deficiency #1 Scope: Few
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: 03/29/2012
date Of Correction: 04/13/2012 
Deficiency #2 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: 09/30/2009
date Of Correction: Not Available 
Deficiency #3 Scope: Few
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: 04/01/2009
date Of Correction: 04/17/2009 
Mistreatment Deficiencies
Deficiency #1 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: 12/19/2011
date Of Correction: Not Available 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 08/15/2011
date Of Correction: 08/31/2011 
Deficiency #3 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: 08/15/2011
date Of Correction: 08/31/2011 
Resident Rights Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.
survey Date: 04/01/2009
date Of Correction: 04/22/2009 
Deficiency #2 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: 04/01/2009
date Of Correction: 04/22/2009 
Quality Care Deficiencies
Deficiency #1 Scope: Few
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: 05/26/2011
date Of Correction: 05/30/2011 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 05/26/2011
date Of Correction: 05/30/2011 
Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 03/31/2010
date Of Correction: 04/01/2010 
Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 04/01/2009
date Of Correction: 04/22/2009 
Resident Assessment Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.
survey Date: 09/28/2011
date Of Correction: 10/25/2011 
Administration Deficiencies
Deficiency #1 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: 04/01/2009
date Of Correction: 04/22/2009 
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: 07/14/2011
date Of Correction: 07/25/2011 
Deficiency #2 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: 03/31/2010
date Of Correction: 04/01/2010 
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: 05/24/2010
date Of Correction: 07/08/2010 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
30.5 %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased
75.2 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain
1.1 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
6.8 %
12.58 %
Percent of long-stay residents who lose too much weight
1.4 %
11.83 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
48.5 %
44.54 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
5 %
15.63 %
Percent of long-stay residents with a urinary tract infection
18.3 %
13.46 %
Percent of long-stay residents who have depressive symptoms
0.7 %
28.38 %
Percent of long-stay residents who were physically restrained
75.2 %
43.68 %
Percent of short-stay residents who self-report moderate to severe pain
3.6 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
7.1 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
8.5 %
83.94 %
Percent of short-stay residents who newly received an antipsychotic medication
75.2 
45.90
Percent of long-stay residents experiencing one or more falls with major injury
2.7 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
30.4 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
75.2 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
1.50 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
7.7 %
9.22 %
Percent of long-stay residents who lose too much weight
1.2 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
44.6 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
5.2 %
10.65 %
Percent of long-stay residents with a urinary tract infection
18.9 %
9.58 %
Percent of long-stay residents who have depressive symptoms
0.2 %
19.86 %
Percent of long-stay residents who were physically restrained
75.2 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
3.6 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
9.3 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine 8.1 / 8.8 % 
Percent of short-stay residents with Pressure ulcers that are new or worsened
8 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
2.1 %
17.34 %

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