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BRIARWOOD NURSING & REHABILITATION

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BRIARWOOD NURSING & REHABILITATION VS
Nursing Homes USA
General
Percent of short-stay residents with Pressure ulcers that are new or worsened 75.2 % 
City Houston  0.4% Nursing Homes USA have Houston
State attribute explanation TX   7.6% Nursing Homes USA have TX
Street 7633 BELLFORT  
Zip Code 77061  
Phone 7136442101  
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
200 
108.94
Total Number of Residents
176 
91.25
Percent of Occupied Beds
88 %
83.65 %
Health Survey Date 3/31/2012  
Fire Survey Date 3/29/2012  
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 - Corporation  56.7% Nursing Homes USA have For profit - Corporation
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
58.16
Total Enforcement Actions Count
56.31
# of deficiencies
18 
7.48
Staff Information
Number of Residents
176 
91.38
Number of RN Hours Per Resident Per Day
0.63 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.64 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.27 
1.59
Number of CNA Hours Per Resident Per Day
0.03 
5.49
Number Therapy Hours Per Resident Per Day
0.03 
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: 10/04/2011
date Of Correction: 10/21/2011 
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: 02/03/2011
date Of Correction: 02/14/2011 
Deficiency #3 Scope: Few
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: 07/28/2010
date Of Correction: 08/26/2010 
Deficiency #4 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: 02/11/2010
date Of Correction: 03/05/2010 
Deficiency #5 Scope: Some
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 07/22/2009
date Of Correction: 08/10/2009 
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: 07/28/2010
date Of Correction: 08/26/2010 
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: 07/28/2010
date Of Correction: 08/26/2010 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 04/07/2010
date Of Correction: 04/15/2010 
Deficiency #4 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: 04/07/2010
date Of Correction: 04/15/2010 
Resident Rights Deficiencies
Deficiency #1 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: 02/11/2010
date Of Correction: 02/22/2010 
Quality Care Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 02/03/2011
date Of Correction: 02/07/2011 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 03/19/2010
date Of Correction: 04/15/2010 
Deficiency #3 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: 02/11/2010
date Of Correction: 02/22/2010 
Deficiency #4 Scope: Some
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 02/11/2010
date Of Correction: 03/05/2010 
Deficiency #5 Scope: Some
level Of Harm: 2
deficiency: Provide Activities To Meet The Interests And Needs Of Each Resident.
survey Date: 02/11/2010
date Of Correction: 02/22/2010 
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: 07/28/2010
date Of Correction: 08/26/2010 
Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure Medically Necessary Lab Services/tests Are Ordered By The Attending Physician.
survey Date: 02/03/2011
date Of Correction: 02/14/2011 
Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.
survey Date: 02/11/2010
date Of Correction: 03/05/2010 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
56.4 %
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
75.2 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
14.6 %
12.58 %
Percent of long-stay residents who lose too much weight
3.6 %
11.83 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.9 %
15.63 %
Percent of long-stay residents with a urinary tract infection
0.6 %
13.46 %
Percent of long-stay residents who have depressive symptoms
21.4 %
28.38 %
Percent of long-stay residents who were physically restrained
1.8 %
43.68 %
Percent of short-stay residents who self-report moderate to severe pain
13.5 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
96.1 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
97.4 %
83.94 %
Percent of short-stay residents who newly received an antipsychotic medication
9.7 %
45.90 %
Percent of long-stay residents experiencing one or more falls with major injury
1.2 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
51.8 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
2.1 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
0.8 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers 17.8:1 % 
Percent of long-stay residents who lose too much weight
3.2 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
52.9 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.9 %
10.65 %
Percent of long-stay residents with a urinary tract infection
1.8 %
9.58 %
Percent of long-stay residents who have depressive symptoms
21.8 %
19.86 %
Percent of long-stay residents who were physically restrained
1.8 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
1.4 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
5 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
97.7 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
98.6 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
8.4 %
17.34 %

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