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CENTRAL TEXAS NURSING & REHABILITATION

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CENTRAL TEXAS NURSING & REHABILITATION VS
Nursing Homes USA
General
City BALLINGER   0% Nursing Homes USA have BALLINGER
State attribute explanation TX   7.6% Nursing Homes USA have TX
Street 1800 N BROADWAY ST  
Zip Code 76821  
Phone 3253652538  
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
128 
108.94
Total Number of Residents
61 
91.25
Percent of Occupied Beds
48 %
83.65 %
Health Survey Date 3/22/2012  
Fire Survey Date 4/5/2012  
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 Both  29.8% Nursing Homes USA have Both
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
31 
7.48
Percent of long-stay residents experiencing one or more falls with major injury 75.2 % 
Staff Information
Number of Residents
61 
91.38
Number of RN Hours Per Resident Per Day
0.68 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.75 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.43 
1.59
Number of CNA Hours Per Resident Per Day
0.01 
5.49
Number Therapy Hours Per Resident Per Day
0.01 
0.10
Environmental Deficiencies
Deficiency #1 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: 10/13/2011
date Of Correction: 10/28/2011 
Deficiency #2 Scope: Some
level Of Harm: 4
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 04/21/2011
date Of Correction: 04/29/2011 
Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 12/14/2010
date Of Correction: 01/05/2011 
Deficiency #4 Scope: Some
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 10/22/2010
date Of Correction: 11/19/2010 
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: 04/21/2011
date Of Correction: 04/29/2011 
Deficiency #2 Scope: Some
level Of Harm: 4
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 12/14/2010
date Of Correction: 01/12/2011 
Deficiency #3 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: 12/14/2010
date Of Correction: 01/12/2011 
Deficiency #4 Scope: Some
level Of Harm: 4
deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.
survey Date: 12/14/2010
date Of Correction: 01/12/2011 
Resident Rights Deficiencies
Deficiency #1 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: 08/19/2011
date Of Correction: 09/09/2011 
Deficiency #2 Scope: Some
level Of Harm: 4
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: 12/14/2010
date Of Correction: 01/12/2011 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Make Sure Each Resident Has The Right To Have A Choice Over Activities, Their Schedules And Health Care According To His Or Her Interests, Assessment, And Plan Of Care.
survey Date: 10/22/2010
date Of Correction: 11/19/2010 
Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Give The Resident The Right To Receive Visitors.
survey Date: 10/22/2010
date Of Correction: 11/19/2010 
Deficiency #5 Scope: Some
level Of Harm: 2
deficiency: Let Residents Talk To And Get Information From Agencies Acting On Their Behalf.
survey Date: 10/22/2010
date Of Correction: 11/19/2010 
Deficiency #6 Scope: Few
level Of Harm: 2
deficiency: Give Each Resident A Notice Of Rights, Rules, Services And Charges. Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items And Services Medicaid Covers And Which The Resident Must Pay For.
survey Date: 10/22/2010
date Of Correction: 11/19/2010 
Deficiency #7 Scope: Few
level Of Harm: 2
deficiency: Honor All Of The Resident's Rights As A Resident Of The Nursing Home, Free Of Coercion And Reprisal, And As A Citizen Or Resident Of The United States.
survey Date: 10/22/2010
date Of Correction: 11/19/2010 
Quality Care Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 4
deficiency: Give Each Resident Enough Fluids To Keep Them Healthy And Prevent Dehydration.
survey Date: 12/14/2010
date Of Correction: 01/12/2011 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.
survey Date: 12/14/2010
date Of Correction: 01/12/2011 
Deficiency #3 Scope: Some
level Of Harm: 4
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 12/14/2010
date Of Correction: 01/12/2011 
Deficiency #4 Scope: Some
level Of Harm: 4
deficiency: Provide Medically-related Social Services To Help Each Resident Achieve The Highest Possible Quality Of Life.
survey Date: 12/14/2010
date Of Correction: 01/12/2011 
Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Develop Policies And Procedures For Influenza And Pneumococcal Immunizations.
survey Date: 10/22/2010
date Of Correction: 11/19/2010 
Resident Assessment Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 4
deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.
survey Date: 12/14/2010
date Of Correction: 01/12/2011 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan.
survey Date: 10/22/2010
date Of Correction: 11/19/2010 
Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Make Sure That Nurse Aides Show They Have The Skills And Techniques To Be Able To Care For Residents' Needs.
survey Date: 10/13/2011
date Of Correction: 10/28/2011 
Deficiency #2 Scope: Few
level Of Harm: 3
deficiency: Ensure That All Nurse Aids Who Have Worked Less Than 4 Months Are Enrolled In Appropriate Training Or Have Been Deemed Competent To Provide Nursing And Nursing Related Services.
survey Date: 10/13/2011
date Of Correction: 10/28/2011 
Deficiency #3 Scope: Few
level Of Harm: 3
deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .
survey Date: 10/13/2011
date Of Correction: 10/28/2011 
Deficiency #4 Scope: Some
level Of Harm: 4
deficiency: Give Or Get Quality Lab Services/tests In A Timely Manner To Meet The Needs Of Residents.
survey Date: 12/14/2010
date Of Correction: 01/12/2011 
Deficiency #5 Scope: Some
level Of Harm: 4
deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .
survey Date: 12/14/2010
date Of Correction: 01/12/2011 
Deficiency #6 Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 10/22/2010
date Of Correction: 11/19/2010 
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: 08/19/2011
date Of Correction: 09/09/2011 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.
survey Date: 08/19/2011
date Of Correction: 09/09/2011 
Deficiency #3 Scope: Some
level Of Harm: 4
deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.
survey Date: 12/14/2010
date Of Correction: 01/12/2011 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
48 %
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
38.8 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
11.1 %
12.58 %
Percent of long-stay residents who lose too much weight
5.2 %
11.83 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.6 %
15.63 %
Percent of long-stay residents with a urinary tract infection
13.6-28 %
13.46 %
Percent of long-stay residents who have depressive symptoms
27.8 (82.0) %
28.38 %
Percent of long-stay residents who were physically restrained
6.9 %
43.68 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
100 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
100 %
83.94 %
Percent of long-stay residents experiencing one or more falls with major injury
6.8 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
50.3 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
5.3 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
17.4 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
9.5 %
9.22 %
Percent of long-stay residents who lose too much weight
16.1 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
43.1 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.3 %
10.65 %
Percent of long-stay residents with a urinary tract infection
9.7 %
9.58 %
Percent of long-stay residents who have depressive symptoms 9.9:1 % 
Percent of long-stay residents who were physically restrained
9 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury 5.6:1 % 
Percent of short-stay residents who self-report moderate to severe pain 12.8:1 % 
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
96 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
26.8 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
7.4 %
17.34 %

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