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CHEROKEE ROSE NURSING AND REHABILITATION

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CHEROKEE ROSE NURSING AND REHABILITATION VS
Nursing Homes USA
General
City GLEN ROSE   0% Nursing Homes USA have GLEN ROSE
State attribute explanation TX   7.6% Nursing Homes USA have TX
Street 203 GIBBS BLVD  
Zip Code 76043  
Phone 2548977361  
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
102 
108.94
Total Number of Residents
57 
91.25
Percent of Occupied Beds
56 %
83.65 %
Health Survey Date 1/19/2012  
Fire Survey Date 1/18/2012  
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
75.2 
58.16
Total Enforcement Actions Count
75.2 
56.31
# of deficiencies
7.48
Staff Information
Number of Residents
57 
91.38
Number of RN Hours Per Resident Per Day
0.44 
0.77
Number of LPN/LVN Hours Per Resident Per Day
1.28 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.72 
1.59
Number of CNA Hours Per Resident Per Day
0.1 
5.49
Number Therapy Hours Per Resident Per Day
0.1 
0.10
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: 04/30/2009
date Of Correction: 06/15/2009 
Resident Rights Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 1
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: 04/30/2009
date Of Correction: 06/15/2009 
Quality Care Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: Use A Registered Nurse At Least 8 Hours A Day, 7 Days A Week.
survey Date: 04/30/2009
date Of Correction: 06/15/2009 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Develop Policies And Procedures For Influenza And Pneumococcal Immunizations.
survey Date: 04/30/2009
date Of Correction: 06/15/2009 
Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Give Or Get Quality Lab Services/tests In A Timely Manner To Meet The Needs Of Residents.
survey Date: 04/30/2009
date Of Correction: 06/15/2009 
Deficiency #2 Scope: Some
level Of Harm: 1
deficiency: 1) Review The Work Of Each Nurse Aide Every Year; And 2) Give Regular In-service Training Based Upon These Reviews.
survey Date: 04/30/2009
date Of Correction: 06/15/2009 
Deficiency #3 Scope: Many
level Of Harm: 1
deficiency: Post Nurse Staffing Information/data On A Daily Basis.
survey Date: 04/30/2009
date Of Correction: 06/15/2009 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication 21.2:1 % 
Percent of long-stay residents who self-report moderate to severe pain
35.5 %
16.66 %
Percent of long-stay residents who lose too much weight
1.9 %
11.83 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
10.9 %
15.63 %
Percent of long-stay residents with a urinary tract infection
27.8 (82.0) %
13.46 %
Percent of long-stay residents who have depressive symptoms
64.3 %
28.38 %
Percent of long-stay residents who were physically restrained
7.1 %
43.68 %
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
1.8 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
23.7 (74.7) %
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
39.7 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
13.5 %
9.22 %
Percent of long-stay residents who lose too much weight
2.4 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
21.7 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
8.4 %
10.65 %
Percent of long-stay residents with a urinary tract infection
17.6 %
9.58 %
Percent of long-stay residents who have depressive symptoms
59.4 %
19.86 %
Percent of long-stay residents who were physically restrained
6.5 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
35.2 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
56.5 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
88.9 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
91.7 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
7.4 %
17.34 %

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