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CONROE HEALTH CARE CENTER

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CONROE HEALTH CARE CENTER VS
Nursing Homes USA
General
City CONROE   0% Nursing Homes USA have CONROE
State attribute explanation TX   7.6% Nursing Homes USA have TX
Street 2019 N FRAZIER  
Zip Code 77301  
Phone 9364412120  
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
108 
108.94
Total Number of Residents
90 
91.25
Percent of Occupied Beds
83 %
83.65 %
Health Survey Date 1/26/2012  
Fire Survey Date 1/25/2012  
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 Non Profit - Corporation  18.7% Nursing Homes USA have Non 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
56.31
# of deficiencies
7.48
Staff Information
Number of Residents
90 
91.38
Number of RN Hours Per Resident Per Day
0.42 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.8 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.21 
1.59
Number of CNA Hours Per Resident Per Day
0.06 
5.49
Number Therapy Hours Per Resident Per Day
0.06 
0.10
Environmental Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 12/14/2011
date Of Correction: 01/03/2012 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 01/28/2011
date Of Correction: 03/20/2011 
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: 07/29/2009
date Of Correction: 08/28/2009 
Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 03/14/2012
date Of Correction: 04/03/2012 
Deficiency #2 Scope: Some
level Of Harm: 4
deficiency: Properly Care For Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, And Prostheses.
survey Date: 07/20/2010
date Of Correction: 08/16/2010 
Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 07/20/2010
date Of Correction: 08/16/2010 
Deficiency #4 Scope: Some
level Of Harm: 4
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 07/29/2009
date Of Correction: 08/28/2009 
Pharmacy Service Deficiencies
Deficiency #1 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: 02/04/2010
date Of Correction: 03/05/2010 
Deficiency #2 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: 07/29/2009
date Of Correction: 08/28/2009 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
26.2 %
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 8.6:1 % 
Percent of long-stay high-risk residents with pressure ulcers
12.2 %
12.58 %
Percent of long-stay residents who lose too much weight
5.4 %
11.83 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
9.1 %
15.63 %
Percent of long-stay residents with a urinary tract infection
6.8 %
13.46 %
Percent of long-stay residents who have depressive symptoms
9.1 %
28.38 %
Percent of long-stay residents who were physically restrained
3.8 %
43.68 %
Percent of short-stay residents who self-report moderate to severe pain
26.4 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
64.4 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
67.1 %
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
5.1 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
25.4 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
1 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
6.8 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
14.6 %
9.22 %
Percent of long-stay residents who lose too much weight
5.2 %
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
6.3 %
10.65 %
Percent of long-stay residents with a urinary tract infection
11.3 %
9.58 %
Percent of long-stay residents who have depressive symptoms
6.8 %
19.86 %
Percent of long-stay residents who were physically restrained
4 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
4.5 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
20.9 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
77.3 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
79.6 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
20 %
17.34 %

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