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COURTYARD GARDENS

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COURTYARD GARDENS VS
Nursing Homes USA
General
City WICHITA FALLS   0% Nursing Homes USA have WICHITA FALLS
State attribute explanation TX   7.6% Nursing Homes USA have TX
Street 1501 7TH ST  
Zip Code 76301  
Phone 9403220741  
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
109 
108.94
Total Number of Residents
52 
91.25
Percent of Occupied Beds
48 %
83.65 %
Health Survey Date 1/13/2012  
Fire Survey Date 1/11/2012  
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? No  45.1% Nursing Homes USA don't 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
24 
7.48
Staff Information
Number of Residents
52 
91.38
Number of RN Hours Per Resident Per Day
0.35 
0.77
Number of LPN/LVN Hours Per Resident Per Day
1.14 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.49 
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: Some
level Of Harm: 2
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 03/17/2011
date Of Correction: 04/22/2011 
Deficiency #2 Scope: Some
level Of Harm: 1
deficiency: Provide Clean Bed And Bath Linens That Are In Good Condition.
survey Date: 05/13/2010
date Of Correction: 06/10/2010 
Deficiency #3 Scope: Many
level Of Harm: 2
deficiency: Make Sure There Is A Pest Control Program To Prevent/deal With Mice, Insects, Or Other Pests.
survey Date: 02/18/2010
date Of Correction: 03/19/2010 
Deficiency #4 Scope: Some
level Of Harm: 4
deficiency: Make Sure That A Working Call System Is Available In Each Resident's Room Or Bathroom And Bathing Area.
survey Date: 02/18/2010
date Of Correction: 03/19/2010 
Deficiency #5 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: 10/09/2009
date Of Correction: 11/20/2009 
Deficiency #6 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: 07/16/2009
date Of Correction: Not Available 
Deficiency #7 Scope: Some
level Of Harm: 2
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 07/16/2009
date Of Correction: Not Available 
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: 05/24/2012
date Of Correction: 06/21/2012 
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: 05/24/2012
date Of Correction: 06/21/2012 
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: 03/14/2012
date Of Correction: 03/21/2012 
Deficiency #4 Scope: Some
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 07/08/2010
date Of Correction: 07/28/2010 
Deficiency #5 Scope: Some
level Of Harm: 2
deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.
survey Date: 07/08/2010
date Of Correction: 07/28/2010 
Deficiency #6 Scope: Some
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 10/09/2009
date Of Correction: 11/25/2009 
Deficiency #7 Scope: Few
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 04/30/2009
date Of Correction: Not Available 
Deficiency #8 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: 04/30/2009
date Of Correction: Not Available 
Quality Care Deficiencies
Deficiency #1 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: 03/17/2011
date Of Correction: 04/22/2011 
Deficiency #2 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: 09/07/2010
date Of Correction: 09/21/2010 
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: 05/13/2010
date Of Correction: 06/10/2010 
Deficiency #4 Scope: Some
level Of Harm: 2
deficiency: Provide Activities To Meet The Interests And Needs Of Each Resident.
survey Date: 02/18/2010
date Of Correction: 03/19/2010 
Deficiency #5 Scope: Some
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 10/09/2009
date Of Correction: 11/30/2009 
Administration Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 1
deficiency: Ensure The Activities Program Is Directed By A Qualified Professional.
survey Date: 02/18/2010
date Of Correction: 03/19/2010 
Deficiency #2 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: 10/09/2009
date Of Correction: 11/06/2009 
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: 10/09/2009
date Of Correction: 11/01/2009 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Keep The Rate Of Medication Errors (wrong Drug, Wrong Dose, Wrong Time) To Less Than 5%.
survey Date: 10/09/2009
date Of Correction: 11/30/2009 
Quality Measures Q1
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
27.8 (82.0) %
16.66 %
Percent of long-stay residents who lose too much weight
11.9 %
11.83 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
6.6 %
15.63 %
Percent of long-stay residents with a urinary tract infection
7.1 %
13.46 %
Percent of long-stay residents who have depressive symptoms
6.8 %
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
45.5 %
25.02 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
22.7 (72.9) %
83.94 %
Percent of short-stay residents who newly received an antipsychotic medication
45.90
Percent of long-stay residents experiencing one or more falls with major injury
4.5 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
67 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
2.7 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
28.1 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
5.9 %
9.22 %
Percent of long-stay residents who lose too much weight
10.8 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
29.8 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
7.1 %
10.65 %
Percent of long-stay residents with a urinary tract infection
5.4 %
9.58 %
Percent of long-stay residents who have depressive symptoms
6.8 %
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
7.5 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
39 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
100 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened 5.6:1 % 

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