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DESERT GARDENS NURSING AND REHABILITATION CENTER

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DESERT GARDENS NURSING AND REHABILITATION CENTER VS
Nursing Homes USA
General
City MIDLAND   0.1% Nursing Homes USA have MIDLAND
State attribute explanation TX   7.6% Nursing Homes USA have TX
Street 3203  
Zip Code 79705  
Phone 4326835403  
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
106 
108.94
Total Number of Residents
72 
91.25
Percent of Occupied Beds
68 %
83.65 %
Health Survey Date 2/28/2012  
Fire Survey Date 2/22/2012  
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 None  3.9% Nursing Homes USA have None
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
11 
7.48
Staff Information
Number of Residents
72 
91.38
Number of RN Hours Per Resident Per Day
0.39 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.84 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.23 
1.59
Number of CNA Hours Per Resident Per Day
75.2 
5.49
Environmental Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 01/12/2012
date Of Correction: 02/10/2012 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Make Sure That A Working Call System Is Available In Each Resident's Room Or Bathroom And Bathing Area.
survey Date: 02/15/2011
date Of Correction: 03/31/2011 
Mistreatment Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 1
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 04/25/2012
date Of Correction: 05/16/2012 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 09/26/2011
date Of Correction: 10/21/2011 
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: 09/26/2011
date Of Correction: 10/21/2011 
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: 05/25/2010
date Of Correction: 06/25/2010 
Deficiency #5 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: 05/25/2010
date Of Correction: 06/25/2010 
Resident Rights Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Keep Each Resident's Personal And Medical Records Private And Confidential.
survey Date: 01/12/2012
date Of Correction: 02/10/2012 
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: 09/26/2011
date Of Correction: 10/21/2011 
Administration Deficiencies
Deficiency #1 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: 01/12/2012
date Of Correction: 02/10/2012 
Automatic Sprinkler Systems Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: An Approved Automatic Sprinkler System Connected To The Fire Alarm System.
survey Date: 02/11/2011
date Of Correction: 06/30/2011 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
41.3 %
25.09 %
Percent of long-stay residents who self-report moderate to severe pain
8.7 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
9.8 %
12.58 %
Percent of long-stay residents who lose too much weight
5.9 %
11.83 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.7 %
15.63 %
Percent of long-stay residents with a urinary tract infection
1.50 %
13.46 %
Percent of long-stay residents who have depressive symptoms
2.9 %
28.38 %
Percent of long-stay residents who were physically restrained
1.4 %
43.68 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
85 %
83.94 %
Percent of long-stay residents experiencing one or more falls with major injury
2.9 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
39.8 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
2.5 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain 9.4 / 10.4 % 
Percent of long-stay high-risk residents with pressure ulcers
5.8 %
9.22 %
Percent of long-stay residents who lose too much weight
3 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
28.1 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.1 %
10.65 %
Percent of long-stay residents with a urinary tract infection
1 %
9.58 %
Percent of long-stay residents who have depressive symptoms
3 %
19.86 %
Percent of long-stay residents who were physically restrained
1 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
2.4 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
5.7 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
97.6 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
44.7 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
13.6-28 %
17.34 %

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