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EBONY LAKE NURSING AND REHABILITATION CENTER

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EBONY LAKE NURSING AND REHABILITATION CENTER VS
Nursing Homes USA
General
City BROWNSVILLE   0% Nursing Homes USA have BROWNSVILLE
State attribute explanation TX   7.6% Nursing Homes USA have TX
Street 1001 CENTRAL BLVD  
Zip Code 78520  
Phone 9565410917  
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
120 
108.94
Total Number of Residents
103 
91.25
Percent of Occupied Beds
86 %
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 - Other  1.9% Nursing Homes USA have Non profit - Other
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
103 
91.38
Number of RN Hours Per Resident Per Day
0.48 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.72 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.2 
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: 03/13/2010
date Of Correction: 03/24/2010 
Deficiency #2 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: 04/02/2009
date Of Correction: 03/13/2009 
Resident Rights Deficiencies
Deficiency #1 Scope: Some
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: 04/09/2012
date Of Correction: 04/30/2012 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.
survey Date: 04/09/2012
date Of Correction: 04/30/2012 
Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Tell The Resident Completely About His Or Her Health Status, Care And Treatments.
survey Date: 04/09/2012
date Of Correction: 04/30/2012 
Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Provide Enough Notice Before Discharging Or Transferring A Resident.
survey Date: 08/25/2010
date Of Correction: Not Available 
Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Notify The Resident Or Provide Reasons For A Transfer Or Discharge.
survey Date: 08/25/2010
date Of Correction: Not Available 
Administration Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 1
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 03/08/2012
date Of Correction: 03/23/2012 
Deficiency #2 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: 04/02/2009
date Of Correction: 03/13/2009 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
34 %
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
2.1 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
7.4 %
12.58 %
Percent of long-stay residents who lose too much weight
75.2 %
11.83 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
1 %
15.63 %
Percent of long-stay residents with a urinary tract infection
75.2 %
13.46 %
Percent of long-stay residents who have depressive symptoms
75.2 %
28.38 %
Percent of long-stay residents who were physically restrained
1 %
43.68 %
Percent of short-stay residents who self-report moderate to severe pain
9.1 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
84 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
61.5 %
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
1 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
32.4 (90.3) %
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
7 %
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
0.4 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
30.6 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
0.3 %
10.65 %
Percent of long-stay residents with a urinary tract infection
0.7 %
9.58 %
Percent of long-stay residents who have depressive symptoms
1.8 %
19.86 %
Percent of long-stay residents who were physically restrained
0.3 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
1 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
12.2 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
73.5 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
26 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
3 %
17.34 %

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