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ELGIN NURSING AND REHABILITATION CENTER

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ELGIN NURSING AND REHABILITATION CENTER VS
Nursing Homes USA
General
City ELGIN   0.1% Nursing Homes USA have ELGIN
State attribute explanation TX   7.6% Nursing Homes USA have TX
Street 1373 NORTH AVENUE C  
Zip Code 78621  
Phone 5122852457  
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
96 
91.25
Percent of Occupied Beds
80 %
83.65 %
Health Survey Date 4/29/2011  
Fire Survey Date 4/27/2011  
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 - Partnership  7.9% Nursing Homes USA have For profit - Partnership
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
17 
7.48
Staff Information
Number of Residents
96 
91.38
Number of RN Hours Per Resident Per Day
0.43 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.71 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.13 
1.59
Number of CNA Hours Per Resident Per Day
0.01 
5.49
Number Therapy Hours Per Resident Per Day
0.01 
0.10
Environmental Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 4
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 09/19/2011
date Of Correction: 09/29/2011 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Make Sure That The Nursing Home Area Is Safe, Easy To Use, Clean And Comfortable For Residents, Staff And The Public.
survey Date: 02/12/2010
date Of Correction: 03/16/2010 
Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Provide At Least One Room Set Aside To Use As A Resident Dining Room And For Activities, That Is A Good Size, With Good Lighting, Air Flow And Furniture.
survey Date: 02/12/2010
date Of Correction: 03/16/2010 
Deficiency #4 Scope: Some
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 02/12/2010
date Of Correction: 03/16/2010 
Deficiency #5 Scope: Some
level Of Harm: 2
deficiency: Maintain Comfortable Sound Levels.
survey Date: 02/12/2010
date Of Correction: 03/16/2010 
Deficiency #6 Scope: Some
level Of Harm: 2
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 02/12/2010
date Of Correction: 03/16/2010 
Resident Rights Deficiencies
Deficiency #1 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: 02/12/2010
date Of Correction: 03/16/2010 
Deficiency #2 Scope: Many
level Of Harm: 1
deficiency: Provide Access To A Telephone For Resident To Use In Private.
survey Date: 02/12/2010
date Of Correction: 03/16/2010 
Deficiency #3 Scope: Many
level Of Harm: 1
deficiency: Send And Promptly Deliver Unopened Mail To Residents.
survey Date: 02/12/2010
date Of Correction: 03/16/2010 
Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 02/12/2010
date Of Correction: 03/16/2010 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 04/24/2009
date Of Correction: 05/22/2009 
Resident Assessment Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan.
survey Date: 02/12/2010
date Of Correction: 03/16/2010 
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: 02/12/2010
date Of Correction: 03/16/2010 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: 1) Review The Work Of Each Nurse Aide Every Year; And 2) Give Regular In-service Training Based Upon These Reviews.
survey Date: 02/12/2010
date Of Correction: 03/16/2010 
Deficiency #3 Scope: Many
level Of Harm: 1
deficiency: Post Nurse Staffing Information/data On A Daily Basis.
survey Date: 02/12/2010
date Of Correction: 03/16/2010 
Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Provide Food In A Way That Meets A Resident's Needs.
survey Date: 04/29/2011
date Of Correction: 05/29/2011 
Deficiency #2 Scope: Some
level Of Harm: 4
deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.
survey Date: 02/12/2010
date Of Correction: 03/16/2010 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
28.4 %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased
3.9 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain
75.2 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
6.5 %
12.58 %
Percent of long-stay residents who lose too much weight
6.7 %
11.83 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
36.4 %
44.54 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
2.20 %
15.63 %
Percent of long-stay residents with a urinary tract infection 5.6:1 % 
Percent of long-stay residents who have depressive symptoms
1.1 %
28.38 %
Percent of long-stay residents who were physically restrained
2.20 %
43.68 %
Percent of short-stay residents who self-report moderate to severe pain
7.1 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
73.9 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
91.5 %
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
3.3 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
30.6 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
4.6 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
2.3 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
8 %
9.22 %
Percent of long-stay residents who lose too much weight
9.1 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
41.3 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
2.7 %
10.65 %
Percent of long-stay residents with a urinary tract infection
7.7 %
9.58 %
Percent of long-stay residents who have depressive symptoms
0.7 %
19.86 %
Percent of long-stay residents who were physically restrained
1.7 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
4.1 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
11.9 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
75.3 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
93.5 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
26.6 (79.9) %
17.34 %

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