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FREDERICKSBURG NURSING AND REHABILITATION LP

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FREDERICKSBURG NURSING AND REHABILITATION LP VS
Nursing Homes USA
General
City FREDERICKSBURG   0.1% Nursing Homes USA have FREDERICKSBURG
State attribute explanation TX   7.6% Nursing Homes USA have TX
Street 1117 S ADAMS ST  
Zip Code 78624  
Phone 8309974364  
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
90 
108.94
Total Number of Residents
68 
91.25
Percent of Occupied Beds
76 %
83.65 %
Health Survey Date 3/8/2012  
Fire Survey Date 3/7/2012  
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 - 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? Yes  54.9% Nursing Homes USA 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
75.2 
58.16
Total Enforcement Actions Count
75.2 
56.31
# of deficiencies
7.48
Staff Information
Number of Residents
68 
91.38
Number of RN Hours Per Resident Per Day
0.29 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.78 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.07 
1.59
Number of CNA Hours Per Resident Per Day
0.02 
5.49
Number Therapy Hours Per Resident Per Day
0.02 
0.10
Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.
survey Date: 04/15/2010
date Of Correction: 04/16/2010 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
38.1 %
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
11 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
4.5 %
12.58 %
Percent of long-stay residents who lose too much weight
4.6 %
11.83 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder 10.1:1 % 
Percent of long-stay residents with a urinary tract infection
7.7 %
13.46 %
Percent of long-stay residents who have depressive symptoms
4.5 %
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
27.3 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
100 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
95.7 %
83.94 %
Percent of long-stay residents experiencing one or more falls with major injury
10.6 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
37.6 %
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
9.3 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
4.2 %
9.22 %
Percent of long-stay residents who lose too much weight
4.8 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
37.1 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
8.4 %
10.65 %
Percent of long-stay residents with a urinary tract infection
5.8 %
9.58 %
Percent of long-stay residents who have depressive symptoms
5.2 %
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
6.8 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
21.7 %
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
98.7 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
2.5 %
17.34 %

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