JEFFERSON NURSING AND REHABILITATION CENTER

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Nursing Homes USA

	General
City	BEAUMONT	0.1% Nursing Homes USA have BEAUMONT
State attribute explanation	TX	7.6% Nursing Homes USA have TX
Street	3840 POINTE PARKWAY
Zip Code	77706
Phone	4098926811
Overall Star Rating	1	3.11
Health Inspections Star Rating	1	2.83
Nurse Staffing Star Rating	2	3.17
Quality Measures Star Rating	2	3.31
RN Only Star Rating	2	3.17
Number of Certified Beds	120	108.94
Total Number of Residents	93	91.25
Percent of Occupied Beds	78 %	83.65 %
Health Survey Date	10/5/2011
Fire Survey Date	10/4/2011
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	2	58.16
Total Enforcement Actions Count	2	56.31
# of deficiencies	10	7.48

	Staff Information
Number of Residents	93	91.38
Number of RN Hours Per Resident Per Day	0.49	0.77
Number of LPN/LVN Hours Per Resident Per Day	0.87	0.84
Total Number of Licensed Staff Hours Per Resident Per Day	1.35	1.59
Number of CNA Hours Per Resident Per Day	0.09	5.49
Number Therapy Hours Per Resident Per Day	0.09	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: 11/30/2009 date Of Correction: 12/28/2009
	Quality Care Deficiencies
Deficiency #1	Scope: Many level Of Harm: 2 deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care. survey Date: 03/08/2012 date Of Correction: 03/09/2012
Deficiency #2	Scope: Some level Of Harm: 4 deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care. survey Date: 08/05/2009 date Of Correction: 09/02/2009
	Administration Deficiencies
Deficiency #1	Scope: Some level Of Harm: 4 deficiency: Give Or Get Quality Lab Services/tests In A Timely Manner To Meet The Needs Of Residents. survey Date: 08/05/2009 date Of Correction: 09/02/2009
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: 08/05/2009 date Of Correction: 09/02/2009
Deficiency #3	Scope: Some level Of Harm: 4 deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident . survey Date: 08/05/2009 date Of Correction: 09/02/2009
	Pharmacy Service Deficiencies
Deficiency #1	Scope: Many 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: 03/08/2012 date Of Correction: 03/09/2012
Deficiency #2	Scope: Some level Of Harm: 4 deficiency: At Least Once A Month, Have A Licensed Pharmacist Review Each Resident's Medication(s) And Report Any Irregularities To The Attending Doctor. survey Date: 08/05/2009 date Of Correction: 09/02/2009
Deficiency #3	Scope: Some level Of Harm: 4 deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist. survey Date: 08/05/2009 date Of Correction: 09/02/2009
Deficiency #4	Scope: Some level Of Harm: 4 deficiency: Make Sure That Residents Are Safe From Serious Medication Errors. survey Date: 08/05/2009 date Of Correction: 09/02/2009
	Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication	17.1:1 %
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	17.5 %	16.66 %
Percent of long-stay high-risk residents with pressure ulcers	8.2 %	12.58 %
Percent of long-stay residents who lose too much weight	1.3 %	11.83 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder	30 %	44.54 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder	5.2 %	15.63 %
Percent of long-stay residents with a urinary tract infection	7.6 %	13.46 %
Percent of long-stay residents who have depressive symptoms	3.9 %	28.38 %
Percent of long-stay residents who were physically restrained	10 %	43.68 %
Percent of short-stay residents who self-report moderate to severe pain	30 %	25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine	70.8 %	84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened	71.9 %	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	7.5 %	15.52 %
	Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication	18.3 %	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	15.4 %	14.10 %
Percent of long-stay high-risk residents with pressure ulcers	7.3 %	9.22 %
Percent of long-stay residents who lose too much weight	4.3 %	8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder	39.7 %	43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder	6.6 %	10.65 %
Percent of long-stay residents with a urinary tract infection	6 %	9.58 %
Percent of long-stay residents who have depressive symptoms	7 %	19.86 %
Percent of long-stay residents who were physically restrained	8.9 / 9.9 %
Percent of long-stay residents experiencing one or more falls with major injury	5.9 %	10.73 %
Percent of short-stay residents who self-report moderate to severe pain	29.5 %	24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine	55.7 %	81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened	57.6 %	74.75 %
Percent of short-stay residents who newly received an antipsychotic medication	13.1:1 %