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KIRKLAND COURT HEALTH AND REHABILITATION CENTER

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KIRKLAND COURT HEALTH AND REHABILITATION CENTER VS
Nursing Homes USA
General
City AMARILLO   0.1% Nursing Homes USA have AMARILLO
State attribute explanation TX   7.6% Nursing Homes USA have TX
Street 1601 KIRKLAND DR  
Zip Code 79106  
Phone 8063558281  
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
98 
108.94
Total Number of Residents
60 
91.25
Percent of Occupied Beds
61 %
83.65 %
Health Survey Date 3/8/2012  
Fire Survey Date 3/5/2012  
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 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? Yes  1% Nursing Homes USA have Special Focus Facility?
Civil Money Penalty Count
58.16
Total Enforcement Actions Count
56.31
# of deficiencies
29 
7.48
Staff Information
Number of Residents
60 
91.38
Number of RN Hours Per Resident Per Day
0.69 
0.77
Number of LPN/LVN Hours Per Resident Per Day
1.02 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.71 
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: 05/26/2011
date Of Correction: 06/03/2011 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 07/05/2010
date Of Correction: 07/23/2010 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 02/24/2010
date Of Correction: 03/14/2010 
Deficiency #4 Scope: Some
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: 11/15/2009
date Of Correction: 01/05/2010 
Mistreatment Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 3
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 11/10/2011
date Of Correction: 11/12/2011 
Deficiency #2 Scope: Some
level Of Harm: 3
deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.
survey Date: 11/10/2011
date Of Correction: 11/12/2011 
Deficiency #3 Scope: Some
level Of Harm: 4
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 08/22/2011
date Of Correction: 09/24/2011 
Deficiency #4 Scope: Some
level Of Harm: 4
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: 08/22/2011
date Of Correction: 09/24/2011 
Deficiency #5 Scope: Some
level Of Harm: 4
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 11/15/2009
date Of Correction: 01/05/2010 
Deficiency #6 Scope: Some
level Of Harm: 4
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: 11/15/2009
date Of Correction: 01/05/2010 
Deficiency #7 Scope: Some
level Of Harm: 4
deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.
survey Date: 11/15/2009
date Of Correction: 01/05/2010 
Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Immediately Tell The Resident, The Resident's Doctor And A Family Member Of The Resident Of Situations (injury/decline/room, Etc.) That Affect The Resident.
survey Date: 11/10/2011
date Of Correction: 11/12/2011 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Immediately Tell The Resident, The Resident's Doctor And A Family Member Of The Resident Of Situations (injury/decline/room, Etc.) That Affect The Resident.
survey Date: 08/22/2011
date Of Correction: 09/24/2011 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Try To Resolve Each Resident's Complaints Quickly.
survey Date: 07/28/2011
date Of Correction: 07/29/2011 
Quality Care Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.
survey Date: 03/08/2012
date Of Correction: 03/22/2012 
Deficiency #2 Scope: Some
level Of Harm: 3
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 11/10/2011
date Of Correction: 11/12/2011 
Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 08/22/2011
date Of Correction: 09/24/2011 
Deficiency #4 Scope: Many
level Of Harm: 2
deficiency: Use A Registered Nurse At Least 8 Hours A Day, 7 Days A Week.
survey Date: 02/24/2010
date Of Correction: 03/01/2010 
Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 02/24/2010
date Of Correction: 02/25/2010 
Deficiency #6 Scope: Few
level Of Harm: 2
deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.
survey Date: 02/24/2010
date Of Correction: 03/14/2010 
Administration Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 11/10/2011
date Of Correction: 11/12/2011 
Deficiency #2 Scope: Many
level Of Harm: 1
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 08/22/2011
date Of Correction: 09/24/2011 
Deficiency #3 Scope: Many
level Of Harm: 1
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 09/25/2010
date Of Correction: 10/15/2010 
Deficiency #4 Scope: Few
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: 07/05/2010
date Of Correction: 07/23/2010 
Deficiency #5 Scope: Some
level Of Harm: 4
deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .
survey Date: 11/15/2009
date Of Correction: 01/05/2010 
Pharmacy Service Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.
survey Date: 09/22/2011
date Of Correction: 10/03/2011 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.
survey Date: 05/26/2011
date Of Correction: 06/03/2011 
Deficiency #3 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: 05/26/2011
date Of Correction: 06/03/2011 
Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 1
deficiency: Prepare Food That Is Nutritional, Appetizing, Tasty, Attractive, Well-cooked, And At The Right Temperature.
survey Date: 09/25/2010
date Of Correction: 10/15/2010 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
23.1 %
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
11.7 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
9.5 %
12.58 %
Percent of long-stay residents who lose too much weight
20.4 %
11.83 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
9 %
15.63 %
Percent of long-stay residents with a urinary tract infection
14.8 %
13.46 %
Percent of long-stay residents who have depressive symptoms
14 %
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
16.7 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
67.2 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
67.2 %
83.94 %
Percent of short-stay residents who newly received an antipsychotic medication
45.90
Percent of long-stay residents experiencing one or more falls with major injury
1.9 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
27.2 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
1.7 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
14.2 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
13.8 %
9.22 %
Percent of long-stay residents who lose too much weight
7.6 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
33.3 %
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
20.9 %
9.58 %
Percent of long-stay residents who have depressive symptoms
14.5 %
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
1.2 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
18.9 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
59.8 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
61.4 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
32.5 %
17.34 %

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