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KLEBERG COUNTY NURSING AND REHABILITATION LP

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KLEBERG COUNTY NURSING AND REHABILITATION LP VS
Nursing Homes USA
General
City KINGSVILLE   0% Nursing Homes USA have KINGSVILLE
State attribute explanation TX   7.6% Nursing Homes USA have TX
Street 316 GENERAL CAVAZOS BLVD  
Zip Code 78363  
Phone 3615929366  
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
162 
108.94
Total Number of Residents
62 
91.25
Percent of Occupied Beds
38 %
83.65 %
Health Survey Date 3/16/2012  
Fire Survey Date 3/14/2012  
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 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
13 
7.48
Staff Information
Number of Residents
62 
91.38
Number of RN Hours Per Resident Per Day
0.37 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.83 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.2 
1.59
Number of CNA Hours Per Resident Per Day
75.2 
5.49
Environmental Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 1
deficiency: Make Sure That The Nursing Home Area Is Safe, Easy To Use, Clean And Comfortable For Residents, Staff And The Public.
survey Date: 02/16/2012
date Of Correction: 03/17/2012 
Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 12/06/2011
date Of Correction: 01/11/2012 
Deficiency #2 Scope: Few
level Of Harm: 2
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: 12/06/2011
date Of Correction: 01/11/2012 
Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 04/06/2011
date Of Correction: 05/11/2011 
Deficiency #4 Scope: Some
level Of Harm: 2
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: 04/06/2011
date Of Correction: 05/11/2011 
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: 02/16/2012
date Of Correction: 03/01/2012 
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: 02/16/2012
date Of Correction: 03/01/2012 
Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 04/06/2011
date Of Correction: 05/11/2011 
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: 04/06/2011
date Of Correction: 05/11/2011 
Resident Assessment Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: Make Sure Each Resident Receives An Accurate Assessment By A Qualified Health Professional.
survey Date: 04/06/2011
date Of Correction: 05/11/2011 
Administration Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Give Or Get X-rays And Other Tests In A Timely Manner To Meet The Needs Of Residents.
survey Date: 12/06/2011
date Of Correction: 12/30/2011 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Give Or Get Quality Lab Services/tests In A Timely Manner To Meet The Needs Of Residents.
survey Date: 12/06/2011
date Of Correction: 12/30/2011 
Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.
survey Date: 03/14/2011
date Of Correction: 04/19/2011 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
28.1 %
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
21.3 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
17 %
12.58 %
Percent of long-stay residents who lose too much weight
10.2 %
11.83 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
6.4 %
15.63 %
Percent of long-stay residents with a urinary tract infection
13.6-28 %
13.46 %
Percent of long-stay residents who have depressive symptoms
3.2 %
28.38 %
Percent of long-stay residents who were physically restrained
75.2 %
43.68 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
45.8 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
41.7 %
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
1.6 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
31.1 %
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
16.8 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers 11.6:1 % 
Percent of long-stay residents who lose too much weight 8.1 / 8.8 % 
Percent of long-stay low-risk residents who lose control of their bowels or bladder
38.7 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
6.5 %
10.65 %
Percent of long-stay residents with a urinary tract infection 10.3:1 % 
Percent of long-stay residents who have depressive symptoms 5.6:1 % 
Percent of long-stay residents who were physically restrained
1 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
2 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
27 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
39 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
25.4 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
2.9 %
17.34 %

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