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LEGEND OAKS HEALTHCARE AND REHABILITATION CENTER

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LEGEND OAKS HEALTHCARE AND REHABILITATION CENTER VS
Nursing Homes USA
General
City Houston  0.4% Nursing Homes USA have Houston
State attribute explanation TX   7.6% Nursing Homes USA have TX
Street 15880 WALLISVILLE ROAD  
Zip Code 77049  
Phone 2814576462  
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
125 
108.94
Total Number of Residents
105 
91.25
Percent of Occupied Beds
84 %
83.65 %
Health Survey Date 7/8/2011  
Fire Survey Date 7/7/2011  
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 - 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
7.48
Staff Information
Number of Residents
105 
91.38
Number of RN Hours Per Resident Per Day
0.33 
0.77
Number of LPN/LVN Hours Per Resident Per Day
1.9 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
2.22 
1.59
Number of CNA Hours Per Resident Per Day
0.06 
5.49
Number Therapy Hours Per Resident Per Day
0.06 
0.10
Environmental Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 03/21/2012
date Of Correction: 04/01/2012 
Deficiency #2 Scope: Few
level Of Harm: 3
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 05/06/2011
date Of Correction: 05/31/2011 
Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .
survey Date: 05/06/2011
date Of Correction: 05/31/2011 
Pharmacy Service Deficiencies
Deficiency #1 Scope: Some
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: 10/15/2009
date Of Correction: 10/15/2009 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
18.4 %
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
7.8 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
6.6 %
12.58 %
Percent of long-stay residents who lose too much weight
1.4 %
11.83 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
47.1 %
44.54 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
6.5 %
15.63 %
Percent of long-stay residents with a urinary tract infection
9.7 %
13.46 %
Percent of long-stay residents who have depressive symptoms
75.2 %
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
7.6 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
96.9 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
96.5 %
83.94 %
Percent of short-stay residents who newly received an antipsychotic medication
0.9 %
45.90 %
Percent of long-stay residents experiencing one or more falls with major injury
75.2 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication 18.2:1 % 
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
5.9 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
10.4 %
9.22 %
Percent of long-stay residents who lose too much weight
2.7 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
45.5 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
8 %
10.65 %
Percent of long-stay residents with a urinary tract infection 11.8:1 % 
Percent of long-stay residents who have depressive symptoms
75.2 %
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
75.2 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain 10.1:1 % 
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
95.8 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
96 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
10.5 %
17.34 %

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