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LEGEND OAKS HEALTHCARE AND REHABILITATION-KYLE

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LEGEND OAKS HEALTHCARE AND REHABILITATION-KYLE VS
Nursing Homes USA
General
City KYLE   0% Nursing Homes USA have KYLE
State attribute explanation TX   7.6% Nursing Homes USA have TX
Street 1640  
Zip Code 78640  
Phone 5122681003  
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
126 
108.94
Total Number of Residents
84 
91.25
Percent of Occupied Beds
67 %
83.65 %
Health Survey Date 3/8/2012  
Fire Survey Date 3/8/2012  
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
75.2 
58.16
Total Enforcement Actions Count
75.2 
56.31
# of deficiencies
7.48
Staff Information
Number of Residents
84 
91.38
Number of RN Hours Per Resident Per Day
0.72 
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
1.50 
1.59
Number of CNA Hours Per Resident Per Day
0.11 
5.49
Number Therapy Hours Per Resident Per Day
0.11 
0.10
Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Offer Other Nutritional Food To Each Resident Who Will Not Eat The Food Served.
survey Date: 03/08/2012
date Of Correction: 03/19/2012 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
24.6 %
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
22.7 (72.9) %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers 10.3:1 % 
Percent of long-stay residents who lose too much weight
14.3 %
11.83 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
7.5 %
15.63 %
Percent of long-stay residents with a urinary tract infection
12.7 %
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
26.4 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
87.6 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
89.6 %
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
3 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
24.8 %
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 22.2:1 % 
Percent of long-stay high-risk residents with pressure ulcers
7 %
9.22 %
Percent of long-stay residents who lose too much weight
10.8 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
24 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.8 %
10.65 %
Percent of long-stay residents with a urinary tract infection 10.1:1 % 
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 5.6:1 % 
Percent of short-stay residents who self-report moderate to severe pain
29.4 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
90 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
95.1 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
26.8 %
17.34 %

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