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MANDA ANN CONVALESCENT HOME INC

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MANDA ANN CONVALESCENT HOME INC VS
Nursing Homes USA
General
Percent of short-stay residents with Pressure ulcers that are new or worsened 75.2 % 
City Houston  0.4% Nursing Homes USA have Houston
State attribute explanation TX   7.6% Nursing Homes USA have TX
Street 7441 COFFEE ST  
Zip Code 77033  
Phone 7137339471  
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
63 
91.25
Percent of Occupied Beds
64 %
83.65 %
Health Survey Date 4/29/2011  
Fire Survey Date 4/28/2011  
Sprinkler Status Fully Sprinklered  90.2% Nursing Homes USA have Fully Sprinklered
Program Participation Medicaid  3.5% Nursing Homes USA have 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? 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
75.2 
58.16
Total Enforcement Actions Count
75.2 
56.31
# of deficiencies
13 
7.48
Staff Information
Number of Residents
63 
91.38
Number of RN Hours Per Resident Per Day
0.27 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.72 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
0.98 
1.59
Number of CNA Hours Per Resident Per Day
0.02 
5.49
Number Therapy Hours Per Resident Per Day
0.02 
0.10
Environmental Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Make Sure That A Working Call System Is Available In Each Resident's Room Or Bathroom And Bathing Area.
survey Date: 11/22/2011
date Of Correction: 12/15/2011 
Deficiency #2 Scope: Many
level Of Harm: 2
deficiency: Make Sure There Is A Pest Control Program To Prevent/deal With Mice, Insects, Or Other Pests.
survey Date: 09/26/2010
date Of Correction: Not Available 
Deficiency #3 Scope: Many
level Of Harm: 2
deficiency: Make Sure That The Nursing Home Area Is Safe, Easy To Use, Clean And Comfortable For Residents, Staff And The Public.
survey Date: 09/26/2010
date Of Correction: Not Available 
Deficiency #4 Scope: Many
level Of Harm: 1
deficiency: Maintain Comfortable And Safe Temperature Levels.
survey Date: 04/09/2010
date Of Correction: 05/09/2010 
Mistreatment Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 04/14/2011
date Of Correction: 05/29/2011 
Resident Rights Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Keep Each Resident's Personal And Medical Records Private And Confidential.
survey Date: 11/22/2011
date Of Correction: 12/20/2011 
Deficiency #2 Scope: Few
level Of Harm: 3
deficiency: Try To Resolve Each Resident's Complaints Quickly.
survey Date: 09/26/2010
date Of Correction: Not Available 
Quality Care Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 1
deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.
survey Date: 12/15/2010
date Of Correction: Not Available 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 06/30/2009
date Of Correction: 07/30/2009 
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: 04/09/2010
date Of Correction: 05/09/2010 
Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.
survey Date: 11/22/2011
date Of Correction: 12/08/2011 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Prepare Food That Is Nutritional, Appetizing, Tasty, Attractive, Well-cooked, And At The Right Temperature.
survey Date: 11/22/2011
date Of Correction: 12/20/2011 
Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Make Sure Menus Meet The Resident's Nutritional Needs And That There Is A Prepared Menu By Which Nutritious Meals Have Been Planned For The Resident And Followed.
survey Date: 11/22/2011
date Of Correction: 12/15/2011 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
38.3 %
25.09 %
Percent of long-stay residents who self-report moderate to severe pain
27.1 %
16.66 %
Percent of long-stay residents who lose too much weight
36.8 %
11.83 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.4 %
15.63 %
Percent of long-stay residents with a urinary tract infection
3.5 %
13.46 %
Percent of long-stay residents who have depressive symptoms
21.1 %
28.38 %
Percent of long-stay residents who were physically restrained
75.2 %
43.68 %
Percent of long-stay residents experiencing one or more falls with major injury
1.8 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
39.7 %
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
24.3 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
16.2 %
9.22 %
Percent of long-stay residents who lose too much weight
20.1 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
26.2 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
6.3 %
10.65 %
Percent of long-stay residents with a urinary tract infection
2.9 %
9.58 %
Percent of long-stay residents who have depressive symptoms
20.7 (69.3) %
19.86 %
Percent of long-stay residents who were physically restrained
4.6 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
34.6 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
40 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
65.4 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
48.6 %
74.75 %

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