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MANOR OAKS NURSING CENTER

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MANOR OAKS NURSING CENTER VS
Nursing Homes USA
General
City ROCKDALE   0% Nursing Homes USA have ROCKDALE
State attribute explanation TX   7.6% Nursing Homes USA have TX
Street 222 S FM 487  
Zip Code 76567  
Phone 5124465893  
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
120 
108.94
Total Number of Residents
60 
91.25
Percent of Occupied Beds
50 %
83.65 %
Health Survey Date 7/22/2011  
Fire Survey Date 7/21/2011  
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 Non Profit - Corporation  18.7% Nursing Homes USA have Non 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
10 
7.48
Staff Information
Number of Residents
60 
91.38
Number of RN Hours Per Resident Per Day
0.33 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.94 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.27 
1.59
Number of CNA Hours Per Resident Per Day
0.1 
5.49
Number Therapy Hours Per Resident Per Day
0.1 
0.10
Mistreatment Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 4
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 10/07/2011
date Of Correction: 11/10/2011 
Deficiency #2 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: 10/07/2011
date Of Correction: 11/10/2011 
Resident Rights Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 4
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: 10/07/2011
date Of Correction: 11/10/2011 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Keep Each Resident's Personal And Medical Records Private And Confidential.
survey Date: 04/28/2010
date Of Correction: 04/29/2010 
Quality Care Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 4
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 10/07/2011
date Of Correction: 11/10/2011 
Deficiency #2 Scope: Some
level Of Harm: 4
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 10/07/2011
date Of Correction: 11/10/2011 
Deficiency #3 Scope: Some
level Of Harm: 4
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 10/07/2011
date Of Correction: 11/10/2011 
Deficiency #4 Scope: Some
level Of Harm: 2
deficiency: Have Enough Nurses To Care For Every Resident In A Way That Maximizes The Resident's Well Being.
survey Date: 09/18/2010
date Of Correction: 09/18/2010 
Administration Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 4
deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .
survey Date: 10/07/2011
date Of Correction: 11/10/2011 
Pharmacy Service Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Keep The Rate Of Medication Errors (wrong Drug, Wrong Dose, Wrong Time) To Less Than 5%.
survey Date: 09/18/2010
date Of Correction: 09/18/2010 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
25.9 %
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
19.3 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
5.9 %
12.58 %
Percent of long-stay residents who lose too much weight
25 %
11.83 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
9.7 %
15.63 %
Percent of long-stay residents with a urinary tract infection
15 %
13.46 %
Percent of long-stay residents who have depressive symptoms
1.7 %
28.38 %
Percent of long-stay residents who were physically restrained
3.3 %
43.68 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
87.1 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
93.5 %
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
8.3 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
25.6 (78.1) %
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
12.7 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
6.1 %
9.22 %
Percent of long-stay residents who lose too much weight 18.1:1 % 
Percent of long-stay low-risk residents who lose control of their bowels or bladder
14.3 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
6.6 %
10.65 %
Percent of long-stay residents with a urinary tract infection
11.9 %
9.58 %
Percent of long-stay residents who have depressive symptoms
1.1 %
19.86 %
Percent of long-stay residents who were physically restrained
1.7 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
9.5 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
6.7 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
87.3 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened 18.2:1 % 
Percent of short-stay residents who newly received an antipsychotic medication 7.9:1 % 

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