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MARINE CREEK NURSING AND REHABILITATION LP

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MARINE CREEK NURSING AND REHABILITATION LP VS
Nursing Homes USA
General
City FORT WORTH   0.2% Nursing Homes USA have FORT WORTH
State attribute explanation TX   7.6% Nursing Homes USA have TX
Street 3600 ANGLE AVE  
Zip Code 76106  
Phone 8176246164  
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
170 
108.94
Total Number of Residents
121 
91.25
Percent of Occupied Beds
71 %
83.65 %
Health Survey Date 2/24/2012  
Fire Survey Date 2/23/2012  
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 - Partnership  7.9% Nursing Homes USA have For profit - Partnership
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
25 
7.48
Staff Information
Number of Residents
121 
91.38
Number of RN Hours Per Resident Per Day
0.39 
0.77
Number of LPN/LVN Hours Per Resident Per Day
1.13 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.52 
1.59
Number of CNA Hours Per Resident Per Day
0.05 
5.49
Number Therapy Hours Per Resident Per Day
0.05 
0.10
Environmental Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 4
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 01/20/2012
date Of Correction: 02/02/2012 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Keep All Essential Equipment Working Safely.
survey Date: 01/08/2010
date Of Correction: 01/31/2010 
Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 01/08/2010
date Of Correction: 02/05/2010 
Deficiency #4 Scope: Some
level Of Harm: 4
deficiency: Make Sure There Is A Pest Control Program To Prevent/deal With Mice, Insects, Or Other Pests.
survey Date: 08/21/2009
date Of Correction: Not Available 
Deficiency #5 Scope: Some
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: 08/21/2009
date Of Correction: Not Available 
Deficiency #6 Scope: Some
level Of Harm: 4
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 08/21/2009
date Of Correction: Not Available 
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: 01/20/2012
date Of Correction: 02/02/2012 
Deficiency #2 Scope: Some
level Of Harm: 4
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: 01/20/2012
date Of Correction: 02/02/2012 
Deficiency #3 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: 01/20/2012
date Of Correction: 02/02/2012 
Deficiency #4 Scope: Some
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 02/25/2010
date Of Correction: 03/20/2010 
Deficiency #5 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: 02/25/2010
date Of Correction: 03/20/2010 
Deficiency #6 Scope: Some
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 08/21/2009
date Of Correction: Not Available 
Deficiency #7 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: 08/21/2009
date Of Correction: Not Available 
Resident Rights Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: Give Each Resident A Notice Of Rights, Rules, Services And Charges. Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items And Services Medicaid Covers And Which The Resident Must Pay For.
survey Date: 02/24/2012
date Of Correction: 03/26/2012 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Honor All Of The Resident's Rights As A Resident Of The Nursing Home, Free Of Coercion And Reprisal, And As A Citizen Or Resident Of The United States.
survey Date: 02/24/2012
date Of Correction: 03/26/2012 
Quality Care Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Properly Care For Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, And Prostheses.
survey Date: 05/06/2010
date Of Correction: 06/02/2010 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Give Proper Treatment To Residents With Feeding Tubes To Prevent Problems (such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-pharyngeal Ulcers) And Help Restore Eating Skills, If Possible.
survey Date: 05/06/2010
date Of Correction: 06/02/2010 
Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 05/06/2010
date Of Correction: 06/02/2010 
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: 01/20/2012
date Of Correction: 02/02/2012 
Deficiency #2 Scope: Some
level Of Harm: 1
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 03/14/2011
date Of Correction: 04/15/2011 
Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: 1) Review The Work Of Each Nurse Aide Every Year; And 2) Give Regular In-service Training Based Upon These Reviews.
survey Date: 01/08/2010
date Of Correction: 02/20/2010 
Pharmacy Service Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.
survey Date: 04/07/2011
date Of Correction: 04/08/2011 
Deficiency #2 Scope: Many
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: 04/07/2011
date Of Correction: 04/30/2011 
Deficiency #3 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: 04/30/2009
date Of Correction: 05/15/2009 
Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: Prepare Food That Is Nutritional, Appetizing, Tasty, Attractive, Well-cooked, And At The Right Temperature.
survey Date: 02/24/2012
date Of Correction: 03/26/2012 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
36.1 %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased
2.7 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain 17.8:1 % 
Percent of long-stay high-risk residents with pressure ulcers
6.1 %
12.58 %
Percent of long-stay residents who lose too much weight
0.8 %
11.83 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
35.2 %
44.54 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
6.3 %
15.63 %
Percent of long-stay residents with a urinary tract infection
8.8 %
13.46 %
Percent of long-stay residents who have depressive symptoms
4 %
28.38 %
Percent of long-stay residents who were physically restrained
2.4 %
43.68 %
Percent of short-stay residents who self-report moderate to severe pain
23.1 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
94.1 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
60.9 %
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
2.4 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
36.8 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
3.7 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
19.9 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
5.2 %
9.22 %
Percent of long-stay residents who lose too much weight
0.5 - 2.0 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
33 %
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
7.1 %
19.86 %
Percent of long-stay residents who were physically restrained 2.6 / 3 % 
Percent of long-stay residents experiencing one or more falls with major injury
2.3 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
26.6 (79.9) %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
87.7 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
38 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
1.6 %
17.34 %

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