NAZARETH HALL NURSING CENTER

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Nursing Homes USA

	General
City	EL PASO	0.1% Nursing Homes USA have EL PASO
State attribute explanation	TX	7.6% Nursing Homes USA have TX
Street	4614 TROWBRIDGE DR
Zip Code	79903
Phone	9155654677
Overall Star Rating	3	3.11
Health Inspections Star Rating	2	2.83
Nurse Staffing Star Rating	4	3.17
Quality Measures Star Rating	3	3.31
RN Only Star Rating	3	3.17
Number of Certified Beds	101	108.94
Total Number of Residents	88	91.25
Percent of Occupied Beds	87 %	83.65 %
Health Survey Date	2/11/2011
Fire Survey Date	2/9/2011
Sprinkler Status	Partially Sprinklered	8.5% Nursing Homes USA have Partially 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?	No	45.1% Nursing Homes USA don't have Multi Nursing Home Ownership?
Resident and Family Councils	Both	29.8% Nursing Homes USA have Both
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	8	7.48

	Staff Information
Number of Residents	88	91.38
Number of RN Hours Per Resident Per Day	0.48	0.77
Number of LPN/LVN Hours Per Resident Per Day	0.77	0.84
Total Number of Licensed Staff Hours Per Resident Per Day	1.25	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: Few 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: 07/07/2011 date Of Correction: 07/29/2011
Deficiency #2	Scope: Some level Of Harm: 2 deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading. survey Date: 04/16/2010 date Of Correction: 05/21/2010
	Resident Rights Deficiencies
Deficiency #1	Scope: Some level Of Harm: 2 deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality. survey Date: 04/16/2010 date Of Correction: 05/21/2010
	Quality Care Deficiencies
Deficiency #1	Scope: Some level Of Harm: 2 deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality. survey Date: 04/16/2010 date Of Correction: 05/21/2010
	Automatic Sprinkler Systems Deficiencies
Deficiency #1	Scope: Many level Of Harm: 2 deficiency: An Approved Automatic Sprinkler System Connected To The Fire Alarm System. survey Date: 03/17/2011 date Of Correction: 04/12/2011
	Exits and Egress Deficiencies
Deficiency #1	Scope: Some level Of Harm: 1 deficiency: Exits That Are Accessible At All Times. survey Date: 03/17/2011 date Of Correction: 04/12/2011
	Building Construction Deficiencies
Deficiency #1	Scope: Many level Of Harm: 1 deficiency: Approved Construction Type Or Materials. survey Date: 03/17/2011 date Of Correction: 04/12/2011
	Interior Finish Deficiencies
Deficiency #1	Scope: Some level Of Harm: 2 deficiency: Fire-resistant Room Wall Surfaces. survey Date: 03/17/2011 date Of Correction: 04/12/2011
	Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication	18.8 %	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	6.1 %	16.66 %
Percent of long-stay high-risk residents with pressure ulcers	8.9 / 9.9 %
Percent of long-stay residents who lose too much weight	10.3:1 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder	7.3 %	15.63 %
Percent of long-stay residents with a urinary tract infection	1.50 %	13.46 %
Percent of long-stay residents who have depressive symptoms	2.9 %	28.38 %
Percent of long-stay residents who were physically restrained	11.4 %	43.68 %
Percent of short-stay residents who self-report moderate to severe pain	12.5 %	25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine	93.9 %	84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened	92.6 %	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	8.6:1 %
	Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication	15.9:1 %
Percent of long-stay residents whose need for help with daily activities has increased	0.8 %	23.70 %
Percent of long-stay residents who self-report moderate to severe pain	4.3 %	14.10 %
Percent of long-stay high-risk residents with pressure ulcers	8.4 %	9.22 %
Percent of long-stay residents who lose too much weight	5.1 %	8.50 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder	10.2 %	10.65 %
Percent of long-stay residents with a urinary tract infection	0.9 %	9.58 %
Percent of long-stay residents who have depressive symptoms	5.5 %	19.86 %
Percent of long-stay residents who were physically restrained	22 %	38.53 %
Percent of long-stay residents experiencing one or more falls with major injury	7.3 %	10.73 %
Percent of short-stay residents who self-report moderate to severe pain	8.9 / 9.9 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine	95.5 %	81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened	93.7 %	74.75 %
Percent of short-stay residents who newly received an antipsychotic medication	2.3 %	17.34 %