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NOLAN NURSING AND REHABILITATION LP

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NOLAN NURSING AND REHABILITATION LP VS
Nursing Homes USA
General
City SWEETWATER   0% Nursing Homes USA have SWEETWATER
State attribute explanation TX   7.6% Nursing Homes USA have TX
Street 705 NE GEORGIA AVENUE  
Zip Code 79556  
Phone 3252355417  
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
96 
108.94
Total Number of Residents
63 
91.25
Percent of Occupied Beds
66 %
83.65 %
Health Survey Date 7/8/2011  
Fire Survey Date 7/12/2011  
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 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
17 
7.48
Staff Information
Number of Residents
63 
91.38
Number of RN Hours Per Resident Per Day
0.3 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.93 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.22 
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
Environmental Deficiencies
Deficiency #1 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: 01/13/2012
date Of Correction: 02/27/2012 
Deficiency #2 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: 08/19/2011
date Of Correction: 09/16/2011 
Deficiency #3 Scope: Few
level Of Harm: 3
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 04/29/2010
date Of Correction: 05/14/2010 
Deficiency #4 Scope: Some
level Of Harm: 2
deficiency: Provide A Safe, Clean, Comfortable And Homelike Environment.
survey Date: 06/26/2009
date Of Correction: 07/24/2009 
Mistreatment Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.
survey Date: 07/08/2011
date Of Correction: 08/08/2011 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment.
survey Date: 06/26/2009
date Of Correction: 07/24/2009 
Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.
survey Date: 08/19/2011
date Of Correction: 09/16/2011 
Deficiency #2 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: 11/30/2010
date Of Correction: 11/30/2010 
Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 11/30/2010
date Of Correction: Not Available 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 10/06/2010
date Of Correction: 10/22/2010 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.
survey Date: 04/01/2010
date Of Correction: 04/17/2010 
Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 06/26/2009
date Of Correction: 07/24/2009 
Resident Assessment Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan.
survey Date: 08/19/2011
date Of Correction: 09/16/2011 
Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 10/24/2011
date Of Correction: 11/18/2011 
Deficiency #2 Scope: Some
level Of Harm: 4
deficiency: Give Or Get Quality Lab Services/tests In A Timely Manner To Meet The Needs Of Residents.
survey Date: 11/30/2010
date Of Correction: 11/30/2010 
Deficiency #3 Scope: Some
level Of Harm: 4
deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .
survey Date: 11/30/2010
date Of Correction: 11/30/2010 
Pharmacy Service Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 4
deficiency: 1) Make Sure That Each Resident's Drug Regimen Is Free From Unnecessary Drugs; 2) Each Resident's Entire Drug/medication Is Managed And Monitored To Achieve Highest Well Being.
survey Date: 11/30/2010
date Of Correction: 11/30/2010 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication 13.1:1 % 
Percent of long-stay residents whose need for help with daily activities has increased
8.3 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain
27.8 (82.0) %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
9.3 %
12.58 %
Percent of long-stay residents who lose too much weight
4.6 %
11.83 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
39.4 %
44.54 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
11.3 %
15.63 %
Percent of long-stay residents with a urinary tract infection 12.3:1 % 
Percent of long-stay residents who have depressive symptoms
7.4 %
28.38 %
Percent of long-stay residents who were physically restrained
1.50 %
43.68 %
Percent of short-stay residents who self-report moderate to severe pain
25 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
88.2 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
76.5 %
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
8.8 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
12.4-2413.6-24 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
5.5 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
32.5 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers 8.9 / 9.9 % 
Percent of long-stay residents who lose too much weight
5 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
42.9 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
11.4 %
10.65 %
Percent of long-stay residents with a urinary tract infection
12.7 %
9.58 %
Percent of long-stay residents who have depressive symptoms
8.2 %
19.86 %
Percent of long-stay residents who were physically restrained
1.1 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
11.2-20 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
31.1 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
84 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
74 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
75.2 %
17.34 %

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