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NORTHGATE PLAZA NURSING & REHABILITATION CENTER

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NORTHGATE PLAZA NURSING & REHABILITATION CENTER VS
Nursing Homes USA
General
City IRVING   0% Nursing Homes USA have IRVING
State attribute explanation TX   7.6% Nursing Homes USA have TX
Street 2101 NORTHGATE DR  
Zip Code 75062  
Phone 9722554460  
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
111 
91.25
Percent of Occupied Beds
93 %
83.65 %
Health Survey Date 4/13/2012  
Fire Survey Date 4/11/2012  
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 - 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? 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
111 
91.38
Number of RN Hours Per Resident Per Day
0.41 
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
1.13 
1.59
Number of CNA Hours Per Resident Per Day
0.23 
5.49
Number Therapy Hours Per Resident Per Day
0.23 
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: 03/05/2011
date Of Correction: 03/06/2011 
Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 09/30/2011
date Of Correction: 10/17/2011 
Deficiency #2 Scope: Few
level Of Harm: 3
deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.
survey Date: 09/30/2011
date Of Correction: 10/17/2011 
Resident Rights Deficiencies
Deficiency #1 Scope: Few
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: 03/05/2011
date Of Correction: 03/24/2011 
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: 03/05/2011
date Of Correction: 03/06/2011 
Deficiency #2 Scope: Some
level Of Harm: 4
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 03/05/2011
date Of Correction: 03/06/2011 
Administration Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 03/05/2011
date Of Correction: 03/06/2011 
Deficiency #2 Scope: Many
level Of Harm: 2
deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .
survey Date: 03/05/2011
date Of Correction: 03/06/2011 
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: 03/05/2011
date Of Correction: 03/22/2011 
Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.
survey Date: 11/18/2010
date Of Correction: 12/01/2010 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
20.9 %
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 18.1:1 % 
Percent of long-stay high-risk residents with pressure ulcers
3.6 %
12.58 %
Percent of long-stay residents who lose too much weight
9.6 %
11.83 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
10.5 %
15.63 %
Percent of long-stay residents with a urinary tract infection 13.1:1 % 
Percent of long-stay residents who have depressive symptoms
2.20 %
28.38 %
Percent of long-stay residents who were physically restrained
2.20 %
43.68 %
Percent of short-stay residents who self-report moderate to severe pain
21.4 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
51.7 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
64.6 %
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
1.1 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
22.5 %
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
24.8 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
4.1 %
9.22 %
Percent of long-stay residents who lose too much weight
5.9 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
51.2 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
10.8 %
10.65 %
Percent of long-stay residents with a urinary tract infection
7.2 %
9.58 %
Percent of long-stay residents who have depressive symptoms
2.4 %
19.86 %
Percent of long-stay residents who were physically restrained
0.8 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
1.2 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
15.7 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
31.5 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
65.2 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
19 %
17.34 %

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