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PLEASANT VALLEY HEALTHCARE AND REHABILITATION CENT

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PLEASANT VALLEY HEALTHCARE AND REHABILITATION CENT VS
Nursing Homes USA
General
City GARLAND   0% Nursing Homes USA have GARLAND
State attribute explanation TX   7.6% Nursing Homes USA have TX
Street 1525 PLEASANT VALLEY RD  
Zip Code 75040  
Phone 9724968800  
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
87 
108.94
Total Number of Residents
88 
91.25
Percent of Occupied Beds
101 %
83.65 %
Health Survey Date 5/10/2012  
Fire Survey Date 5/9/2012  
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 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
58.16
Total Enforcement Actions Count
56.31
# of deficiencies
7.48
Staff Information
Number of Residents
88 
91.38
Number of RN Hours Per Resident Per Day
0.27 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.89 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.16 
1.59
Number of CNA Hours Per Resident Per Day
0.15 
5.49
Number Therapy Hours Per Resident Per Day
0.15 
0.10
Mistreatment Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 01/13/2012
date Of Correction: 02/27/2012 
Deficiency #2 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: 01/13/2012
date Of Correction: 02/27/2012 
Administration Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Keep Complete, Dated Lab Records In The Resident's File.
survey Date: 08/14/2009
date Of Correction: 08/27/2009 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Give Or Get Quality Lab Services/tests In A Timely Manner To Meet The Needs Of Residents.
survey Date: 08/14/2009
date Of Correction: 09/01/2009 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Quickly Tell The Resident's Doctor The Results Of Lab Tests.
survey Date: 07/09/2009
date Of Correction: 07/31/2009 
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: 08/14/2009
date Of Correction: 09/01/2009 
Deficiency #2 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: 07/09/2009
date Of Correction: 07/31/2009 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
17.7 %
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 11.6:1 % 
Percent of long-stay residents who lose too much weight
75.2 %
11.83 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
41.3 %
44.54 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
2.4 %
15.63 %
Percent of long-stay residents with a urinary tract infection
3.7 %
13.46 %
Percent of long-stay residents who have depressive symptoms
2.4 %
28.38 %
Percent of long-stay residents who were physically restrained
75.2 %
43.68 %
Percent of short-stay residents who self-report moderate to severe pain
6.5 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
93.8 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
92.4 %
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
3.6 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
16.9-24 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
0.4 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
12.2 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
10.8 %
9.22 %
Percent of long-stay residents who lose too much weight
0.8 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
39.7 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
2.1 %
10.65 %
Percent of long-stay residents with a urinary tract infection
7.4 %
9.58 %
Percent of long-stay residents who have depressive symptoms
3.7 %
19.86 %
Percent of long-stay residents who were physically restrained
75.2 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
4.9 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain 10.3:1 % 
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
83.6 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
77.3 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
6.3 %
17.34 %

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