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RIVER CITY CARE CENTER

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RIVER CITY CARE CENTER VS
Nursing Homes USA
General
City SAN ANTONIO   0.4% Nursing Homes USA have SAN ANTONIO
State attribute explanation TX   7.6% Nursing Homes USA have TX
Street 921 NOLAN ST  
Zip Code 78202  
Phone 2102266397  
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
100 
108.94
Total Number of Residents
83 
91.25
Percent of Occupied Beds
83 %
83.65 %
Health Survey Date 3/2/2012  
Fire Survey Date 2/29/2012  
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 - Individual  3.5% Nursing Homes USA have For profit - Individual
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 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
36 
7.48
Staff Information
Number of Residents
83 
91.38
Number of RN Hours Per Resident Per Day
0.47 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.76 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.23 
1.59
Number of CNA Hours Per Resident Per Day
0.07 
5.49
Number Therapy Hours Per Resident Per Day
0.07 
0.10
Environmental Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 09/02/2011
date Of Correction: 09/09/2011 
Deficiency #2 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: 07/25/2011
date Of Correction: 08/01/2011 
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: 11/05/2010
date Of Correction: 12/05/2010 
Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 09/15/2010
date Of Correction: 10/15/2010 
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: 04/10/2012
date Of Correction: 05/12/2012 
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: 04/10/2012
date Of Correction: 05/12/2012 
Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment.
survey Date: 02/03/2012
date Of Correction: 03/03/2012 
Deficiency #4 Scope: Some
level Of Harm: 4
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 09/12/2011
date Of Correction: 10/13/2011 
Deficiency #5 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: 09/12/2011
date Of Correction: 10/13/2011 
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: 09/02/2011
date Of Correction: 09/03/2011 
Deficiency #7 Scope: Some
level Of Harm: 2
deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.
survey Date: 09/02/2011
date Of Correction: 09/03/2011 
Deficiency #8 Scope: Few
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: 11/05/2010
date Of Correction: 12/05/2010 
Deficiency #9 Scope: Some
level Of Harm: 2
deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.
survey Date: 11/05/2010
date Of Correction: 12/05/2010 
Deficiency #10 Scope: Few
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 02/23/2010
date Of Correction: 03/26/2010 
Deficiency #11 Scope: Few
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: 02/23/2010
date Of Correction: 03/26/2010 
Resident Rights Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Let The Resident Refuse Treatment Or Refuse To Take Part In An Experiment And Formulate Advance Directives.
survey Date: 02/03/2012
date Of Correction: 03/03/2012 
Deficiency #2 Scope: Few
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: 09/02/2011
date Of Correction: 09/03/2011 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Keep Each Resident's Personal And Medical Records Private And Confidential.
survey Date: 07/25/2011
date Of Correction: 07/26/2011 
Deficiency #4 Scope: Some
level Of Harm: 2
deficiency: Try To Resolve Each Resident's Complaints Quickly.
survey Date: 11/05/2010
date Of Correction: 12/05/2010 
Quality Care Deficiencies
Deficiency #1 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: 02/03/2012
date Of Correction: 03/03/2012 
Deficiency #2 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: 09/12/2011
date Of Correction: 10/13/2011 
Deficiency #3 Scope: Some
level Of Harm: 4
deficiency: Make Sure That Each Resident Who Enters The Nursing Home Without A Catheter Is Not Given A Catheter, And Receive Proper Services To Prevent Urinary Tract Infections And Restore Normal Bladder Function.
survey Date: 09/12/2011
date Of Correction: 10/13/2011 
Deficiency #4 Scope: Some
level Of Harm: 4
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 09/12/2011
date Of Correction: 10/13/2011 
Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Each Resident Who Enters The Nursing Home Without A Catheter Is Not Given A Catheter, And Receive Proper Services To Prevent Urinary Tract Infections And Restore Normal Bladder Function.
survey Date: 09/02/2011
date Of Correction: 09/03/2011 
Deficiency #6 Scope: Some
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 09/02/2011
date Of Correction: 09/03/2011 
Deficiency #7 Scope: Few
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 11/05/2010
date Of Correction: 12/05/2010 
Deficiency #8 Scope: Some
level Of Harm: 2
deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So.
survey Date: 09/15/2010
date Of Correction: 10/15/2010 
Deficiency #9 Scope: Some
level Of Harm: 2
deficiency: Make Sure That Each Resident Who Enters The Nursing Home Without A Catheter Is Not Given A Catheter, And Receive Proper Services To Prevent Urinary Tract Infections And Restore Normal Bladder Function.
survey Date: 04/29/2010
date Of Correction: 05/21/2010 
Deficiency #10 Scope: Few
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: 04/01/2010
date Of Correction: 04/26/2010 
Resident Assessment Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.
survey Date: 09/12/2011
date Of Correction: 10/13/2011 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.
survey Date: 09/15/2010
date Of Correction: 10/15/2010 
Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Quickly Tell The Resident's Doctor The Results Of Lab Tests.
survey Date: 09/12/2011
date Of Correction: 10/13/2011 
Deficiency #2 Scope: Many
level Of Harm: 1
deficiency: Post Nurse Staffing Information/data On A Daily Basis.
survey Date: 09/12/2011
date Of Correction: 10/13/2011 
Deficiency #3 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: 09/24/2009
date Of Correction: 11/06/2009 
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: 09/02/2011
date Of Correction: 09/03/2011 
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: 10/15/2010
date Of Correction: 11/30/2010 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
51.2 %
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
3.3 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
2.20 %
12.58 %
Percent of long-stay residents who lose too much weight
7.5 %
11.83 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
49.1 %
44.54 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
6.7 %
15.63 %
Percent of long-stay residents with a urinary tract infection
2.5 %
13.46 %
Percent of long-stay residents who have depressive symptoms 8.9 / 9.9 % 
Percent of long-stay residents who were physically restrained
1.3 %
43.68 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
76.2 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
81.8 %
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
3.8 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
52.3 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
1.9 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
8.3 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
4.8 %
9.22 %
Percent of long-stay residents who lose too much weight 9.9:1 % 
Percent of long-stay low-risk residents who lose control of their bowels or bladder
38.8 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
6.9 %
10.65 %
Percent of long-stay residents with a urinary tract infection 2.6 / 3 % 
Percent of long-stay residents who have depressive symptoms
13.2 %
19.86 %
Percent of long-stay residents who were physically restrained
1.3 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
2.20 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain 9.4 / 10.4 % 
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
68.6 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
91.1 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
11.5 %
17.34 %

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