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SANTA FE HEALTH AND REHABILITATION CENTER

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SANTA FE HEALTH AND REHABILITATION CENTER VS
Nursing Homes USA
General
City WEATHERFORD   0.1% Nursing Homes USA have WEATHERFORD
State attribute explanation TX   7.6% Nursing Homes USA have TX
Street 1205 SANTA FE DR  
Zip Code 76086  
Phone 8175942786  
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
116 
108.94
Total Number of Residents
88 
91.25
Percent of Occupied Beds
76 %
83.65 %
Health Survey Date 2/16/2012  
Fire Survey Date 2/14/2012  
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? 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
75.2 
58.16
Total Enforcement Actions Count
75.2 
56.31
# of deficiencies
7.48
Staff Information
Number of Residents
88 
91.38
Number of RN Hours Per Resident Per Day
0.22 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.86 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.09 
1.59
Number of CNA Hours Per Resident Per Day
0.08 
5.49
Number Therapy Hours Per Resident Per Day
0.08 
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: 12/22/2011
date Of Correction: 01/22/2012 
Deficiency #2 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: 12/22/2011
date Of Correction: 01/22/2012 
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: 11/10/2011
date Of Correction: 12/10/2011 
Pharmacy Service Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.
survey Date: 09/16/2010
date Of Correction: 10/16/2010 
Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Prepare Food That Is Nutritional, Appetizing, Tasty, Attractive, Well-cooked, And At The Right Temperature.
survey Date: 12/09/2009
date Of Correction: 01/19/2010 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
33.3 %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased
1.7 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain
10 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
75.2 %
12.58 %
Percent of long-stay residents who lose too much weight 11.6:1 % 
Percent of long-stay low-risk residents who lose control of their bowels or bladder
30.2 %
44.54 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
2.1 %
15.63 %
Percent of long-stay residents with a urinary tract infection
75.2 %
13.46 %
Percent of long-stay residents who have depressive symptoms
75.2 %
28.38 %
Percent of long-stay residents who were physically restrained
1.4 %
43.68 %
Percent of short-stay residents who self-report moderate to severe pain
29.2 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine 17.8:1 % 
Percent of short-stay residents with Pressure ulcers that are new or worsened 8.9 / 9.9 % 
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
2.8 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
32.7 (90.9) %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
1.3 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
8 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
3.6 %
9.22 %
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
28.1 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
2.3 %
10.65 %
Percent of long-stay residents with a urinary tract infection
0.5 - 2.0 %
9.58 %
Percent of long-stay residents who have depressive symptoms
0.5 - 2.0 %
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
3.1 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
29.1 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
21.4 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened 12.6:1 % 
Percent of short-stay residents who newly received an antipsychotic medication
19.5-24 %
17.34 %

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