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SEABREEZE NURSING AND REHABILITATION LP

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SEABREEZE NURSING AND REHABILITATION LP VS
Nursing Homes USA
General
City TEXAS CITY   0% Nursing Homes USA have TEXAS CITY
State attribute explanation TX   7.6% Nursing Homes USA have TX
Street 6602 MEMORIAL DR  
Zip Code 77590  
Phone 4099352451  
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
107 
108.94
Total Number of Residents
63 
91.25
Percent of Occupied Beds
59 %
83.65 %
Health Survey Date 1/25/2012  
Fire Survey Date 1/24/2012  
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? Yes  1% Nursing Homes USA have Special Focus Facility?
Civil Money Penalty Count
58.16
Total Enforcement Actions Count
56.31
# of deficiencies
11 
7.48
Staff Information
Number of Residents
63 
91.38
Number of RN Hours Per Resident Per Day
0.49 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.68 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.17 
1.59
Number of CNA Hours Per Resident Per Day
0.09 
5.49
Number Therapy Hours Per Resident Per Day
0.09 
0.10
Environmental Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 06/28/2011
date Of Correction: 07/29/2011 
Mistreatment Deficiencies
Deficiency #1 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: 06/28/2011
date Of Correction: 07/29/2011 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 05/21/2010
date Of Correction: Not Available 
Deficiency #3 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: 05/21/2010
date Of Correction: Not Available 
Resident Rights Deficiencies
Deficiency #1 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: 10/18/2011
date Of Correction: 11/08/2011 
Deficiency #2 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: 10/18/2011
date Of Correction: 11/08/2011 
Deficiency #3 Scope: Few
level Of Harm: 2
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: 06/28/2011
date Of Correction: 07/29/2011 
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: 10/18/2011
date Of Correction: 11/08/2011 
Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.
survey Date: 07/14/2011
date Of Correction: 08/12/2011 
Deficiency #2 Scope: Many
level Of Harm: 2
deficiency: Prepare Food That Is Nutritional, Appetizing, Tasty, Attractive, Well-cooked, And At The Right Temperature.
survey Date: 07/14/2011
date Of Correction: 08/12/2011 
Deficiency #3 Scope: Many
level Of Harm: 2
deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.
survey Date: 08/25/2009
date Of Correction: 09/01/2009 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
43.1 %
25.09 %
Percent of long-stay residents who self-report moderate to severe pain
22.6 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
2.9 %
12.58 %
Percent of long-stay residents who lose too much weight
3.2 %
11.83 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
75.2 %
15.63 %
Percent of long-stay residents with a urinary tract infection
4.8 %
13.46 %
Percent of long-stay residents who have depressive symptoms
35.5 %
28.38 %
Percent of long-stay residents who were physically restrained
75.2 %
43.68 %
Percent of long-stay residents experiencing one or more falls with major injury
3.2 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
41 %
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
20.1 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
6.7 %
9.22 %
Percent of long-stay residents who lose too much weight
3 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
41.6 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
1 %
10.65 %
Percent of long-stay residents with a urinary tract infection
4 %
9.58 %
Percent of long-stay residents who have depressive symptoms
27.4 %
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
28.7 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
32.4 (90.3) %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
96.2 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
55.9 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
4.2 %
17.34 %

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