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SIENNA NURSING AND REHABILITATION LP

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SIENNA NURSING AND REHABILITATION LP VS
Nursing Homes USA
General
City ODESSA   0% Nursing Homes USA have ODESSA
State attribute explanation TX   7.6% Nursing Homes USA have TX
Street 2510 W EIGHTH  
Zip Code 79763  
Phone 4323334511  
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
138 
108.94
Total Number of Residents
104 
91.25
Percent of Occupied Beds
75 %
83.65 %
Health Survey Date 10/28/2011  
Fire Survey Date 11/2/2011  
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 - Partnership  7.9% Nursing Homes USA have For profit - Partnership
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
10 
7.48
Staff Information
Number of Residents
104 
91.38
Number of RN Hours Per Resident Per Day
0.35 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.66 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.01 
1.59
Number of CNA Hours Per Resident Per Day
0.01 
5.49
Number Therapy Hours Per Resident Per Day
0.01 
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: 09/24/2010
date Of Correction: 11/15/2010 
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: 09/24/2010
date Of Correction: 11/15/2010 
Deficiency #3 Scope: Many
level Of Harm: 4
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 07/17/2009
date Of Correction: 08/14/2009 
Deficiency #4 Scope: Many
level Of Harm: 4
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: 07/17/2009
date Of Correction: 08/14/2009 
Deficiency #5 Scope: Many
level Of Harm: 4
deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.
survey Date: 07/17/2009
date Of Correction: 08/14/2009 
Deficiency #6 Scope: Many
level Of Harm: 4
deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.
survey Date: 07/17/2009
date Of Correction: 08/14/2009 
Resident Rights Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.
survey Date: 04/03/2009
date Of Correction: 05/04/2009 
Quality Care Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 02/26/2010
date Of Correction: 04/01/2010 
Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Quickly Tell The Resident's Doctor The Results Of Lab Tests.
survey Date: 02/04/2010
date Of Correction: 03/15/2010 
Deficiency #2 Scope: Many
level Of Harm: 4
deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .
survey Date: 07/17/2009
date Of Correction: 08/14/2009 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
31 %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased
1.9 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain
24.9 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
15.1 %
12.58 %
Percent of long-stay residents who lose too much weight
5.5 %
11.83 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
6 %
15.63 %
Percent of long-stay residents with a urinary tract infection
8.8 %
13.46 %
Percent of long-stay residents who have depressive symptoms 11.6:1 % 
Percent of long-stay residents who were physically restrained
4.3 %
43.68 %
Percent of short-stay residents who self-report moderate to severe pain
50 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
60.5 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
58.7 %
83.94 %
Percent of short-stay residents who newly received an antipsychotic medication
10 %
45.90 %
Percent of long-stay residents experiencing one or more falls with major injury
7.6 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
29.9 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
0.7 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
23.7 (74.7) %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
9.8 %
9.22 %
Percent of long-stay residents who lose too much weight
9 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
40.9 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
6.6 %
10.65 %
Percent of long-stay residents with a urinary tract infection
11.7 %
9.58 %
Percent of long-stay residents who have depressive symptoms
15 %
19.86 %
Percent of long-stay residents who were physically restrained
4.7 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
5.3 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
46.9 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
72.5 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
63.4 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
37.4 %
17.34 %

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