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SILVER PINES NURSING AND REHABILITATION LP

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SILVER PINES NURSING AND REHABILITATION LP VS
Nursing Homes USA
General
Percent of short-stay residents with Pressure ulcers that are new or worsened 75.2 % 
City BASTROP   0% Nursing Homes USA have BASTROP
State attribute explanation TX   7.6% Nursing Homes USA have TX
Street 188 OLD AUSTIN HIGHWAY  
Zip Code 78602  
Phone 5123216220  
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
120 
108.94
Total Number of Residents
53 
91.25
Percent of Occupied Beds
44 %
83.65 %
Health Survey Date 1/18/2012  
Fire Survey Date 1/31/2012  
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? 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
20 
7.48
Staff Information
Number of Residents
53 
91.38
Number of RN Hours Per Resident Per Day
0.58 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.73 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.31 
1.59
Number of CNA Hours Per Resident Per Day
0.02 
5.49
Number Therapy Hours Per Resident Per Day
0.02 
0.10
Environmental Deficiencies
Deficiency #1 Scope: Few
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: 06/30/2011
date Of Correction: 08/05/2011 
Deficiency #2 Scope: Few
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: 05/26/2011
date Of Correction: 06/24/2011 
Deficiency #3 Scope: Many
level Of Harm: 1
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 09/25/2009
date Of Correction: 10/16/2009 
Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 12/27/2011
date Of Correction: 01/24/2012 
Deficiency #2 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: 12/27/2011
date Of Correction: 01/24/2012 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.
survey Date: 12/27/2011
date Of Correction: 01/24/2012 
Deficiency #4 Scope: Some
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 08/16/2011
date Of Correction: 09/14/2011 
Resident Rights Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Try To Resolve Each Resident's Complaints Quickly.
survey Date: 12/27/2011
date Of Correction: 01/24/2012 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Try To Resolve Each Resident's Complaints Quickly.
survey Date: 09/25/2009
date Of Correction: 10/16/2009 
Deficiency #3 Scope: Some
level Of Harm: 1
deficiency: Give Each Resident A Notice Of Rights, Rules, Services And Charges. Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items And Services Medicaid Covers And Which The Resident Must Pay For.
survey Date: 09/25/2009
date Of Correction: 10/25/2009 
Deficiency #4 Scope: Some
level Of Harm: 2
deficiency: Tell The Resident Completely About His Or Her Health Status, Care And Treatments.
survey Date: 09/25/2009
date Of Correction: 10/16/2009 
Quality Care Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 09/25/2009
date Of Correction: 10/25/2009 
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: 09/25/2009
date Of Correction: 10/25/2009 
Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .
survey Date: 07/22/2010
date Of Correction: 08/16/2010 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 09/25/2009
date Of Correction: 10/25/2009 
Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Make Sure That Nurse Aides Show They Have The Skills And Techniques To Be Able To Care For Residents' Needs.
survey Date: 09/25/2009
date Of Correction: 10/25/2009 
Deficiency #4 Scope: Some
level Of Harm: 2
deficiency: 1) Review The Work Of Each Nurse Aide Every Year; And 2) Give Regular In-service Training Based Upon These Reviews.
survey Date: 09/25/2009
date Of Correction: 10/25/2009 
Deficiency #5 Scope: Many
level Of Harm: 1
deficiency: Post Nurse Staffing Information/data On A Daily Basis.
survey Date: 09/25/2009
date Of Correction: 10/15/2009 
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: 10/20/2010
date Of Correction: 11/28/2010 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Prepare Food That Is Nutritional, Appetizing, Tasty, Attractive, Well-cooked, And At The Right Temperature.
survey Date: 09/25/2009
date Of Correction: 10/25/2009 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
30.2 %
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
9.3 %
16.66 %
Percent of long-stay residents who lose too much weight
2.1 %
11.83 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
2 %
15.63 %
Percent of long-stay residents with a urinary tract infection
4.2 %
13.46 %
Percent of long-stay residents who have depressive symptoms
4.1 %
28.38 %
Percent of long-stay residents who were physically restrained
2 %
43.68 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
65 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
61.9 %
83.94 %
Percent of long-stay residents experiencing one or more falls with major injury
6.1 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
34.3 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
2.4 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
10.5 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers 9.9:1 % 
Percent of long-stay residents who lose too much weight
3.2 %
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
3.5 %
10.65 %
Percent of long-stay residents with a urinary tract infection
6.5 %
9.58 %
Percent of long-stay residents who have depressive symptoms
5.1 %
19.86 %
Percent of long-stay residents who were physically restrained
4.4 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
4.4 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
32.6 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
69.2 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
42.9 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
75.2 %
17.34 %

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