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SOUTHAVEN NURSING CENTER

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SOUTHAVEN NURSING CENTER VS
Nursing Homes USA
General
City DALLAS   0.3% Nursing Homes USA have DALLAS
State attribute explanation TX   7.6% Nursing Homes USA have TX
Street 5300 HOUSTON SCHOOL RD  
Zip Code 75241  
Phone 2143721496  
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
200 
108.94
Total Number of Residents
174 
91.25
Percent of Occupied Beds
87 %
83.65 %
Health Survey Date 2/10/2012  
Fire Survey Date 2/9/2012  
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? Yes  1% Nursing Homes USA have Special Focus Facility?
Civil Money Penalty Count
58.16
Total Enforcement Actions Count
56.31
# of deficiencies
12 
7.48
Staff Information
Number of Residents
174 
91.38
Number of RN Hours Per Resident Per Day
0.23 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.7 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
0.92 
1.59
Number of CNA Hours Per Resident Per Day
75.2 
5.49
Environmental Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: Make Sure There Is A Pest Control Program To Prevent/deal With Mice, Insects, Or Other Pests.
survey Date: 07/20/2011
date Of Correction: 07/22/2011 
Deficiency #2 Scope: Many
level Of Harm: 2
deficiency: Make Sure There Is A Pest Control Program To Prevent/deal With Mice, Insects, Or Other Pests.
survey Date: 07/29/2010
date Of Correction: 08/29/2010 
Deficiency #3 Scope: Many
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: 07/29/2010
date Of Correction: 09/13/2010 
Deficiency #4 Scope: Many
level Of Harm: 1
deficiency: Dispose Of Garbage And Refuse Properly.
survey Date: 07/29/2010
date Of Correction: 09/13/2010 
Deficiency #5 Scope: Few
level Of Harm: 3
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 05/07/2010
date Of Correction: 05/17/2010 
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: 02/25/2010
date Of Correction: 03/30/2010 
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: 02/25/2010
date Of Correction: 03/30/2010 
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: 05/22/2009
date Of Correction: 05/27/2009 
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: 05/22/2009
date Of Correction: 05/27/2009 
Quality Care Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 07/13/2010
date Of Correction: 08/13/2010 
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: 01/12/2011
date Of Correction: 02/25/2011 
Deficiency #2 Scope: Many
level Of Harm: 1
deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.
survey Date: 04/23/2009
date Of Correction: 05/25/2009 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
68.8 %
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
3.8 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
3.2 %
12.58 %
Percent of long-stay residents who lose too much weight
4.3 %
11.83 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
11.1 %
44.54 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
2.5 %
15.63 %
Percent of long-stay residents with a urinary tract infection
0.6 %
13.46 %
Percent of long-stay residents who have depressive symptoms
75.2 %
28.38 %
Percent of long-stay residents who were physically restrained
6.7 %
43.68 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
91.3 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
95.7 %
83.94 %
Percent of short-stay residents who newly received an antipsychotic medication
45.90
Percent of long-stay residents experiencing one or more falls with major injury
1.2 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
63.3 %
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
3.9 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
4 %
9.22 %
Percent of long-stay residents who lose too much weight
4.3 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
13.5 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
2.4 %
10.65 %
Percent of long-stay residents with a urinary tract infection
0.6 %
9.58 %
Percent of long-stay residents who have depressive symptoms
75.2 %
19.86 %
Percent of long-stay residents who were physically restrained
7.1 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
1 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
20.4 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
88.9 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
20.7 (69.3) %
74.75 %

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