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General |
| City |
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Houston |
0.4% Nursing Homes USA have Houston |
| State attribute explanation |
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TX |
7.6% Nursing Homes USA have TX
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| Street |
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1615 HILLENDAHL RD |
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| Zip Code |
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77055 |
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| Phone |
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7133650561 |
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| Overall Star Rating |
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| Health Inspections Star Rating |
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| Nurse Staffing Star Rating |
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| Quality Measures Star Rating |
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| RN Only Star Rating |
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| Number of Certified Beds |
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| Total Number of Residents |
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| Percent of Occupied Beds |
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| Health Survey Date |
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7/22/2011 |
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| Fire Survey Date |
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7/27/2011 |
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| Sprinkler Status |
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Fully Sprinklered |
90.2% Nursing Homes USA have Fully Sprinklered |
| Program Participation |
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Medicare And Medicaid |
91.5% Nursing Homes USA have Medicare and Medicaid
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| Type of Ownership |
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For Profit - Corporation |
56.7% Nursing Homes USA have For profit - Corporation
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| Located Within a Hospital? |
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No |
93.6% Nursing Homes USA don't have Located Within a Hospital?
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| Multi Nursing Home Ownership? |
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No |
45.1% Nursing Homes USA don't have Multi Nursing Home Ownership? |
| Resident and Family Councils |
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Both |
29.8% Nursing Homes USA have Both |
| Continuing Care Retirement Community? |
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No |
90.9% Nursing Homes USA don't have Continuing Care Retirement Community? |
| Quality Indicator Survey? |
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No |
68.7% Nursing Homes USA don't have Quality Indicator Survey? |
| Special Focus Facility? |
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No |
99% Nursing Homes USA don't have Special Focus Facility? |
| Civil Money Penalty Count |
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| Total Enforcement Actions Count |
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| # of deficiencies |
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Staff Information |
| Number of Residents |
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| Number of RN Hours Per Resident Per Day |
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| Number of LPN/LVN Hours Per Resident Per Day |
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| Total Number of Licensed Staff Hours Per Resident Per Day |
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| Number of CNA Hours Per Resident Per Day |
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| Number Therapy Hours Per Resident Per Day |
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Environmental Deficiencies |
| Deficiency #1 |
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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: 07/22/2011
date Of Correction: 09/16/2011 |
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| Deficiency #2 |
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Scope: Some
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 07/22/2011
date Of Correction: 09/02/2011 |
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| Deficiency #3 |
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Scope: Some
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: 07/22/2011
date Of Correction: 08/28/2011 |
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| Deficiency #4 |
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Scope: Many
level Of Harm: 1
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 07/22/2011
date Of Correction: 08/28/2011 |
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| Deficiency #5 |
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Scope: Few
level Of Harm: 3
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 11/18/2010
date Of Correction: 12/20/2010 |
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| Deficiency #6 |
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Scope: Some
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 09/03/2010
date Of Correction: 09/17/2010 |
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| Deficiency #7 |
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Scope: Some
level Of Harm: 1
deficiency: Put Firmly Secured Handrails On Each Side Of Hallways.
survey Date: 06/24/2010
date Of Correction: 07/23/2010 |
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| Deficiency #8 |
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Scope: Few
level Of Harm: 2
deficiency: Make Sure That A Working Call System Is Available In Each Resident's Room Or Bathroom And Bathing Area.
survey Date: 06/24/2010
date Of Correction: 07/23/2010 |
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| Deficiency #9 |
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Scope: Some
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 06/24/2010
date Of Correction: 07/23/2010 |
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| Deficiency #10 |
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Scope: Some
level Of Harm: 2
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 06/24/2010
date Of Correction: 07/23/2010 |
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| Deficiency #11 |
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Scope: Few
level Of Harm: 2
deficiency: Provide A Safe, Clean, Comfortable And Homelike Environment.
survey Date: 06/09/2010
date Of Correction: 06/25/2010 |
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| Deficiency #12 |
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Scope: Some
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: 04/28/2010
date Of Correction: 05/25/2010 |
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| Deficiency #13 |
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Scope: Some
level Of Harm: 2
deficiency: Make Sure That A Working Call System Is Available In Each Resident's Room Or Bathroom And Bathing Area.
survey Date: 09/03/2009
date Of Correction: 09/30/2009 |
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| Deficiency #14 |
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Scope: Some
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 06/25/2009
date Of Correction: 07/20/2009 |
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Mistreatment Deficiencies |
| Deficiency #1 |
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Scope: Few
level Of Harm: 2
deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment.
survey Date: 06/24/2010
date Of Correction: 07/23/2010 |
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Resident Rights Deficiencies |
| Deficiency #1 |
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Scope: Some
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: 07/22/2011
date Of Correction: 09/02/2011 |
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| Deficiency #2 |
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Scope: Many
level Of Harm: 1
deficiency: Provide Access To A Telephone For Resident To Use In Private.
survey Date: 07/22/2011
date Of Correction: 08/25/2011 |
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| Deficiency #3 |
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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: 07/22/2011
date Of Correction: 08/28/2011 |
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| Deficiency #4 |
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Scope: Few
level Of Harm: 2
deficiency: Provide Enough Notice Before Discharging Or Transferring A Resident.
survey Date: 07/24/2010
date Of Correction: 08/14/2010 |
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| Deficiency #5 |
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Scope: Some
level Of Harm: 2
deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.
survey Date: 06/24/2010
date Of Correction: 07/23/2010 |
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| Deficiency #6 |
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Scope: Some
level Of Harm: 2
deficiency: Try To Resolve Each Resident's Complaints Quickly.
survey Date: 06/24/2010
date Of Correction: 07/23/2010 |
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| Deficiency #7 |
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Scope: Few
level Of Harm: 2
deficiency: Let The Resident Refuse Treatment Or Refuse To Take Part In An Experiment And Formulate Advance Directives.
survey Date: 06/09/2010
date Of Correction: 06/25/2010 |
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| Deficiency #8 |
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Scope: Some
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: 06/05/2009
date Of Correction: 06/25/2009 |
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Quality Care Deficiencies |
| Deficiency #1 |
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Scope: Some
level Of Harm: 2
deficiency: Have Enough Nurses To Care For Every Resident In A Way That Maximizes The Resident's Well Being.
survey Date: 07/22/2011
date Of Correction: 08/28/2011 |
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| Deficiency #2 |
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Scope: Few
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 07/22/2011
date Of Correction: 08/25/2011 |
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| Deficiency #3 |
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Scope: Few
level Of Harm: 2
deficiency: Provide Medically-related Social Services To Help Each Resident Achieve The Highest Possible Quality Of Life.
survey Date: 07/22/2011
date Of Correction: 09/02/2011 |
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| Deficiency #4 |
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Scope: Few
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 10/19/2010
date Of Correction: 11/01/2010 |
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| Deficiency #5 |
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Scope: Few
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 04/28/2010
date Of Correction: 05/25/2010 |
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| Deficiency #6 |
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Scope: Few
level Of Harm: 2
deficiency: Properly Care For Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, And Prostheses.
survey Date: 06/25/2009
date Of Correction: 07/20/2009 |
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| Deficiency #7 |
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Scope: Few
level Of Harm: 2
deficiency: Make Sure That Each Resident Who Enters The Nursing Home Without A Catheter Is Not Given A Catheter, And Receive Proper Services To Prevent Urinary Tract Infections And Restore Normal Bladder Function.
survey Date: 06/25/2009
date Of Correction: 07/20/2009 |
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| Deficiency #8 |
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Scope: Some
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 06/25/2009
date Of Correction: 07/20/2009 |
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| Deficiency #9 |
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Scope: Some
level Of Harm: 2
deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.
survey Date: 06/05/2009
date Of Correction: 06/25/2009 |
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| Deficiency #10 |
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Scope: Some
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 06/05/2009
date Of Correction: 06/25/2009 |
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Resident Assessment Deficiencies |
| Deficiency #1 |
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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: 07/22/2011
date Of Correction: 09/02/2011 |
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| Deficiency #2 |
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Scope: Few
level Of Harm: 2
deficiency: Make Sure Each Resident Receives An Accurate Assessment By A Qualified Health Professional.
survey Date: 07/22/2011
date Of Correction: 09/02/2011 |
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| Deficiency #3 |
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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: 08/19/2010
date Of Correction: 09/17/2010 |
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| Deficiency #4 |
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Scope: Some
level Of Harm: 2
deficiency: Review Or Revise The Resident's Care Plan After Any Major Change In A Resident's Physical Or Mental Health.
survey Date: 08/19/2010
date Of Correction: 09/17/2010 |
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| Deficiency #5 |
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Scope: Some
level Of Harm: 2
deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan.
survey Date: 06/24/2010
date Of Correction: 07/23/2010 |
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| Deficiency #6 |
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Scope: Few
level Of Harm: 2
deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan.
survey Date: 04/28/2010
date Of Correction: 05/25/2010 |
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Administration Deficiencies |
| Deficiency #1 |
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Scope: Some
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 07/22/2011
date Of Correction: 09/02/2011 |
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| Deficiency #2 |
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Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 09/03/2010
date Of Correction: 09/17/2010 |
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| Deficiency #3 |
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Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 07/24/2010
date Of Correction: 08/14/2010 |
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| Deficiency #4 |
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Scope: Some
level Of Harm: 2
deficiency: Train All Employees On What To Do In An Emergency, And Carry Out Announced Staff Drills.
survey Date: 06/25/2009
date Of Correction: 07/20/2009 |
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Pharmacy Service Deficiencies |
| Deficiency #1 |
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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: 07/22/2011
date Of Correction: 09/02/2011 |
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| Deficiency #2 |
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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: 06/24/2010
date Of Correction: 07/23/2010 |
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| Deficiency #3 |
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Scope: Some
level Of Harm: 2
deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.
survey Date: 06/25/2009
date Of Correction: 07/20/2009 |
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Nutrition and Dietary Deficiencies |
| Deficiency #1 |
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Scope: Some
level Of Harm: 2
deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.
survey Date: 06/24/2010
date Of Correction: 07/23/2010 |
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| Deficiency #2 |
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Scope: Some
level Of Harm: 2
deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.
survey Date: 06/25/2009
date Of Correction: 07/20/2009 |
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Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
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| Percent of long-stay residents whose need for help with daily activities has increased |
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| Percent of long-stay residents who self-report moderate to severe pain |
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| Percent of long-stay high-risk residents with pressure ulcers |
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| Percent of long-stay residents who lose too much weight |
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| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
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| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
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| Percent of long-stay residents with a urinary tract infection |
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| Percent of long-stay residents who have depressive symptoms |
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| Percent of long-stay residents who were physically restrained |
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| Percent of short-stay residents who self-report moderate to severe pain |
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| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
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| Percent of short-stay residents with Pressure ulcers that are new or worsened |
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| Percent of short-stay residents who newly received an antipsychotic medication |
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| Percent of long-stay residents experiencing one or more falls with major injury |
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Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
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| Percent of long-stay residents whose need for help with daily activities has increased |
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| Percent of long-stay residents who self-report moderate to severe pain |
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| Percent of long-stay high-risk residents with pressure ulcers |
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| Percent of long-stay residents who lose too much weight |
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| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
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| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
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| Percent of long-stay residents with a urinary tract infection |
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| Percent of long-stay residents who have depressive symptoms |
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| Percent of long-stay residents who were physically restrained |
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| Percent of long-stay residents experiencing one or more falls with major injury |
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| Percent of short-stay residents who self-report moderate to severe pain |
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| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
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| Percent of short-stay residents with Pressure ulcers that are new or worsened |
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| Percent of short-stay residents who newly received an antipsychotic medication |
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