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ST JOSEPH MANOR

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ST JOSEPH MANOR VS
Nursing Homes USA
General
City BRYAN   0% Nursing Homes USA have BRYAN
State attribute explanation TX   7.6% Nursing Homes USA have TX
Street 2333 MANOR DR  
Zip Code 77802  
Phone 9798217330  
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
81 
108.94
Total Number of Residents
61 
91.25
Percent of Occupied Beds
75 %
83.65 %
Health Survey Date 10/19/2011  
Fire Survey Date 10/20/2011  
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 Non Profit - Corporation  18.7% Nursing Homes USA have Non 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? 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
7.48
Staff Information
Number of Residents
61 
91.38
Number of RN Hours Per Resident Per Day
0.56 
0.77
Number of LPN/LVN Hours Per Resident Per Day
1.68 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
2.25 
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
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: 08/19/2010
date Of Correction: 09/19/2010 
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: 08/19/2010
date Of Correction: 09/19/2010 
Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Give Proper Treatment To Residents With Feeding Tubes To Prevent Problems (such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-pharyngeal Ulcers) And Help Restore Eating Skills, If Possible.
survey Date: 07/10/2009
date Of Correction: 08/10/2009 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 07/10/2009
date Of Correction: 08/10/2009 
Resident Assessment Deficiencies
Deficiency #1 Scope: Few
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: 07/10/2009
date Of Correction: 08/10/2009 
Administration Deficiencies
Deficiency #1 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: 07/10/2009
date Of Correction: 08/10/2009 
Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.
survey Date: 07/10/2009
date Of Correction: 08/10/2009 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
10.6 %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased
0.7 %
32.95 %
Percent of long-stay residents who lose too much weight
75.2 %
11.83 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
5.8 %
15.63 %
Percent of long-stay residents with a urinary tract infection
9.3 %
13.46 %
Percent of long-stay residents who have depressive symptoms
2.20 %
28.38 %
Percent of long-stay residents who were physically restrained
75.2 %
43.68 %
Percent of short-stay residents who self-report moderate to severe pain
34.7 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
84.2 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
85.9 %
83.94 %
Percent of short-stay residents who newly received an antipsychotic medication
3.7 %
45.90 %
Percent of long-stay residents experiencing one or more falls with major injury
4.3 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
15.5 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
1.9 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
25.9 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers 8.1 / 8.8 % 
Percent of long-stay residents who lose too much weight
3.8 %
8.50 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
5 %
10.65 %
Percent of long-stay residents with a urinary tract infection
10.8 %
9.58 %
Percent of long-stay residents who have depressive symptoms
3 %
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
5.8 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
37.8 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
87 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
89.7 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
14.5 %
17.34 %

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