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THE COURTYARDS AT PASADENA

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THE COURTYARDS AT PASADENA VS
Nursing Homes USA
General
City Pasadena  0.1% Nursing Homes USA have Pasadena
State attribute explanation TX   7.6% Nursing Homes USA have TX
Street 4048 RED BLUFF ROAD  
Zip Code 77503  
Phone 7134777877  
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
196 
108.94
Total Number of Residents
130 
91.25
Percent of Occupied Beds
66 %
83.65 %
Health Survey Date 10/20/2011  
Fire Survey Date 10/19/2011  
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 - 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 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
75.2 
58.16
Total Enforcement Actions Count
75.2 
56.31
# of deficiencies
22 
7.48
Staff Information
Number of Residents
130 
91.38
Number of RN Hours Per Resident Per Day
0.44 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.88 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.32 
1.59
Number of CNA Hours Per Resident Per Day
0.08 
5.49
Number Therapy Hours Per Resident Per Day
0.08 
0.10
Environmental Deficiencies
Deficiency #1 Scope: Few
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: 08/04/2011
date Of Correction: 09/02/2011 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 05/18/2011
date Of Correction: Not Available 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 01/25/2011
date Of Correction: 02/08/2011 
Deficiency #4 Scope: Some
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 09/04/2010
date Of Correction: 09/23/2010 
Deficiency #5 Scope: Some
level Of Harm: 1
deficiency: Dispose Of Garbage And Refuse Properly.
survey Date: 09/04/2010
date Of Correction: 09/23/2010 
Deficiency #6 Scope: Some
level Of Harm: 1
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 05/06/2010
date Of Correction: Not Available 
Deficiency #7 Scope: Few
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 11/06/2009
date Of Correction: 12/11/2009 
Resident Rights Deficiencies
Deficiency #1 Scope: Few
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: 08/04/2011
date Of Correction: 09/06/2011 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.
survey Date: 11/06/2009
date Of Correction: 12/11/2009 
Quality Care Deficiencies
Deficiency #1 Scope: Some
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: 05/18/2011
date Of Correction: Not Available 
Deficiency #2 Scope: Some
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: 01/25/2011
date Of Correction: 02/07/2011 
Deficiency #3 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: 10/12/2010
date Of Correction: Not Available 
Deficiency #4 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: 09/04/2010
date Of Correction: 09/23/2010 
Deficiency #5 Scope: Some
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: 09/04/2010
date Of Correction: 09/30/2010 
Deficiency #6 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 09/04/2010
date Of Correction: 09/23/2010 
Deficiency #7 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: 11/06/2009
date Of Correction: 12/11/2009 
Deficiency #8 Scope: Some
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: 11/06/2009
date Of Correction: 12/11/2009 
Deficiency #9 Scope: Some
level Of Harm: 2
deficiency: Provide Activities To Meet The Interests And Needs Of Each Resident.
survey Date: 08/27/2009
date Of Correction: 09/30/2009 
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: 08/04/2011
date Of Correction: 09/02/2011 
Deficiency #2 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: 05/18/2011
date Of Correction: Not Available 
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: 11/06/2009
date Of Correction: 12/11/2009 
Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Special Or Therapeutic Diets Are Ordered By The Attending Doctor.
survey Date: 07/13/2009
date Of Correction: 08/06/2009 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
48.6 %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased
0.5 - 2.0 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain
5.9 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
9.3 %
12.58 %
Percent of long-stay residents who lose too much weight
4.6 %
11.83 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
50 %
44.54 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
9 %
15.63 %
Percent of long-stay residents with a urinary tract infection
20.2 (68.4) %
13.46 %
Percent of long-stay residents who have depressive symptoms
45.9 %
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
37.1 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
60.2 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
61.6 %
83.94 %
Percent of short-stay residents who newly received an antipsychotic medication 8.9 / 9.9 % 
Percent of long-stay residents experiencing one or more falls with major injury
6.3 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
46.8 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
1.4 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
11.9 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
5.9 %
9.22 %
Percent of long-stay residents who lose too much weight
5.9 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
45.1 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder 8.9 / 9.9 % 
Percent of long-stay residents with a urinary tract infection
23.7 (74.7) %
9.58 %
Percent of long-stay residents who have depressive symptoms
36.4 %
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
5.7 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
34.1 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
50.2 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
37.5 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
14.6 %
17.34 %

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