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THE WESTBURY PLACE

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THE WESTBURY PLACE VS
Nursing Homes USA
General
City Houston  0.4% Nursing Homes USA have Houston
State attribute explanation TX   7.6% Nursing Homes USA have TX
Street 5201 S WILLOW DR  
Zip Code 77035  
Phone 7137210297  
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
148 
108.94
Total Number of Residents
119 
91.25
Percent of Occupied Beds
80 %
83.65 %
Health Survey Date 4/28/2012  
Fire Survey Date 5/16/2012  
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 - Partnership  7.9% Nursing Homes USA have For profit - Partnership
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
58.16
Total Enforcement Actions Count
56.31
# of deficiencies
24 
7.48
Staff Information
Number of Residents
119 
91.38
Number of RN Hours Per Resident Per Day
0.32 
0.77
Number of LPN/LVN Hours Per Resident Per Day
1.14 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.46 
1.59
Number of CNA Hours Per Resident Per Day
0.11 
5.49
Number Therapy Hours Per Resident Per Day
0.11 
0.10
Environmental Deficiencies
Deficiency #1 Scope: Some
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: 03/17/2011
date Of Correction: 04/18/2011 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Keep All Essential Equipment Working Safely.
survey Date: 01/26/2011
date Of Correction: 03/01/2011 
Deficiency #3 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: 01/26/2011
date Of Correction: 02/25/2011 
Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Keep All Essential Equipment Working Safely.
survey Date: 04/30/2009
date Of Correction: 06/03/2009 
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: 03/17/2011
date Of Correction: 04/18/2011 
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: 03/17/2011
date Of Correction: 04/18/2011 
Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 01/18/2012
date Of Correction: 02/01/2012 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 12/01/2011
date Of Correction: 12/27/2011 
Deficiency #3 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: 03/17/2011
date Of Correction: 04/18/2011 
Deficiency #4 Scope: Few
level Of Harm: 3
deficiency: Give Each Resident Enough Fluids To Keep Them Healthy And Prevent Dehydration.
survey Date: 03/17/2011
date Of Correction: 04/18/2011 
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: 03/17/2011
date Of Correction: 04/18/2011 
Deficiency #6 Scope: Few
level Of Harm: 3
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 03/17/2011
date Of Correction: 04/18/2011 
Deficiency #7 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: 03/17/2011
date Of Correction: 04/18/2011 
Deficiency #8 Scope: Some
level Of Harm: 2
deficiency: Provide Activities To Meet The Interests And Needs Of Each Resident.
survey Date: 03/17/2011
date Of Correction: 04/18/2011 
Deficiency #9 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: 04/30/2009
date Of Correction: 06/03/2009 
Deficiency #10 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: 04/30/2009
date Of Correction: 06/03/2009 
Deficiency #11 Scope: Some
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 04/30/2009
date Of Correction: 06/03/2009 
Administration Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 12/01/2011
date Of Correction: 12/27/2011 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 01/26/2011
date Of Correction: 03/01/2011 
Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 04/30/2009
date Of Correction: 06/03/2009 
Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
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: 01/26/2011
date Of Correction: 02/25/2011 
Deficiency #2 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: 04/30/2009
date Of Correction: 06/03/2009 
Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.
survey Date: 03/17/2011
date Of Correction: 04/18/2011 
Deficiency #2 Scope: Many
level Of Harm: 2
deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.
survey Date: 04/30/2009
date Of Correction: 06/03/2009 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
33 %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased
1.4 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain
1.8 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
18.3 %
12.58 %
Percent of long-stay residents who lose too much weight
4.5 %
11.83 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
53.3 %
44.54 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
6.2 %
15.63 %
Percent of long-stay residents with a urinary tract infection
4.5 %
13.46 %
Percent of long-stay residents who have depressive symptoms
0.9 %
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
17.5 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
29.3 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
27.4 %
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
2.7 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
33 %
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
1.8 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
14.5 %
9.22 %
Percent of long-stay residents who lose too much weight
9.6 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
62.3 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
4 %
10.65 %
Percent of long-stay residents with a urinary tract infection
4.5 %
9.58 %
Percent of long-stay residents who have depressive symptoms
0.6 %
19.86 %
Percent of long-stay residents who were physically restrained
0.3 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
3.1 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
13.3 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
16.6 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
22.3 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
6.7 %
17.34 %

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