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WILLIS NURSING AND REHABILITATION LP

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WILLIS NURSING AND REHABILITATION LP VS
Nursing Homes USA
General
Percent of short-stay residents with Pressure ulcers that are new or worsened 1 % 
City WILLIS   0% Nursing Homes USA have WILLIS
State attribute explanation TX   7.6% Nursing Homes USA have TX
Street 3000 N DANVILLE ST  
Zip Code 77378  
Phone 9368564312  
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
114 
108.94
Total Number of Residents
78 
91.25
Percent of Occupied Beds
68 %
83.65 %
Health Survey Date 6/23/2011  
Fire Survey Date 6/28/2011  
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 - 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
75.2 
58.16
Total Enforcement Actions Count
56.31
# of deficiencies
11 
7.48
Staff Information
Number of Residents
78 
91.38
Number of RN Hours Per Resident Per Day
0.29 
0.77
Number of LPN/LVN Hours Per Resident Per Day
3.57 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
3.85 
1.59
Number of CNA Hours Per Resident Per Day
0.03 
5.49
Number Therapy Hours Per Resident Per Day
0.03 
0.10
Environmental Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 06/23/2011
date Of Correction: Not Available 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 04/06/2011
date Of Correction: 04/15/2011 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 05/19/2010
date Of Correction: 06/14/2010 
Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment.
survey Date: 12/29/2010
date Of Correction: 02/01/2011 
Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Help And Prepare Each Resident For A Safe And Easy Discharge And Transfer From The Nursing Home.
survey Date: 09/07/2011
date Of Correction: 09/21/2011 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide Enough Notice Before Discharging Or Transferring A Resident.
survey Date: 09/07/2011
date Of Correction: 09/21/2011 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Provide Written Records When A Resident Is Transferred Or Discharged.
survey Date: 09/07/2011
date Of Correction: 09/21/2011 
Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Provide Written Records When A Resident Is Transferred Or Discharged.
survey Date: 05/16/2011
date Of Correction: Not Available 
Quality Care Deficiencies
Deficiency #1 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: 02/18/2010
date Of Correction: 03/15/2010 
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: 12/29/2010
date Of Correction: 02/01/2011 
Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Provide A Tasty And Well-balanced Diet That Meets The Nutritional Needs Of Each Resident.
survey Date: 07/15/2010
date Of Correction: 08/28/2010 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
23.9 %
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
34.6 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers 11.6:1 % 
Percent of long-stay residents who lose too much weight
1.4 %
11.83 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder 10.7:1 % 
Percent of long-stay residents with a urinary tract infection
6.9 %
13.46 %
Percent of long-stay residents who have depressive symptoms
1.3 %
28.38 %
Percent of long-stay residents who were physically restrained
7.8 %
43.68 %
Percent of short-stay residents who self-report moderate to severe pain
38.1 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
84.4 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
97.1 %
83.94 %
Percent of long-stay residents experiencing one or more falls with major injury
3.8 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
24.7 %
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
30.1 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
11.5 %
9.22 %
Percent of long-stay residents who lose too much weight
0.5 - 2.0 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
41.8 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
7.7 %
10.65 %
Percent of long-stay residents with a urinary tract infection
6.8 %
9.58 %
Percent of long-stay residents who have depressive symptoms
6.5 %
19.86 %
Percent of long-stay residents who were physically restrained
7.4 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
3 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
41.1 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
88.1 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
28.2 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
4.5 %
17.34 %

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