Medicare.gov is pleased to provide information about Quality Measures, Inspection Results and Nursing Home Staffing for the nursing home you have selected.
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Quality Measures
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Percentage for CLEBURNE COUNTY NURSING HOME
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Average in
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National Average
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Percent of Residents Whose Need for Help With Daily Activities Has Increased
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21%
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16%
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Percent of Residents Who Have Moderate to Severe Pain
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8%
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6%
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Percent of High-Risk Residents Who Have Pressure Sores
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14%
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14%
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Percent of Low-Risk Residents Who Have Pressure Sores
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NOT AVAILABLE
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3%
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Percent of Residents Who Were Physically Restrained
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8%
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8%
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Percent of Residents Who are More Depressed or Anxious
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21%
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15%
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Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder
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31%
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47%
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Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder
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11%
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6%
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Percent of Residents Who Spend Most of Their Time in Bed or in a Chair
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2%
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4%
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Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse
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18%
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13%
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Percent of Residents With a Urinary Tract Infection
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19%
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8%
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Percent of Short-Stay Residents With Delirium
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4%
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3%
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Percent of Short-Stay Residents Who Had Moderate to Severe Pain
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31%
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22%
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Percent of Short-Stay Residents With Pressure Sores
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16%
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21%
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Date of this inspection: 05/05/2004
Complaint Investigations During: 04/01/2003 - 06/30/2004
Total number of health deficiencies for this nursing home: 10
Average number of Health Deficiencies in : 5
Average number of Health Deficiencies in the United States: 7
Range of Health Deficiencies in : 1 - 12
View Previous Inspection Results
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Mistreatment Deficiencies
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Inspectors determined that the nursing home failed to:
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Date of Correction
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Level of Harm
(Least -> Most)
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Residents Affected
(Few -> Some -> Many)
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1. 1) Hire only people who have 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.
(01/29/2004)
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02/20/2004
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4 = Immediate jeopardy to resident health or safety
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Many
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2. Protect each resident from all abuse, physical punishment, and being separated from others.
(01/29/2004)
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02/12/2004
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4 = Immediate jeopardy to resident health or safety
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Many
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3. Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.
(01/29/2004)
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02/20/2004
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4 = Immediate jeopardy to resident health or safety
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Many
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Quality Care Deficiencies
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Inspectors determined that the nursing home failed to:
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Date of Correction
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Level of Harm
(Least -> Most)
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Residents Affected
(Few -> Some -> Many)
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4. Make sure each resident is being watched and has assistance devices when needed, to prevent accidents.
(01/29/2004)
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02/20/2004
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4 = Immediate jeopardy to resident health or safety
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Few
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5. Make sure each resident is being watched and has assistance devices when needed, to prevent accidents.
(05/05/2004)
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06/11/2004
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2 = Minimal harm or potential for actual harm
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Few
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6. Make sure that residents with loss of bladder control receive treatment or service to prevent infections and help get normal bladder control.
(05/05/2004)
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06/11/2004
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2 = Minimal harm or potential for actual harm
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Few
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Resident Assessment Deficiencies
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Inspectors determined that the nursing home failed to:
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Date of Correction
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Level of Harm
(Least -> Most)
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Residents Affected
(Few -> Some -> Many)
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7. Make sure that doctors visit residents regularly, as required.
(05/05/2004)
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06/11/2004
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2 = Minimal harm or potential for actual harm
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Few
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Pharmacy Service Deficiencies
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Inspectors determined that the nursing home failed to:
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Date of Correction
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Level of Harm
(Least -> Most)
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Residents Affected
(Few -> Some -> Many)
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8. Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
(05/05/2004)
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06/11/2004
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2 = Minimal harm or potential for actual harm
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Some
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9. Make sure that residents are safe from serious medication errors.
(05/05/2004)
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06/11/2004
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2 = Minimal harm or potential for actual harm
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Few
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Administration Deficiencies
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Inspectors determined that the nursing home failed to:
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Date of Correction
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Level of Harm
(Least -> Most)
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Residents Affected
(Few -> Some -> Many)
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10. Be administered in a way that leads to the highest possible level of well being for each resident.
(01/29/2004)
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02/20/2004
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4 = Immediate jeopardy to resident health or safety
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Many
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