LEGEND OAKS HEALTHCARE AND REHABILITATION-KYLE (KYLE, TX) Detailed Nursing Home Profile

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased

Here:	30.9%
State:	20.4%

Percent of long-stay residents who self-report moderate to severe pain

This Nursing Home:	19.2%
State:	11.4%

Percent of long-stay high-risk residents with pressure ulcers

Here:	10.5%
State:	7.2%

Percent of long-stay residents who lose too much weight

Here:	4.9%
State:	6.7%

Percent of long-stay residents who have had a catheter inserted and left in their bladder

Here:	3.6%
State:	3.9%

Percent of long-stay residents with a urinary tract infection

This Nursing Home:	13.1%
State:	8.3%

Percent of long-stay residents who have depressive symptoms

Here:	6.7%
Texas:	9.3%

Percent of long-stay residents experiencing one or more falls with major injury

Here:	3.2%
Texas:	3.5%

Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine

This Nursing Home:	98.4%
State:	91.6%

Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine

Here:	95.2%
State:	91.1%

Percent of short-stay residents who self-report moderate to severe pain

This Nursing Home:	20.7%
State:	20.2%

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine

This Nursing Home:	91.2%
State:	76.2%

Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine

Here:	87.1%
State:	74.3%

Percent of short-stay residents who newly received an antipsychotic medication

This Nursing Home:	3.7%
State:	3.6%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	26.6%
State:	28.5%

Complaint Deficiency

Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Approved construction type or materials
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Corridor and hallway doors that block smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Exits that are accessible at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Some
An approved automatic sprinkler system connected to the fire alarm system
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Properly protected cooking facilities
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Corridor and hallway doors that block smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Weekly inspections and monthly testing of generators
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Honor all of the resident's rights as a resident of the nursing home, free of coercion and reprisal, and as a citizen or resident of the United States
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Offer other nutritional food to each resident who will not eat the food served
- Harm: Minimal harm or potential for actual harm
- Scope: Some

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	0.720
State:	0.469

Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day

Here:	0.780
State:	0.894

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	1.500
State:	1.350

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	0.110
Texas:	0.067

Number Therapy Hours Per Resident Per Day

Here:	0.110
Texas:	0.074

LEGEND OAKS HEALTHCARE AND REHABILITATION-KYLE - KYLE, TX

Quality Measures

Complaint Deficiency

Staff Information

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