| General |
| City |
| Alvarado |
Hurst |
| State attribute explanation |
| Tx |
Tx |
| Street |
| 101 N Parkway |
2712 N Hurstview |
| Zip Code |
| 76,009 |
76,054 |
| Phone |
| 8,177,903,304 |
8,172,816,707 |
|
Overall Star Rating |
| 1 |
1 |
|
Health Inspections Star Rating |
| 1 |
1 |
|
Nurse Staffing Star Rating |
| 1 |
1 |
|
Quality Measures Star Rating |
| 2 |
3 |
|
RN Only Star Rating |
| 1 |
1 |
|
Number of Certified Beds |
| 115 |
161 |
|
Total Number of Residents |
| 79 |
119 |
|
Percent of Occupied Beds |
| 69 % |
74 % |
| Health Survey Date |
| 7/22/2011 |
10/21/2011 |
| Fire Survey Date |
| 7/20/2011 |
10/20/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| For Profit - Partnership |
For Profit - Individual |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| Yes |
No |
| Resident and Family Councils |
| Resident |
Resident |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| No |
No |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 4 |
2 |
| Total Enforcement Actions Count |
| 4 |
2 |
| # of deficiencies |
| 10 |
10 |
|
| Staff Information |
| Number of Residents |
| 79 |
119 |
| Number of RN Hours Per Resident Per Day |
| 0.22 |
0.31 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.86 |
0.85 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.08 |
1.16 |
| Number of CNA Hours Per Resident Per Day |
| 0.09 |
0.05 |
| Number Therapy Hours Per Resident Per Day |
| 0.09 |
0.05 |
| Environmental Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 4deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 07/22/2011date Of Correction: 08/27/2011 |
Scope: Somelevel Of Harm: 2deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 01/26/2012date Of Correction: 01/27/2012 |
| Deficiency #2 |
| Scope: Somelevel Of Harm: 2deficiency: Make Sure There Is A Pest Control Program To Prevent/deal With Mice, Insects, Or Other Pests.survey Date: 07/13/2011date Of Correction: 08/01/2011 |
Scope: Somelevel Of Harm: 2deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 02/23/2010date Of Correction: 03/12/2010 |
| Deficiency #3 |
| Scope: Manylevel Of Harm: 2deficiency: Make Sure There Is A Pest Control Program To Prevent/deal With Mice, Insects, Or Other Pests.survey Date: 12/16/2010date Of Correction: 01/10/2011 |
|
| Mistreatment Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 4deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 07/22/2011date Of Correction: 08/27/2011 |
Scope: Somelevel Of Harm: 2deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment.survey Date: 10/23/2009date Of Correction: 11/23/2009 |
| Deficiency #2 |
| Scope: Somelevel Of Harm: 4deficiency: 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: 07/22/2011date Of Correction: 08/27/2011 |
|
| Deficiency #3 |
| Scope: Somelevel Of Harm: 4deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.survey Date: 07/22/2011date Of Correction: 08/27/2011 |
|
| Resident Rights Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 3deficiency: Make Sure Each Resident Has The Right To Have A Choice Over Activities, Their Schedules And Health Care According To His Or Her Interests, Assessment, And Plan Of Care.survey Date: 12/16/2010date Of Correction: 01/10/2011 |
Scope: Fewlevel Of Harm: 2deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.survey Date: 06/22/2010date Of Correction: 07/16/2010 |
| Deficiency #2 |
| Scope: Somelevel Of Harm: 3deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.survey Date: 12/16/2010date Of Correction: Not Available |
|
| Quality Care Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 4deficiency: Have Enough Nurses To Care For Every Resident In A Way That Maximizes The Resident's Well Being.survey Date: 07/22/2011date Of Correction: 08/27/2011 |
Scope: Fewlevel Of Harm: 3deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 10/21/2011date Of Correction: 11/14/2011 |
| Deficiency #2 |
|
Scope: Somelevel Of Harm: 2deficiency: Properly Care For Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, And Prostheses.survey Date: 10/11/2011date Of Correction: 10/13/2011 |
| Administration Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 3deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .survey Date: 12/16/2010date Of Correction: 01/10/2011 |
Scope: Manylevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 10/11/2011date Of Correction: 10/13/2011 |
| Pharmacy Service Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel Of Harm: 2deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.survey Date: 11/05/2010date Of Correction: 12/03/2010 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 3deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.survey Date: 11/05/2010date Of Correction: 12/03/2010 |
| Deficiency #3 |
|
Scope: Somelevel Of Harm: 2deficiency: Keep The Rate Of Medication Errors (wrong Drug, Wrong Dose, Wrong Time) To Less Than 5%.survey Date: 11/05/2010date Of Correction: 12/03/2010 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 51.4 % |
34 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
1.6 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 15.2 % |
7.4 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 6.3 % |
7 % |
| Percent of long-stay residents who lose too much weight |
| 6.6 % |
10.7:1 |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
32.1 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 1.4 % |
3.8 % |
| Percent of long-stay residents with a urinary tract infection |
| 5.3 % |
9.7 % |
| Percent of long-stay residents who have depressive symptoms |
| 65.8 % |
7.8 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
75.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 23.8:1 |
14.3 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 33.3 % |
44.6 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 38.5 % |
47.4 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 |
3 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 5.3 % |
4.7 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 50.7 % |
33.1 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
2.5 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 19.1:1 |
9.9:1 |
| Percent of long-stay high-risk residents with pressure ulcers |
| 8.7 % |
8 % |
| Percent of long-stay residents who lose too much weight |
| 6.7 % |
7.4 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 10.8 % |
39.3 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 3.7 % |
3.4 % |
| Percent of long-stay residents with a urinary tract infection |
| 5.8 % |
9.6 % |
| Percent of long-stay residents who have depressive symptoms |
| 45.4 % |
2.8 % |
| Percent of long-stay residents who were physically restrained |
| 2.6 / 3 |
75.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 3.9 % |
4.8 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 19.3 % |
16.1 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 37 % |
32.8 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 37.3 % |
29.4 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 3.4 % |
19.2 % |