General |
City |
Hurst |
Marshall |
State attribute explanation |
Tx |
Tx |
Street |
2712 N Hurstview |
1007 S Washington Ave |
Zip Code |
76,054 |
75,670 |
Phone |
8,172,816,707 |
9,039,357,971 |
Overall Star Rating |
1 |
4 |
Health Inspections Star Rating |
1 |
4 |
Nurse Staffing Star Rating |
1 |
3 |
Quality Measures Star Rating |
3 |
3 |
RN Only Star Rating |
1 |
2 |
Number of Certified Beds |
161 |
179 |
Total Number of Residents |
119 |
121 |
Percent of Occupied Beds |
74 % |
68 % |
Health Survey Date |
10/21/2011 |
9/21/2011 |
Fire Survey Date |
10/20/2011 |
9/21/2011 |
Sprinkler Status |
Fully Sprinklered |
Fully Sprinklered |
Program Participation |
Medicare And Medicaid |
Medicare And Medicaid |
Type of Ownership |
For Profit - Individual |
For Profit - Individual |
Located Within a Hospital? |
No |
No |
Multi Nursing Home Ownership? |
No |
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 |
2 |
75.2 |
Total Enforcement Actions Count |
2 |
75.2 |
# of deficiencies |
10 |
4 |
|
Staff Information |
Number of Residents |
119 |
133 |
Number of RN Hours Per Resident Per Day |
0.31 |
0.57 |
Number of LPN/LVN Hours Per Resident Per Day |
0.85 |
1.1 |
Total Number of Licensed Staff Hours Per Resident Per Day |
1.16 |
1.67 |
Number of CNA Hours Per Resident Per Day |
0.05 |
0.23 |
Number Therapy Hours Per Resident Per Day |
0.05 |
0.23 |
Environmental Deficiencies |
Deficiency #1 |
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 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 |
|
Mistreatment Deficiencies |
Deficiency #1 |
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 |
Scope: Fewlevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 09/22/2009date Of Correction: 10/12/2009 |
Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: 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: 09/22/2009date Of Correction: 10/12/2009 |
Resident Rights Deficiencies |
Deficiency #1 |
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 |
|
Quality Care Deficiencies |
Deficiency #1 |
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 |
Scope: Fewlevel Of Harm: 2deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.survey Date: 06/09/2009date Of Correction: 07/08/2009 |
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: 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 |
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Nurse Aides Show They Have The Skills And Techniques To Be Able To Care For Residents' Needs.survey Date: 06/09/2009date Of Correction: 07/08/2009 |
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 |
34 % |
15.9:1 |
Percent of long-stay residents whose need for help with daily activities has increased |
1.6 % |
1.9 % |
Percent of long-stay residents who self-report moderate to severe pain |
7.4 % |
20.6 % |
Percent of long-stay high-risk residents with pressure ulcers |
7 % |
9.5 % |
Percent of long-stay residents who lose too much weight |
10.7:1 |
1.9 % |
Percent of long-stay low-risk residents who lose control of their bowels or bladder |
32.1 % |
30.8 % |
Percent of long-stay residents who have had a catheter inserted and left in their bladder |
3.8 % |
4.1 % |
Percent of long-stay residents with a urinary tract infection |
9.7 % |
3.7 % |
Percent of long-stay residents who have depressive symptoms |
7.8 % |
55.5 % |
Percent of long-stay residents who were physically restrained |
75.2 % |
1.8 % |
Percent of short-stay residents who self-report moderate to severe pain |
14.3 % |
17 % |
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
44.6 % |
51.7 % |
Percent of short-stay residents with Pressure ulcers that are new or worsened |
47.4 % |
48.4 % |
Percent of short-stay residents who newly received an antipsychotic medication |
3 % |
75.2 |
Percent of long-stay residents experiencing one or more falls with major injury |
4.7 % |
1.8 % |
Quality Measures Q3 |
Percent of long-stay residents who received an antipsychotic medication |
33.1 % |
17.1:1 |
Percent of long-stay residents whose need for help with daily activities has increased |
2.5 % |
2.20 % |
Percent of long-stay residents who self-report moderate to severe pain |
9.9:1 |
20.3 % |
Percent of long-stay high-risk residents with pressure ulcers |
8 % |
8.2 % |
Percent of long-stay residents who lose too much weight |
7.4 % |
4.3 % |
Percent of long-stay low-risk residents who lose control of their bowels or bladder |
39.3 % |
32.5 % |
Percent of long-stay residents who have had a catheter inserted and left in their bladder |
3.4 % |
4.1 % |
Percent of long-stay residents with a urinary tract infection |
9.6 % |
6.1 % |
Percent of long-stay residents who have depressive symptoms |
2.8 % |
53.2 % |
Percent of long-stay residents who were physically restrained |
75.2 % |
2.1 % |
Percent of long-stay residents experiencing one or more falls with major injury |
4.8 % |
2.4 % |
Percent of short-stay residents who self-report moderate to severe pain |
16.1 % |
19.4:1 |
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
32.8 % |
51.3 % |
Percent of short-stay residents with Pressure ulcers that are new or worsened |
29.4 % |
47.3 % |
Percent of short-stay residents who newly received an antipsychotic medication |
19.2 % |
17.5 % |