| General |
| City |
| Carrollton |
Harlingen |
| State attribute explanation |
| Tx |
Tx |
| Street |
| 1855 Cheyenne |
2101 Treasure Hills Blvd |
| Zip Code |
| 75,010 |
78,550 |
| Phone |
| 9,723,947,141 |
9,364,303,100 |
|
Overall Star Rating |
| 3 |
3 |
|
Health Inspections Star Rating |
| 4 |
2 |
|
Nurse Staffing Star Rating |
| 1 |
3 |
|
Quality Measures Star Rating |
| 4 |
5 |
|
RN Only Star Rating |
| 1 |
2 |
| Number of Certified Beds |
| 180 |
58 |
|
Total Number of Residents |
| 177 |
41 |
|
Percent of Occupied Beds |
| 98 % |
71 % |
| Health Survey Date |
| 4/27/2012 |
7/20/2011 |
| Fire Survey Date |
| 4/25/2012 |
7/20/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| For Profit - Corporation |
For Profit - Partnership |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| Yes |
Yes |
| 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 |
| 75.2 |
75.2 |
| Total Enforcement Actions Count |
| 75.2 |
75.2 |
| # of deficiencies |
| 4 |
8 |
|
| Staff Information |
| Number of Residents |
| 177 |
42 |
| Number of RN Hours Per Resident Per Day |
| 0.29 |
1.22 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.68 |
0.88 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 0.97 |
2.1 |
| Number of CNA Hours Per Resident Per Day |
| 0.05 |
0.14 |
| Number Therapy Hours Per Resident Per Day |
| 0.05 |
0.14 |
| Environmental Deficiencies |
| Deficiency #1 |
| Scope: Manylevel Of Harm: 1deficiency: Provide Clean Bed And Bath Linens That Are In Good Condition.survey Date: 04/23/2010date Of Correction: 04/26/2010 |
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: 12/30/2011date Of Correction: Not Available |
| Mistreatment Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 12/21/2011date Of Correction: 01/13/2012 |
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: 09/09/2009date Of Correction: 09/24/2009 |
| Deficiency #2 |
| Scope: Somelevel 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: 12/21/2011date Of Correction: 01/13/2012 |
|
| Resident Rights Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel Of Harm: 2deficiency: Try To Resolve Each Resident's Complaints Quickly.survey Date: 12/30/2011date Of Correction: Not Available |
| Deficiency #2 |
|
Scope: Manylevel Of Harm: 2deficiency: Help And Prepare Each Resident For A Safe And Easy Discharge And Transfer From The Nursing Home.survey Date: 07/05/2011date Of Correction: Not Available |
| Quality Care Deficiencies |
| Deficiency #1 |
|
Scope: Manylevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 03/23/2011date Of Correction: 04/15/2011 |
| Resident Assessment Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel Of Harm: 2deficiency: Make Sure Each Resident Receives An Accurate Assessment By A Qualified Health Professional.survey Date: 03/22/2012date Of Correction: 04/10/2012 |
| Administration Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 2deficiency: Give Or Get Quality Lab Services/tests In A Timely Manner To Meet The Needs Of Residents.survey Date: 04/27/2012date Of Correction: 05/31/2012 |
|
| Pharmacy Service Deficiencies |
| Deficiency #1 |
|
Scope: Manylevel 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: 07/05/2011date Of Correction: Not Available |
| Deficiency #2 |
|
Scope: Manylevel 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: 03/23/2011date Of Correction: 04/15/2011 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 29.3 % |
|
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
2.3 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 13 % |
|
| Percent of long-stay high-risk residents with pressure ulcers |
| 5.8 % |
|
| Percent of long-stay residents who lose too much weight |
| 3.4 % |
|
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 29 % |
|
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 4.6 % |
|
| Percent of long-stay residents with a urinary tract infection |
| 13 % |
|
| Percent of long-stay residents who have depressive symptoms |
| 4.8 % |
|
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
|
| Percent of short-stay residents who self-report moderate to severe pain |
| 23.7 (74.7) |
11.1 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 61 % |
90.2 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 66.4 % |
83.9 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 3.7 % |
75.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 4.1 % |
|
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 25.3 % |
|
| Percent of long-stay residents whose need for help with daily activities has increased |
| 0.3 % |
1.4 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 12 % |
|
| Percent of long-stay high-risk residents with pressure ulcers |
| 5.9 % |
|
| Percent of long-stay residents who lose too much weight |
| 5.6:1 |
|
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 29.6 % |
|
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 3.8 % |
|
| Percent of long-stay residents with a urinary tract infection |
| 11.9 % |
|
| Percent of long-stay residents who have depressive symptoms |
| 5.3 % |
|
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
|
| Percent of long-stay residents experiencing one or more falls with major injury |
| 4.8 % |
|
| Percent of short-stay residents who self-report moderate to severe pain |
| 23.2 % |
10.4 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 50.6 % |
88.7 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 62.5 % |
80.5 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 15.3 % |
0.4 % |