| General |
| City |
| San Antonio |
Lake Jackson |
| State attribute explanation |
| Tx |
Tx |
| Street |
| 5027 Pecan Grove |
413 Garland Dr |
| Zip Code |
| 78,222 |
77,566 |
| Phone |
| 2,103,336,815 |
9,792,973,266 |
|
Overall Star Rating |
| 2 |
1 |
|
Health Inspections Star Rating |
| 3 |
2 |
|
Nurse Staffing Star Rating |
| 1 |
1 |
|
Quality Measures Star Rating |
| 4 |
2 |
|
RN Only Star Rating |
| 1 |
1 |
|
Number of Certified Beds |
| 222 |
120 |
|
Total Number of Residents |
| 137 |
50 |
|
Percent of Occupied Beds |
| 62 % |
42 % |
| Health Survey Date |
| 4/12/2012 |
3/29/2012 |
| Fire Survey Date |
| 4/11/2012 |
3/28/2012 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| For Profit - Corporation |
For Profit - Corporation |
| 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 |
2 |
| # of deficiencies |
| 2 |
15 |
|
| Staff Information |
| Number of Residents |
| 137 |
50 |
| Number of RN Hours Per Resident Per Day |
| 0.23 |
0.37 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 1.26 |
0.84 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.49 |
1.21 |
| Number of CNA Hours Per Resident Per Day |
| 0.05 |
0.02 |
| Number Therapy Hours Per Resident Per Day |
| 0.05 |
0.02 |
| Environmental Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.survey Date: 02/04/2012date Of Correction: 02/05/2012 |
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That A Working Call System Is Available In Each Resident's Room Or Bathroom And Bathing Area.survey Date: 07/19/2011date Of Correction: Not Available |
| Deficiency #2 |
|
Scope: Fewlevel 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: 06/29/2011date Of Correction: Not Available |
| Deficiency #3 |
|
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: 07/15/2010date Of Correction: 08/10/2010 |
| Deficiency #4 |
|
Scope: Fewlevel Of Harm: 2deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.survey Date: 05/25/2010date 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: 06/15/2011date Of Correction: 07/15/2011 |
| Deficiency #2 |
|
Scope: Somelevel Of Harm: 2deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.survey Date: 06/15/2011date Of Correction: 07/19/2011 |
| Deficiency #3 |
|
Scope: Somelevel Of Harm: 2deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.survey Date: 07/15/2010date Of Correction: 08/10/2010 |
| Deficiency #4 |
|
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: 04/15/2009date Of Correction: 04/30/2009 |
| Resident Rights Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.survey Date: 07/19/2011date Of Correction: Not Available |
| Deficiency #2 |
|
Scope: Somelevel Of Harm: 2deficiency: Provide Proof That All Residents' Personal Money Which Is Deposited With The Nursing Home, Is Secure.survey Date: 10/15/2009date Of Correction: 10/26/2009 |
| Quality Care Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Give Each Resident Enough Fluids To Keep Them Healthy And Prevent Dehydration.survey Date: 07/19/2011date Of Correction: Not Available |
| Deficiency #2 |
|
Scope: Somelevel Of Harm: 2deficiency: Make Sure That Each Resident Who Enters The Nursing Home Without A Catheter Is Not Given A Catheter, And Receive Proper Services To Prevent Urinary Tract Infections And Restore Normal Bladder Function.survey Date: 07/15/2010date Of Correction: 08/10/2010 |
| Deficiency #3 |
|
Scope: Somelevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 07/15/2010date Of Correction: 08/10/2010 |
| Deficiency #4 |
|
Scope: Somelevel Of Harm: 2deficiency: Provide Activities To Meet The Interests And Needs Of Each Resident.survey Date: 07/15/2010date Of Correction: 08/10/2010 |
| Administration Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel Of Harm: 2deficiency: Operate And Provide Services According To Federal, State, And Local Laws And Professional Standards.survey Date: 06/15/2011date Of Correction: 07/15/2011 |
| Nutrition and Dietary Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 2deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.survey Date: 10/22/2010date Of Correction: Not Available |
|
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 20 % |
36.6 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 8.8 % |
7.6 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 2.1 % |
8.9 / 9.9 |
| Percent of long-stay high-risk residents with pressure ulcers |
| 3.4 % |
|
| Percent of long-stay residents who lose too much weight |
| 4.8 % |
1.9 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 58 % |
|
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 5 % |
7.2 % |
| Percent of long-stay residents with a urinary tract infection |
| 7.2 % |
5.7 % |
| Percent of long-stay residents who have depressive symptoms |
| 11.1 % |
5.5 % |
| Percent of long-stay residents who were physically restrained |
| 3.1 % |
1.8 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 1.4 % |
|
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 66.7 % |
17.4 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 79.3 % |
16 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 |
2 |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 3.9 % |
1.8 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 19.4:1 |
41.9 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 6.4 % |
6.1 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 2.5 % |
9 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 5.4 % |
22.9 % |
| Percent of long-stay residents who lose too much weight |
| 3.4 % |
1.3 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 54.8 % |
37.5 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 4.9 % |
5.7 % |
| Percent of long-stay residents with a urinary tract infection |
| 9.6 % |
3.8 % |
| Percent of long-stay residents who have depressive symptoms |
| 18 % |
4.3 % |
| Percent of long-stay residents who were physically restrained |
| 2.3 % |
3 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 3.3 % |
1.8 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 0.5 - 2.0 |
22.6 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 60.8 % |
29.4 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 80.6 % |
17.3:1 |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 6.8 % |
9.1 % |