| General |
| City |
| New Braunfels |
Waco |
| State attribute explanation |
| Tx |
Tx |
| Street |
| 821 Us Hwy 81 W |
2501 Maple Ave |
| Zip Code |
| 78,130 |
76,707 |
| Phone |
| 8,306,257,526 |
2,547,520,311 |
|
Overall Star Rating |
| 3 |
1 |
|
Health Inspections Star Rating |
| 2 |
2 |
|
Nurse Staffing Star Rating |
| 2 |
1 |
|
Quality Measures Star Rating |
| 5 |
2 |
|
RN Only Star Rating |
| 2 |
1 |
|
Number of Certified Beds |
| 154 |
222 |
|
Total Number of Residents |
| 103 |
130 |
|
Percent of Occupied Beds |
| 67 % |
59 % |
| Health Survey Date |
| 6/9/2011 |
1/26/2012 |
| Fire Survey Date |
| 6/8/2011 |
1/26/2012 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| For Profit - Partnership |
For Profit - Corporation |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| Yes |
Yes |
| Resident and Family Councils |
| Both |
Resident |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| No |
No |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 75.2 |
4 |
| Total Enforcement Actions Count |
| 75.2 |
5 |
| # of deficiencies |
| 21 |
28 |
|
| Staff Information |
| Number of Residents |
| 98 |
130 |
| Number of RN Hours Per Resident Per Day |
| 0.3 |
0.22 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 1.01 |
0.78 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.3 |
1 |
| Number of CNA Hours Per Resident Per Day |
| 0.06 |
0.09 |
| Number Therapy Hours Per Resident Per Day |
| 0.06 |
0.09 |
| 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: 04/26/2010date Of Correction: 05/12/2010 |
Scope: Fewlevel Of Harm: 3deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 04/12/2011date Of Correction: 05/02/2011 |
| Deficiency #2 |
| Scope: Somelevel Of Harm: 2deficiency: Provide Housekeeping And Maintenance Services.survey Date: 04/26/2010date Of Correction: 05/12/2010 |
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: 10/15/2010date Of Correction: 11/15/2010 |
| Deficiency #3 |
| Scope: Somelevel Of Harm: 2deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.survey Date: 03/01/2010date Of Correction: 03/05/2010 |
Scope: Fewlevel Of Harm: 2deficiency: Provide Housekeeping And Maintenance Services.survey Date: 09/12/2010date Of Correction: 10/15/2010 |
| Deficiency #4 |
| 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: 03/01/2010date Of Correction: 03/03/2010 |
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: 08/01/2009date Of Correction: 09/05/2009 |
| Mistreatment Deficiencies |
| Deficiency #1 |
| 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: 11/16/2010date Of Correction: 12/10/2010 |
|
| 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: 04/26/2010date Of Correction: 04/28/2010 |
|
| Deficiency #3 |
| Scope: Somelevel Of Harm: 4deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 05/08/2009date Of Correction: 06/24/2009 |
|
| Deficiency #4 |
| 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: 05/08/2009date Of Correction: 06/09/2009 |
|
| Deficiency #5 |
| Scope: Somelevel Of Harm: 4deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.survey Date: 05/08/2009date Of Correction: 06/24/2009 |
|
| Resident Rights Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 3deficiency: Immediately Tell The Resident, The Resident's Doctor And A Family Member Of The Resident Of Situations (injury/decline/room, Etc.) That Affect The Resident.survey Date: 04/12/2011date Of Correction: 05/05/2011 |
| Deficiency #2 |
|
Scope: Somelevel Of Harm: 2deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.survey Date: 09/12/2010date Of Correction: 10/15/2010 |
| Quality Care Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 03/01/2010date Of Correction: 03/05/2010 |
Scope: Fewlevel Of Harm: 3deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 04/12/2011date Of Correction: 05/02/2011 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 05/28/2010date Of Correction: 06/30/2010 |
| Deficiency #3 |
|
Scope: Somelevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 04/28/2010date Of Correction: 05/21/2010 |
| Resident Assessment Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 2deficiency: Check And Assess Each Resident's Assessment At Least Every 3 Months.survey Date: 02/16/2011date Of Correction: 03/11/2011 |
Scope: Somelevel Of Harm: 2deficiency: Make Sure That Doctors Visit Residents Regularly, As Required.survey Date: 11/22/2011date Of Correction: 12/20/2011 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Assess The Resident When The Resident Enters The Nursing Home, In A Timely Manner.survey Date: 02/16/2011date Of Correction: 03/11/2011 |
Scope: Fewlevel Of Harm: 2deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.survey Date: 03/25/2011date Of Correction: 04/18/2011 |
| Deficiency #3 |
| Scope: Fewlevel Of Harm: 2deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.survey Date: 11/05/2009date Of Correction: 11/06/2009 |
Scope: Somelevel Of Harm: 2deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.survey Date: 02/03/2011date Of Correction: 03/04/2011 |
| Deficiency #4 |
| Scope: Somelevel Of Harm: 4deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.survey Date: 05/08/2009date Of Correction: 06/24/2009 |
Scope: Somelevel Of Harm: 2deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.survey Date: 08/01/2009date Of Correction: 09/05/2009 |
| Deficiency #5 |
|
Scope: Fewlevel Of Harm: 2deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.survey Date: 06/11/2009date Of Correction: 07/11/2009 |
| 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: 03/01/2010date Of Correction: 03/10/2010 |
Scope: Fewlevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 03/25/2011date Of Correction: 04/18/2011 |
| Deficiency #2 |
| Scope: Somelevel 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: 03/01/2010date Of Correction: 03/05/2010 |
Scope: Somelevel 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: 09/12/2010date Of Correction: 10/15/2010 |
| Deficiency #3 |
| Scope: Somelevel 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: 11/05/2009date Of Correction: 11/06/2009 |
Scope: Fewlevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 06/11/2009date Of Correction: 07/11/2009 |
| Deficiency #4 |
| Scope: Somelevel Of Harm: 4deficiency: Set Up An Ongoing Quality Assessment And Assurance Group To Review Quality Deficiencies Quarterly, And Develop Corrective Plans Of Action.survey Date: 05/08/2009date Of Correction: 06/24/2009 |
|
| Deficiency #5 |
| Scope: Somelevel Of Harm: 4deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .survey Date: 05/08/2009date Of Correction: 06/24/2009 |
|
| 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: 09/08/2010date Of Correction: 09/09/2010 |
Scope: Fewlevel Of Harm: 2deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.survey Date: 09/12/2010date Of Correction: 10/15/2010 |
| Deficiency #2 |
| Scope: Fewlevel 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: 03/01/2010date Of Correction: 03/05/2010 |
Scope: Somelevel Of Harm: 2deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.survey Date: 09/12/2010date Of Correction: 10/15/2010 |
| 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: 09/12/2010date Of Correction: 10/15/2010 |
| Deficiency #4 |
|
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: 08/12/2010date Of Correction: 09/15/2010 |
| Deficiency #5 |
|
Scope: Somelevel Of Harm: 2deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.survey Date: 08/12/2010date Of Correction: 09/15/2010 |
| Deficiency #6 |
|
Scope: Somelevel Of Harm: 2deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.survey Date: 04/28/2010date Of Correction: 05/21/2010 |
| Deficiency #7 |
|
Scope: Fewlevel 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: 02/26/2010date Of Correction: 03/23/2010 |
| Deficiency #8 |
|
Scope: Fewlevel 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: 12/10/2009date Of Correction: 01/15/2010 |
| Deficiency #9 |
|
Scope: Fewlevel 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: 06/11/2009date Of Correction: 07/11/2009 |
| Nutrition and Dietary Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel Of Harm: 2deficiency: Make Sure That Special Or Therapeutic Diets Are Ordered By The Attending Doctor.survey Date: 10/15/2010date Of Correction: 11/15/2010 |
| Deficiency #2 |
|
Scope: Somelevel Of Harm: 2deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.survey Date: 08/12/2010date Of Correction: 09/15/2010 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 38.3 % |
23.3 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
1.9 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 75.2 % |
11.3 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 4.5 % |
6.8 % |
| Percent of long-stay residents who lose too much weight |
| 8.2 % |
6 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 47.1 % |
20 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 2.7 % |
10.7:1 |
| Percent of long-stay residents with a urinary tract infection |
| 3.6 % |
6.8 % |
| Percent of long-stay residents who have depressive symptoms |
| 8.6:1 |
9.1 % |
| Percent of long-stay residents who were physically restrained |
| 8 % |
13.3 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 5.7 % |
27.3 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 58.2 % |
77.6 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 60 % |
79.6 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 |
7.7 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 1.1 % |
0.8 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 38 % |
22.4:1 |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1.3 % |
3.8 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 1.50 % |
11.1 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 7.2 % |
8.1 / 8.8 |
| Percent of long-stay residents who lose too much weight |
| 9.2 % |
7.5 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 47.5 % |
20.4 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 1.3 % |
9.3 % |
| Percent of long-stay residents with a urinary tract infection |
| 6.2 % |
7.5 % |
| Percent of long-stay residents who have depressive symptoms |
| 6 % |
7 % |
| Percent of long-stay residents who were physically restrained |
| 8.2 % |
13 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 2.20 % |
1.6 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 5.5 % |
22.6 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 34.5 % |
56.9 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 29.1 % |
59.7 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 2.3 % |
18.3 % |