| General |
| City |
| San Angelo |
Tyler |
| State attribute explanation |
| Tx |
Tx |
| Street |
| 902 N Main St |
930 S Baxter |
| Zip Code |
| 76,903 |
75,701 |
| Phone |
| 3,256,557,391 |
9,035,972,068 |
|
Overall Star Rating |
| 5 |
2 |
|
Health Inspections Star Rating |
| 5 |
2 |
|
Nurse Staffing Star Rating |
| 4 |
2 |
|
Quality Measures Star Rating |
| 3 |
3 |
|
RN Only Star Rating |
| 2 |
2 |
|
Number of Certified Beds |
| 108 |
172 |
|
Total Number of Residents |
| 91 |
95 |
|
Percent of Occupied Beds |
| 84 % |
55 % |
| Health Survey Date |
| 7/21/2011 |
6/8/2011 |
| Fire Survey Date |
| 7/20/2011 |
6/9/2011 |
| Sprinkler Status |
| Partially Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| Non Profit - Church Related |
For Profit - Partnership |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| No |
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 |
75.2 |
| Total Enforcement Actions Count |
| 75.2 |
75.2 |
| # of deficiencies |
| 1 |
9 |
|
| Staff Information |
| Number of Residents |
| 91 |
85 |
| Number of RN Hours Per Resident Per Day |
| 0.42 |
0.69 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.88 |
0.93 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.3 |
1.62 |
| Number of CNA Hours Per Resident Per Day |
| 0.11 |
0.07 |
| Number Therapy Hours Per Resident Per Day |
| 0.11 |
0.07 |
| Mistreatment Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 01/14/2010date Of Correction: 02/19/2010 |
|
| Resident Rights Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel Of Harm: 2deficiency: 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: 06/08/2011date Of Correction: 07/13/2011 |
| Deficiency #2 |
|
Scope: Manylevel Of Harm: 2deficiency: Try To Resolve Each Resident's Complaints Quickly.survey Date: 03/31/2011date Of Correction: 04/24/2011 |
| 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: 06/08/2011date Of Correction: 07/13/2011 |
| Deficiency #2 |
|
Scope: Manylevel Of Harm: 2deficiency: Provide Or Obtain Dental Services For Each Resident.survey Date: 03/31/2011date Of Correction: 04/24/2011 |
| Deficiency #3 |
|
Scope: Somelevel Of Harm: 2deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 09/14/2009date Of Correction: 09/29/2009 |
| Deficiency #4 |
|
Scope: Fewlevel Of Harm: 2deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.survey Date: 09/14/2009date Of Correction: 09/29/2009 |
| Resident Assessment Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel Of Harm: 2deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.survey Date: 09/14/2009date Of Correction: 09/29/2009 |
| 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: 06/08/2011date Of Correction: 07/13/2011 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 3deficiency: 1) Make Sure That Each Resident's Drug Regimen Is Free From Unnecessary Drugs; 2) Each Resident's Entire Drug/medication Is Managed And Monitored To Achieve Highest Well Being.survey Date: 06/08/2011date Of Correction: 07/13/2011 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 26.1 % |
10.5 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
1 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 10.8 % |
24.2 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 4.3 % |
75.2 % |
| Percent of long-stay residents who lose too much weight |
| 8.6:1 |
7.1 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 5.3 % |
8.2 % |
| Percent of long-stay residents with a urinary tract infection |
| 5.8 % |
3.6 % |
| Percent of long-stay residents who have depressive symptoms |
| 7.2 % |
4.2 % |
| Percent of long-stay residents who were physically restrained |
| 2.9 % |
3.6 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 12.7 % |
60.5 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 98.7 % |
23 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 99.2 % |
11 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 1.2 % |
1.50 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 4.3 % |
2.4 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 26.3 (79.3) |
13.3 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1.7 % |
0.3 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 13.8 % |
18.3 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 4.9 % |
1.9 % |
| Percent of long-stay residents who lose too much weight |
| 11.7 % |
6.6 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 52.7 % |
40.7 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 5.3 % |
8.4 % |
| Percent of long-stay residents with a urinary tract infection |
| 6.1 % |
6.6 % |
| Percent of long-stay residents who have depressive symptoms |
| 6.1 % |
8.5 % |
| Percent of long-stay residents who were physically restrained |
| 2.8 % |
1.6 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 3.2 % |
1.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 19.7 % |
51.7 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 99.4 % |
27.7 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 97 % |
28.7 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 24.1 % |
2.1 % |