| General |
| City |
| Kerrville |
Harlingen |
| State attribute explanation |
| Tx |
Tx |
| Street |
| 1400 Hilltop Rd |
2101 Treasure Hills Blvd |
| Zip Code |
| 78,028 |
78,550 |
| Phone |
| 8,308,953,200 |
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 |
| 2 |
5 |
|
RN Only Star Rating |
| 2 |
2 |
|
Number of Certified Beds |
| 150 |
58 |
|
Total Number of Residents |
| 118 |
41 |
|
Percent of Occupied Beds |
| 79 % |
71 % |
| Health Survey Date |
| 9/2/2011 |
7/20/2011 |
| Fire Survey Date |
| 9/2/2011 |
7/20/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| For Profit - Partnership |
For Profit - Partnership |
| 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 |
75.2 |
| Total Enforcement Actions Count |
| 75.2 |
75.2 |
| # of deficiencies |
| 2 |
8 |
|
| Staff Information |
| Number of Residents |
| 118 |
42 |
| Number of RN Hours Per Resident Per Day |
| 0.37 |
1.22 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.98 |
0.88 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.35 |
2.1 |
| Number of CNA Hours Per Resident Per Day |
| 0.04 |
0.14 |
| Number Therapy Hours Per Resident Per Day |
| 0.04 |
0.14 |
| 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: 12/30/2011date Of Correction: Not Available |
| 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: 09/09/2009date Of Correction: 09/24/2009 |
| 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: Fewlevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 02/25/2010date Of Correction: 03/26/2010 |
|
| Pharmacy Service Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.survey Date: 02/25/2010date Of Correction: 03/26/2010 |
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 |
| 20 % |
|
| 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 |
| 31.8 % |
|
| Percent of long-stay high-risk residents with pressure ulcers |
| 1.6 % |
|
| Percent of long-stay residents who lose too much weight |
| 3.5 % |
|
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 44 % |
|
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 7.6 % |
|
| Percent of long-stay residents with a urinary tract infection |
| 7 % |
|
| Percent of long-stay residents who have depressive symptoms |
| 8.6:1 |
|
| Percent of long-stay residents who were physically restrained |
| 2.6 / 3 |
|
| Percent of short-stay residents who self-report moderate to severe pain |
| 23.5 % |
11.1 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 91.7 % |
90.2 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 95.5 % |
83.9 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 |
75.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 6 % |
|
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 23.3 % |
|
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1.8 % |
1.4 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 32 % |
|
| Percent of long-stay high-risk residents with pressure ulcers |
| 1.1 % |
|
| Percent of long-stay residents who lose too much weight |
| 7.1 % |
|
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 46.1 % |
|
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 6 % |
|
| Percent of long-stay residents with a urinary tract infection |
| 5 % |
|
| Percent of long-stay residents who have depressive symptoms |
| 8.3 % |
|
| Percent of long-stay residents who were physically restrained |
| 2.9 % |
|
| Percent of long-stay residents experiencing one or more falls with major injury |
| 6.5 % |
|
| Percent of short-stay residents who self-report moderate to severe pain |
| 18.8 % |
10.4 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 84.6 % |
88.7 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 91.5 % |
80.5 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 23.9 % |
0.4 % |