| General |
| City |
| Fredericksburg |
Carrollton |
| State attribute explanation |
| Tx |
Tx |
| Street |
| 1208 |
1855 Cheyenne |
| Zip Code |
| 78,624 |
75,010 |
| Phone |
| 8,309,973,704 |
9,723,947,141 |
|
Overall Star Rating |
| 4 |
3 |
|
Health Inspections Star Rating |
| 4 |
4 |
|
Nurse Staffing Star Rating |
| 3 |
1 |
|
Quality Measures Star Rating |
| 2 |
4 |
|
RN Only Star Rating |
| 2 |
1 |
| Number of Certified Beds |
| 132 |
180 |
|
Total Number of Residents |
| 103 |
177 |
|
Percent of Occupied Beds |
| 78 % |
98 % |
| Health Survey Date |
| 4/21/2011 |
4/27/2012 |
| Fire Survey Date |
| 4/20/2011 |
4/25/2012 |
| 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? |
| No |
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 |
|
| Staff Information |
| Number of Residents |
| 96 |
177 |
| Number of RN Hours Per Resident Per Day |
| 0.34 |
0.29 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.72 |
0.68 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.07 |
0.97 |
| Number of CNA Hours Per Resident Per Day |
| 0.03 |
0.05 |
| Number Therapy Hours Per Resident Per Day |
| 0.03 |
0.05 |
| 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 |
| 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 |
| 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 |
| 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 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 19.3 % |
29.3 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 2.1 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 16.4 % |
13 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 10.9 % |
5.8 % |
| Percent of long-stay residents who lose too much weight |
| 13.3 % |
3.4 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 57.1 % |
29 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 4.9 % |
4.6 % |
| Percent of long-stay residents with a urinary tract infection |
| 5.6:1 |
13 % |
| Percent of long-stay residents who have depressive symptoms |
| 12.2 % |
4.8 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
75.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 22 % |
23.7 (74.7) |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 96.4 % |
61 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 94.9 % |
66.4 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 |
3.7 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 2.20 % |
4.1 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 23.6 % |
25.3 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 3.8 % |
0.3 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 20.4 % |
12 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 7.2 % |
5.9 % |
| Percent of long-stay residents who lose too much weight |
| 16.2 % |
5.6:1 |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 52.6 % |
29.6 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 4.1 % |
3.8 % |
| Percent of long-stay residents with a urinary tract infection |
| 5.8 % |
11.9 % |
| Percent of long-stay residents who have depressive symptoms |
| 18.4 % |
5.3 % |
| Percent of long-stay residents who were physically restrained |
| 0.4 % |
75.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 3.9 % |
4.8 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 21.4 % |
23.2 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 94.8 % |
50.6 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 94.1 % |
62.5 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 29 % |
15.3 % |