| General |
| City |
| Fredericksburg |
Plano |
| State attribute explanation |
| Tx |
Tx |
| Street |
| 1208 |
1621 |
| Zip Code |
| 78,624 |
75,075 |
| Phone |
| 8,309,973,704 |
9,725,967,930 |
|
Overall Star Rating |
| 4 |
2 |
|
Health Inspections Star Rating |
| 4 |
1 |
|
Nurse Staffing Star Rating |
| 3 |
4 |
|
Quality Measures Star Rating |
| 2 |
4 |
|
RN Only Star Rating |
| 2 |
5 |
|
Number of Certified Beds |
| 132 |
160 |
|
Total Number of Residents |
| 103 |
76 |
|
Percent of Occupied Beds |
| 78 % |
48 % |
| Health Survey Date |
| 4/21/2011 |
8/26/2011 |
| Fire Survey Date |
| 4/20/2011 |
8/25/2011 |
| 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 |
3 |
| Total Enforcement Actions Count |
| 75.2 |
3 |
| # of deficiencies |
|
13 |
|
| Staff Information |
| Number of Residents |
| 96 |
76 |
| Number of RN Hours Per Resident Per Day |
| 0.34 |
1.52 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.72 |
0.7 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.07 |
2.22 |
| Number of CNA Hours Per Resident Per Day |
| 0.03 |
0.21 |
| Number Therapy Hours Per Resident Per Day |
| 0.03 |
0.21 |
| 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: 02/24/2012date Of Correction: 02/25/2012 |
| Deficiency #2 |
|
Scope: Manylevel Of Harm: 2deficiency: Keep All Essential Equipment Working Safely.survey Date: 02/14/2010date Of Correction: 03/19/2010 |
| Deficiency #3 |
|
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: 02/14/2010date Of Correction: 03/19/2010 |
| Mistreatment Deficiencies |
| Deficiency #1 |
|
Scope: Manylevel Of Harm: 4deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 02/14/2010date Of Correction: 03/19/2010 |
| Deficiency #2 |
|
Scope: Manylevel Of Harm: 4deficiency: 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: 02/14/2010date Of Correction: 03/19/2010 |
| Deficiency #3 |
|
Scope: Somelevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 01/15/2010date Of Correction: 01/27/2010 |
| 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: 01/15/2010date Of Correction: 01/27/2010 |
| Resident Rights Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel Of Harm: 2deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.survey Date: 06/04/2010date Of Correction: 06/24/2010 |
| Deficiency #2 |
|
Scope: Fewlevel 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: 02/14/2010date Of Correction: 03/19/2010 |
| 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: 02/14/2010date Of Correction: 03/19/2010 |
| Administration Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel 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: 05/13/2011date Of Correction: 06/05/2011 |
| Deficiency #2 |
|
Scope: Manylevel Of Harm: 4deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .survey Date: 02/14/2010date Of Correction: 03/19/2010 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 4deficiency: Quickly Tell The Resident's Doctor The Results Of Lab Tests.survey Date: 05/22/2009date Of Correction: 02/17/2009 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 19.3 % |
30 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 2.1 % |
1.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 16.4 % |
75.2 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 10.9 % |
9.4 / 10.4 |
| Percent of long-stay residents who lose too much weight |
| 13.3 % |
3.6 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 57.1 % |
|
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 4.9 % |
7.5 % |
| Percent of long-stay residents with a urinary tract infection |
| 5.6:1 |
5.5 % |
| Percent of long-stay residents who have depressive symptoms |
| 12.2 % |
75.2 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
1.8 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 22 % |
4.6 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 96.4 % |
26 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 94.9 % |
22 % |
| 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 |
| 2.20 % |
1.8 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 23.6 % |
25.1 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 3.8 % |
0.5 - 2.0 |
| Percent of long-stay residents who self-report moderate to severe pain |
| 20.4 % |
0.9 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 7.2 % |
9.4 / 10.4 |
| Percent of long-stay residents who lose too much weight |
| 16.2 % |
6.9 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 52.6 % |
79.6 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 4.1 % |
9.9:1 |
| Percent of long-stay residents with a urinary tract infection |
| 5.8 % |
8.1 / 8.8 |
| Percent of long-stay residents who have depressive symptoms |
| 18.4 % |
75.2 % |
| Percent of long-stay residents who were physically restrained |
| 0.4 % |
0.6 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 3.9 % |
1.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 21.4 % |
8.2 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 94.8 % |
45.9 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 94.1 % |
59.1 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 29 % |
21.2:1 |