| General |
| City |
| Fredericksburg |
Plainview |
| State attribute explanation |
| Tx |
Tx |
| Street |
| 1208 |
2510 W 24th St |
| Zip Code |
| 78,624 |
79,072 |
| Phone |
| 8,309,973,704 |
8,062,965,584 |
|
Overall Star Rating |
| 4 |
2 |
|
Health Inspections Star Rating |
| 4 |
3 |
|
Nurse Staffing Star Rating |
| 3 |
1 |
|
Quality Measures Star Rating |
| 2 |
2 |
|
RN Only Star Rating |
| 2 |
1 |
|
Number of Certified Beds |
| 132 |
93 |
|
Total Number of Residents |
| 103 |
53 |
|
Percent of Occupied Beds |
| 78 % |
57 % |
| Health Survey Date |
| 4/21/2011 |
8/24/2011 |
| Fire Survey Date |
| 4/20/2011 |
8/24/2011 |
| 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 |
No |
| 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 |
|
8 |
|
| Staff Information |
| Number of Residents |
| 96 |
53 |
| Number of RN Hours Per Resident Per Day |
| 0.34 |
0.33 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.72 |
1 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.07 |
1.33 |
| Number of CNA Hours Per Resident Per Day |
| 0.03 |
0.03 |
| Number Therapy Hours Per Resident Per Day |
| 0.03 |
0.03 |
| Environmental Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel Of Harm: 2deficiency: Make Sure There Is A Pest Control Program To Prevent/deal With Mice, Insects, Or Other Pests.survey Date: 06/24/2009date Of Correction: 08/06/2009 |
| Deficiency #2 |
|
Scope: Somelevel Of Harm: 1deficiency: Put Firmly Secured Handrails On Each Side Of Hallways.survey Date: 06/24/2009date Of Correction: 08/06/2009 |
| Deficiency #3 |
|
Scope: Somelevel Of Harm: 2deficiency: Make Sure That The Nursing Home Area Is Safe, Easy To Use, Clean And Comfortable For Residents, Staff And The Public.survey Date: 06/24/2009date Of Correction: 08/06/2009 |
| Deficiency #4 |
|
Scope: Manylevel Of Harm: 2deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.survey Date: 06/24/2009date Of Correction: 08/06/2009 |
| Deficiency #5 |
|
Scope: Manylevel Of Harm: 1deficiency: Dispose Of Garbage And Refuse Properly.survey Date: 06/24/2009date Of Correction: 08/06/2009 |
| Deficiency #6 |
|
Scope: Somelevel Of Harm: 2deficiency: Maintain Comfortable And Safe Temperature Levels.survey Date: 06/24/2009date Of Correction: 08/06/2009 |
| Quality Care Deficiencies |
| Deficiency #1 |
|
Scope: Manylevel Of Harm: 1deficiency: Use A Registered Nurse At Least 8 Hours A Day, 7 Days A Week.survey Date: 06/24/2009date Of Correction: 08/06/2009 |
| Nutrition and Dietary Deficiencies |
| Deficiency #1 |
|
Scope: Manylevel Of Harm: 2deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.survey Date: 06/24/2009date Of Correction: 08/06/2009 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 19.3 % |
29.8 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 2.1 % |
1.6 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 16.4 % |
34.1 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 10.9 % |
|
| Percent of long-stay residents who lose too much weight |
| 13.3 % |
8.5 % |
| 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 % |
75.2 % |
| Percent of long-stay residents with a urinary tract infection |
| 5.6:1 |
8.5 % |
| Percent of long-stay residents who have depressive symptoms |
| 12.2 % |
26.2 % |
| 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 % |
39.5 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 96.4 % |
18.8 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 94.9 % |
16.7 % |
| 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 % |
8.2 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 23.6 % |
26.9 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 3.8 % |
5.4 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 20.4 % |
30.2 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 7.2 % |
10.8 % |
| Percent of long-stay residents who lose too much weight |
| 16.2 % |
7.4 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 52.6 % |
25.8 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 4.1 % |
2 % |
| Percent of long-stay residents with a urinary tract infection |
| 5.8 % |
7.5 % |
| Percent of long-stay residents who have depressive symptoms |
| 18.4 % |
18.5 % |
| Percent of long-stay residents who were physically restrained |
| 0.4 % |
0.7 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 3.9 % |
5.8 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 21.4 % |
44.2 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 94.8 % |
26.8 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 94.1 % |
14.7:1 |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 29 % |
5.8 % |