General |
City |
Fredericksburg |
Houston |
State attribute explanation |
Tx |
Tx |
Street |
1208 |
777 N Post Oak Rd |
Zip Code |
78,624 |
77,024 |
Phone |
8,309,973,704 |
7,139,566,407 |
Overall Star Rating |
4 |
4 |
Health Inspections Star Rating |
4 |
3 |
Nurse Staffing Star Rating |
3 |
4 |
Quality Measures Star Rating |
2 |
4 |
RN Only Star Rating |
2 |
3 |
Number of Certified Beds |
132 |
93 |
Total Number of Residents |
103 |
60 |
Percent of Occupied Beds |
78 % |
65 % |
Health Survey Date |
4/21/2011 |
8/5/2011 |
Fire Survey Date |
4/20/2011 |
8/5/2011 |
Sprinkler Status |
Fully Sprinklered |
Fully Sprinklered |
Program Participation |
Medicare And Medicaid |
Medicare |
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 |
Yes |
Quality Indicator Survey? |
No |
No |
Special Focus Facility? |
No |
No |
Civil Money Penalty Count |
75.2 |
75.2 |
Total Enforcement Actions Count |
75.2 |
1 |
# of deficiencies |
|
8 |
|
Staff Information |
Number of Residents |
96 |
60 |
Number of RN Hours Per Resident Per Day |
0.34 |
0.73 |
Number of LPN/LVN Hours Per Resident Per Day |
0.72 |
1.31 |
Total Number of Licensed Staff Hours Per Resident Per Day |
1.07 |
2.04 |
Number of CNA Hours Per Resident Per Day |
0.03 |
0.27 |
Number Therapy Hours Per Resident Per Day |
0.03 |
0.27 |
Environmental Deficiencies |
Deficiency #1 |
|
Scope: Somelevel Of Harm: 2deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.survey Date: 08/05/2011date Of Correction: Not Available |
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: 03/23/2012date Of Correction: 04/06/2012 |
Quality Care Deficiencies |
Deficiency #1 |
|
Scope: Somelevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 08/05/2011date Of Correction: Not Available |
Deficiency #2 |
|
Scope: Somelevel Of Harm: 2deficiency: Make Sure That Each Resident Who Enters The Nursing Home Without A Catheter Is Not Given A Catheter, And Receive Proper Services To Prevent Urinary Tract Infections And Restore Normal Bladder Function.survey Date: 04/08/2011date Of Correction: Not Available |
Resident Assessment Deficiencies |
Deficiency #1 |
|
Scope: Somelevel Of Harm: 2deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.survey Date: 08/05/2011date Of Correction: Not Available |
Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.survey Date: 04/28/2011date Of Correction: 05/28/2011 |
Administration Deficiencies |
Deficiency #1 |
|
Scope: Somelevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 08/05/2011date Of Correction: Not Available |
Deficiency #2 |
|
Scope: Somelevel Of Harm: 1deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 05/11/2010date Of Correction: 06/03/2010 |
Quality Measures Q1 |
Percent of long-stay residents who received an antipsychotic medication |
19.3 % |
18.8 % |
Percent of long-stay residents whose need for help with daily activities has increased |
2.1 % |
1.1 % |
Percent of long-stay residents who self-report moderate to severe pain |
16.4 % |
|
Percent of long-stay high-risk residents with pressure ulcers |
10.9 % |
|
Percent of long-stay residents who lose too much weight |
13.3 % |
6.7 % |
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 % |
5.6:1 |
Percent of long-stay residents with a urinary tract infection |
5.6:1 |
16.7 % |
Percent of long-stay residents who have depressive symptoms |
12.2 % |
75.2 % |
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 % |
11.1 % |
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
96.4 % |
65.3 % |
Percent of short-stay residents with Pressure ulcers that are new or worsened |
94.9 % |
35.6 % |
Percent of short-stay residents who newly received an antipsychotic medication |
75.2 |
1 |
Percent of long-stay residents experiencing one or more falls with major injury |
2.20 % |
75.2 % |
Quality Measures Q3 |
Percent of long-stay residents who received an antipsychotic medication |
23.6 % |
19.8 % |
Percent of long-stay residents whose need for help with daily activities has increased |
3.8 % |
0.7 % |
Percent of long-stay residents who self-report moderate to severe pain |
20.4 % |
2.6 / 3 |
Percent of long-stay high-risk residents with pressure ulcers |
7.2 % |
18.4 % |
Percent of long-stay residents who lose too much weight |
16.2 % |
13.3 % |
Percent of long-stay low-risk residents who lose control of their bowels or bladder |
52.6 % |
|
Percent of long-stay residents who have had a catheter inserted and left in their bladder |
4.1 % |
5 % |
Percent of long-stay residents with a urinary tract infection |
5.8 % |
21.4 % |
Percent of long-stay residents who have depressive symptoms |
18.4 % |
75.2 % |
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 % |
2 % |
Percent of short-stay residents who self-report moderate to severe pain |
21.4 % |
9.4 / 10.4 |
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
94.8 % |
70.3 % |
Percent of short-stay residents with Pressure ulcers that are new or worsened |
94.1 % |
36.9 % |
Percent of short-stay residents who newly received an antipsychotic medication |
29 % |
1.3 % |