| General |
| City |
| Fort Worth |
Kerrville |
| State attribute explanation |
| Tx |
Tx |
| Street |
| 5100 Randol Mill Rd |
1400 Hilltop Rd |
| Zip Code |
| 76,112 |
78,028 |
| Phone |
| 8,174,518,001 |
8,308,953,200 |
|
Overall Star Rating |
| 4 |
3 |
|
Health Inspections Star Rating |
| 4 |
4 |
|
Nurse Staffing Star Rating |
| 3 |
1 |
|
Quality Measures Star Rating |
| 4 |
2 |
|
RN Only Star Rating |
| 2 |
2 |
|
Number of Certified Beds |
| 48 |
150 |
|
Total Number of Residents |
| 39 |
118 |
|
Percent of Occupied Beds |
| 81 % |
79 % |
| Health Survey Date |
| 2/3/2012 |
9/2/2011 |
| Fire Survey Date |
| 2/2/2012 |
9/2/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| Non Profit - Corporation |
For Profit - Partnership |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| Yes |
Yes |
| Resident and Family Councils |
| Resident |
Both |
| Continuing Care Retirement Community? |
| Yes |
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 |
|
| Staff Information |
| Number of Residents |
| 39 |
118 |
| Number of RN Hours Per Resident Per Day |
| 0.36 |
0.37 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.95 |
0.98 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.3 |
1.35 |
| Number of CNA Hours Per Resident Per Day |
| 0.27 |
0.04 |
| Number Therapy Hours Per Resident Per Day |
| 0.27 |
0.04 |
| 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 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 12.9 (55.2) |
20 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 2.5 % |
75.2 % |
| 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 |
| 75.2 % |
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 |
| 3.3 % |
2.6 / 3 |
| Percent of short-stay residents who self-report moderate to severe pain |
| 32 % |
23.5 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 94.9 % |
91.7 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 93.3 % |
95.5 % |
| 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 |
| 3.3 % |
6 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 13.6-28 |
23.3 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1.7 % |
1.8 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 6.2 % |
32 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 75.2 % |
1.1 % |
| Percent of long-stay residents who lose too much weight |
| 2.3 % |
7.1 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 58.1 % |
46.1 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 2.8 % |
6 % |
| Percent of long-stay residents with a urinary tract infection |
| 3.5 % |
5 % |
| Percent of long-stay residents who have depressive symptoms |
| 3.6 % |
8.3 % |
| Percent of long-stay residents who were physically restrained |
| 3.4 % |
2.9 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 4.6 % |
6.5 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 26.7 % |
18.8 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 92.4 % |
84.6 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 91.4 % |
91.5 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 26.1 % |
23.9 % |