| General |
| City |
| Lampasas |
Weatherford |
| State attribute explanation |
| Tx |
Tx |
| Street |
| 611 N Broad St |
521 W 7th St |
| Zip Code |
| 76,550 |
76,086 |
| Phone |
| 5,125,563,588 |
8,175,948,713 |
|
Overall Star Rating |
| 1 |
1 |
|
Health Inspections Star Rating |
| 1 |
2 |
|
Nurse Staffing Star Rating |
| 1 |
1 |
|
Quality Measures Star Rating |
| 3 |
3 |
|
RN Only Star Rating |
| 1 |
1 |
| Number of Certified Beds |
| 68 |
122 |
|
Total Number of Residents |
| 43 |
89 |
|
Percent of Occupied Beds |
| 63 % |
73 % |
| Health Survey Date |
| 5/10/2012 |
5/25/2012 |
| Fire Survey Date |
| 5/9/2012 |
5/24/2012 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| For Profit - Corporation |
For Profit - Partnership |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| Yes |
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 |
| 3 |
1 |
| Total Enforcement Actions Count |
| 4 |
2 |
| # of deficiencies |
| 8 |
|
|
| Staff Information |
| Number of Residents |
| 43 |
89 |
| Number of RN Hours Per Resident Per Day |
| 0.42 |
0.28 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 1.19 |
0.89 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.61 |
1.17 |
| Number of CNA Hours Per Resident Per Day |
| 0.03 |
0.09 |
| Number Therapy Hours Per Resident Per Day |
| 0.03 |
0.09 |
| Environmental Deficiencies |
| Deficiency #1 |
| 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: 03/20/2012date Of Correction: 04/20/2012 |
|
| Mistreatment Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 3deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 03/20/2012date Of Correction: 04/20/2012 |
|
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 3deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.survey Date: 03/20/2012date Of Correction: 04/20/2012 |
|
| Quality Care Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Provide Activities To Meet The Interests And Needs Of Each Resident.survey Date: 05/14/2009date Of Correction: 06/14/2009 |
|
| Resident Assessment Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 1deficiency: Completely Assess The Resident At Least Every Twelve Months.survey Date: 08/20/2010date Of Correction: 10/01/2010 |
|
| Deficiency #2 |
| Scope: Somelevel Of Harm: 1deficiency: Review Or Revise The Resident's Care Plan After Any Major Change In A Resident's Physical Or Mental Health.survey Date: 08/20/2010date Of Correction: 10/01/2010 |
|
| Pharmacy Service Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 3deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.survey Date: 03/20/2012date Of Correction: 04/20/2012 |
|
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 3deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.survey Date: 03/20/2012date Of Correction: 04/20/2012 |
|
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 11.1 % |
37.7 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
|
20.1 % |
| Percent of long-stay high-risk residents with pressure ulcers |
|
2.5 % |
| Percent of long-stay residents who lose too much weight |
| 75.2 % |
7 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
36.4 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 5.7 % |
75.2 % |
| Percent of long-stay residents with a urinary tract infection |
| 8.3 % |
4.2 % |
| Percent of long-stay residents who have depressive symptoms |
| 16.7 % |
75.2 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
2.7 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 33.3 % |
35.5 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 100 % |
100 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 97.2 % |
100 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 8.7 % |
6.3 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 2.7 % |
2.7 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 13 % |
32.4 (90.3) |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 2.3 % |
1.4 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 16.3:1 |
19.9 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 10.3:1 |
3.1 % |
| Percent of long-stay residents who lose too much weight |
| 1.8 % |
4 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 50 % |
40.3 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 6.8 % |
6.5 % |
| Percent of long-stay residents with a urinary tract infection |
| 7.3 % |
4.4 % |
| Percent of long-stay residents who have depressive symptoms |
| 13 % |
1.3 % |
| Percent of long-stay residents who were physically restrained |
| 0.9 % |
2.6 / 3 |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 0.9 % |
1.7 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 29.7 % |
46.8 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 97.1 % |
96.4 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 96.3 % |
96.5 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 7.4 % |
19.5-24 |