| General |
| City |
| Hot Springs |
Texarkana |
| State attribute explanation |
| Ar |
Ar |
| Street |
| 1910 Malvern Avenue |
1621 East 42nd St |
| Zip Code |
| 71,901 |
71,854 |
| Phone |
| 5,013,211,000 |
8,707,743,581 |
|
Overall Star Rating |
| 5 |
5 |
|
Health Inspections Star Rating |
| 5 |
4 |
|
Nurse Staffing Star Rating |
|
5 |
|
Quality Measures Star Rating |
| 2 |
3 |
|
RN Only Star Rating |
|
5 |
|
Number of Certified Beds |
| 10 |
115 |
|
Total Number of Residents |
| 3 |
86 |
|
Percent of Occupied Beds |
| 30 % |
75 % |
| Health Survey Date |
| 6/15/2012 |
4/20/2012 |
| Fire Survey Date |
| 6/15/2012 |
4/16/2012 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare |
Medicare And Medicaid |
| Type of Ownership |
| For Profit - Corporation |
For Profit - Corporation |
| Located Within a Hospital? |
| Yes |
No |
| Multi Nursing Home Ownership? |
| Yes |
Yes |
| Resident and Family Councils |
| None |
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 |
|
12 |
|
| Staff Information |
| Number of Residents |
| 3 |
86 |
| Number of RN Hours Per Resident Per Day |
|
0.81 |
| Number of LPN/LVN Hours Per Resident Per Day |
|
1.58 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
|
2.39 |
| Number of CNA Hours Per Resident Per Day |
|
0.07 |
| Number Therapy Hours Per Resident Per Day |
|
0.07 |
| 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: 11/19/2009date Of Correction: 12/18/2009 |
| Mistreatment Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel Of Harm: 2deficiency: Keep Each Resident Free From Drugs That Restrain Them, Unless Needed For Medical Treatment.survey Date: 09/09/2010date Of Correction: 10/08/2010 |
| Deficiency #2 |
|
Scope: Somelevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 09/03/2009date Of Correction: 10/02/2009 |
| Quality Care Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel 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: 07/20/2011date Of Correction: 08/19/2011 |
| Deficiency #2 |
|
Scope: Somelevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 09/09/2010date Of Correction: 10/08/2010 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 2deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.survey Date: 10/27/2009date Of Correction: 11/26/2009 |
| Deficiency #4 |
|
Scope: Somelevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 09/03/2009date Of Correction: 10/02/2009 |
| 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: 09/03/2009date Of Correction: 10/02/2009 |
| Deficiency #2 |
|
Scope: Somelevel Of Harm: 2deficiency: 1) Receive Registry Verification That A Nurse Aide Has Met The Required Training And Skills That The State Requires; And 2) Ensure Nurse Aides Receive The Required Retraining After 24 Months If Nursing Related Services Were Not Provided For Monetary Compensationsurvey Date: 09/03/2009date Of Correction: 10/02/2009 |
| Pharmacy Service Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel Of Harm: 2deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.survey Date: 09/09/2010date Of Correction: 10/08/2010 |
| Deficiency #2 |
|
Scope: Somelevel Of Harm: 2deficiency: 1) Make Sure That Each Resident's Drug Regimen Is Free From Unnecessary Drugs; 2) Each Resident's Entire Drug/medication Is Managed And Monitored To Achieve Highest Well Being.survey Date: 09/09/2010date Of Correction: 10/08/2010 |
| Deficiency #3 |
|
Scope: Somelevel Of Harm: 2deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.survey Date: 09/03/2009date Of Correction: 10/02/2009 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
|
14.6 % |
| 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 |
|
11.1 % |
| Percent of long-stay high-risk residents with pressure ulcers |
|
10 % |
| Percent of long-stay residents who lose too much weight |
|
3.7 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
|
5.5 % |
| Percent of long-stay residents with a urinary tract infection |
|
75.2 % |
| Percent of long-stay residents who have depressive symptoms |
|
6.3 % |
| Percent of long-stay residents who were physically restrained |
|
75.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 39.8 % |
23.3 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 98.9 % |
100 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 100 % |
95.2 % |
| 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 |
|
2.3 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
|
18.4 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 0.8 % |
1.6 % |
| Percent of long-stay residents who self-report moderate to severe pain |
|
11.5 % |
| Percent of long-stay high-risk residents with pressure ulcers |
|
11.6:1 |
| Percent of long-stay residents who lose too much weight |
|
4.5 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
23.2 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
|
8.3 % |
| Percent of long-stay residents with a urinary tract infection |
|
75.2 % |
| Percent of long-stay residents who have depressive symptoms |
|
7 % |
| Percent of long-stay residents who were physically restrained |
|
75.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
|
1.6 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 46.9 % |
22.8 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 98.9 % |
100 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 99.2 % |
97.6 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 % |
27.7 % |