| General |
| City |
| Beaumont |
Houston |
| State attribute explanation |
| Tx |
Tx |
| Street |
| 4195 Milam St |
777 N Post Oak Rd |
| Zip Code |
| 77,707 |
77,024 |
| Phone |
| 4,098,424,550 |
7,139,566,407 |
|
Overall Star Rating |
| 2 |
4 |
|
Health Inspections Star Rating |
| 1 |
3 |
|
Nurse Staffing Star Rating |
| 1 |
4 |
|
Quality Measures Star Rating |
| 5 |
4 |
|
RN Only Star Rating |
| 1 |
3 |
|
Number of Certified Beds |
| 214 |
93 |
|
Total Number of Residents |
| 122 |
60 |
|
Percent of Occupied Beds |
| 57 % |
65 % |
| Health Survey Date |
| 7/20/2011 |
8/5/2011 |
| Fire Survey Date |
| 7/20/2011 |
8/5/2011 |
| Sprinkler Status |
| Not Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare |
| Type of Ownership |
| Non Profit - Corporation |
For Profit - Corporation |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| Yes |
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 |
| 6 |
8 |
|
| Staff Information |
| Number of Residents |
| 122 |
60 |
| Number of RN Hours Per Resident Per Day |
| 0.32 |
0.73 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 1.27 |
1.31 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.59 |
2.04 |
| Number of CNA Hours Per Resident Per Day |
| 0.06 |
0.27 |
| Number Therapy Hours Per Resident Per Day |
| 0.06 |
0.27 |
| Environmental Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 4deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 06/05/2012date Of Correction: 07/02/2012 |
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: Somelevel Of Harm: 4deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 06/05/2012date Of Correction: 07/02/2012 |
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 |
| Deficiency #2 |
| Scope: Somelevel Of Harm: 4deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.survey Date: 06/05/2012date Of Correction: 07/02/2012 |
|
| Resident Rights Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 3deficiency: Immediately Tell The Resident, The Resident's Doctor And A Family Member Of The Resident Of Situations (injury/decline/room, Etc.) That Affect The Resident.survey Date: 07/22/2009date Of Correction: 08/14/2009 |
|
| Quality Care Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 3deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 12/10/2010date Of Correction: 01/10/2011 |
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: Fewlevel Of Harm: 3deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 07/22/2009date Of Correction: 08/14/2009 |
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 |
| 30 % |
18.8 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
1.1 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 15.5 % |
|
| Percent of long-stay high-risk residents with pressure ulcers |
| 3.2 % |
|
| Percent of long-stay residents who lose too much weight |
| 5 % |
6.7 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 34.9 % |
|
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 1.6 % |
5.6:1 |
| Percent of long-stay residents with a urinary tract infection |
| 5 % |
16.7 % |
| Percent of long-stay residents who have depressive symptoms |
| 7 % |
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 |
| 8.8 % |
11.1 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 52.5 % |
65.3 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 50 % |
35.6 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
|
1 |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 75.2 % |
75.2 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 30.7 % |
19.8 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
0.7 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 12.1:1 |
2.6 / 3 |
| Percent of long-stay high-risk residents with pressure ulcers |
| 4.7 % |
18.4 % |
| Percent of long-stay residents who lose too much weight |
| 10.4 % |
13.3 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 34.4 % |
|
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 2.6 / 3 |
5 % |
| Percent of long-stay residents with a urinary tract infection |
| 3.9 % |
21.4 % |
| Percent of long-stay residents who have depressive symptoms |
| 4.1 % |
75.2 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
75.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 0.3 % |
2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 6.7 % |
9.4 / 10.4 |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 52.9 % |
70.3 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 22.9 % |
36.9 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 5.4 % |
1.3 % |