| General |
| City |
| Mount Pleasant |
Beaumont |
| State attribute explanation |
| Tx |
Tx |
| Street |
| 2003 N Edwards St |
795 Lindbergh Dr |
| Zip Code |
| 75,455 |
77,707 |
| Phone |
| 9,035,725,511 |
4,098,422,228 |
|
Overall Star Rating |
| 3 |
2 |
|
Health Inspections Star Rating |
| 3 |
3 |
|
Nurse Staffing Star Rating |
| 2 |
1 |
|
Quality Measures Star Rating |
| 3 |
3 |
|
RN Only Star Rating |
| 2 |
1 |
|
Number of Certified Beds |
| 90 |
82 |
|
Total Number of Residents |
| 86 |
64 |
|
Percent of Occupied Beds |
| 96 % |
78 % |
| Health Survey Date |
| 4/25/2012 |
3/7/2012 |
| Fire Survey Date |
| 4/24/2012 |
3/6/2012 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| For Profit - Corporation |
Non 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 |
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 |
| 1 |
|
|
| Staff Information |
| Number of Residents |
| 86 |
64 |
| Number of RN Hours Per Resident Per Day |
| 0.48 |
0.38 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.38 |
1.23 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 0.86 |
1.6 |
| Number of CNA Hours Per Resident Per Day |
| 75.2 |
0.04 |
| Number Therapy Hours Per Resident Per Day |
|
0.04 |
| 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: 09/08/2010date Of Correction: 09/23/2010 |
|
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 39.5 % |
19.2 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 5.2 % |
2.1 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 13.9 / 15.3 |
20.1 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 8.9 / 9.9 |
2.20 % |
| Percent of long-stay residents who lose too much weight |
| 12 % |
3.6 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 13.3 % |
|
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 7.3 % |
75.2 % |
| Percent of long-stay residents with a urinary tract infection |
| 75.2 % |
1.8 % |
| Percent of long-stay residents who have depressive symptoms |
| 40 % |
45.3 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
1.8 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 4.2 % |
40.7 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 12.5 % |
56.7 % |
| 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 |
| 2.4 % |
7 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 38.7 % |
16.2 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 3.7 % |
2.8 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 15.2 % |
15.7 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 8.4 % |
2.3 % |
| Percent of long-stay residents who lose too much weight |
| 11.3 % |
2.4 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 24.7 % |
25.5 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 5 % |
2.7 % |
| Percent of long-stay residents with a urinary tract infection |
| 2.20 % |
1.8 % |
| Percent of long-stay residents who have depressive symptoms |
| 41.9 % |
39.6 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
1.8 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 3.4 % |
5.3 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 32.8 % |
28.8 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 19.6 % |
19.8 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 15.9:1 |
22.9 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 12.3:1 |
1.50 % |