| General |
| City |
| Temple |
League City |
| State attribute explanation |
| Tx |
Tx |
| Street |
| 2401 South 31st St |
300 Enterprise Ave |
| Zip Code |
| 76,504 |
77,573 |
| Phone |
| 2,547,718,200 |
2,813,344,243 |
|
Overall Star Rating |
| 5 |
1 |
|
Health Inspections Star Rating |
| 4 |
2 |
|
Nurse Staffing Star Rating |
| 5 |
1 |
|
Quality Measures Star Rating |
| 4 |
3 |
|
RN Only Star Rating |
| 5 |
2 |
|
Number of Certified Beds |
| 49 |
217 |
|
Total Number of Residents |
| 35 |
165 |
|
Percent of Occupied Beds |
| 71 % |
76 % |
| Health Survey Date |
| 6/3/2011 |
12/15/2011 |
| Fire Survey Date |
| 6/2/2011 |
12/14/2011 |
| Sprinkler Status |
| Not Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare |
Medicare And Medicaid |
| Type of Ownership |
| Non Profit - Corporation |
Non Profit - Corporation |
| Located Within a Hospital? |
| Yes |
No |
| Multi Nursing Home Ownership? |
| No |
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 |
11 |
|
| Staff Information |
| Number of Residents |
| 35 |
165 |
| Number of RN Hours Per Resident Per Day |
| 3.33 |
0.48 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 1.79 |
0.63 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 5.12 |
1.11 |
| Number of CNA Hours Per Resident Per Day |
| 0.33 |
0.07 |
| Number Therapy Hours Per Resident Per Day |
| 0.33 |
0.07 |
| Environmental Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 2deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.survey Date: 03/04/2010date Of Correction: 03/22/2010 |
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: 12/02/2011date Of Correction: 12/30/2011 |
| Deficiency #2 |
|
Scope: Somelevel Of Harm: 2deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.survey Date: 10/29/2009date Of Correction: 11/02/2009 |
| Mistreatment Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 10/29/2009date Of Correction: 11/02/2009 |
| Deficiency #2 |
|
Scope: Somelevel Of Harm: 2deficiency: 1) Hire Only People With No Legal History Of Abusing, Neglecting Or Mistreating Residents; Or 2) Report And Investigate Any Acts Or Reports Of Abuse, Neglect Or Mistreatment Of Residents.survey Date: 10/29/2009date Of Correction: 11/02/2009 |
| Quality Care Deficiencies |
| Deficiency #1 |
|
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: 10/29/2009date Of Correction: 11/02/2009 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 10/29/2009date Of Correction: 11/02/2009 |
| Deficiency #3 |
|
Scope: Somelevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 10/29/2009date Of Correction: 11/02/2009 |
| Administration Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel Of Harm: 2deficiency: Make Sure That Nurse Aides Show They Have The Skills And Techniques To Be Able To Care For Residents' Needs.survey Date: 12/02/2011date Of Correction: 12/15/2011 |
| Deficiency #2 |
|
Scope: Somelevel Of Harm: 2deficiency: Make Sure That Nurse Aides Show They Have The Skills And Techniques To Be Able To Care For Residents' Needs.survey Date: 10/29/2009date Of Correction: 11/02/2009 |
| 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: 10/29/2009date Of Correction: 11/02/2009 |
| Deficiency #2 |
|
Scope: Fewlevel 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: 10/29/2009date Of Correction: 11/02/2009 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
|
25.2 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1.6 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
|
2.7 % |
| Percent of long-stay high-risk residents with pressure ulcers |
|
5.3 % |
| Percent of long-stay residents who lose too much weight |
|
4 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
39.1 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
|
1.2 % |
| Percent of long-stay residents with a urinary tract infection |
|
5.2 % |
| Percent of long-stay residents who have depressive symptoms |
|
1.50 % |
| Percent of long-stay residents who were physically restrained |
|
2.5 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 16.1 % |
9.1 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 86.9 % |
79.4 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 85.3 % |
90.8 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 % |
5.1 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
|
6.4 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
|
27.8 (82.0) |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1.4 % |
2.20 % |
| Percent of long-stay residents who self-report moderate to severe pain |
|
1.7 % |
| Percent of long-stay high-risk residents with pressure ulcers |
|
8 % |
| Percent of long-stay residents who lose too much weight |
|
4.6 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
43.1 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
|
1.4 % |
| Percent of long-stay residents with a urinary tract infection |
|
7.3 % |
| Percent of long-stay residents who have depressive symptoms |
|
0.7 % |
| Percent of long-stay residents who were physically restrained |
|
2.9 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
|
4.8 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 19.9 % |
10.5 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 84.1 % |
55.7 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 85.3 % |
77.2 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 % |
27.2 % |