| General |
| City |
| Temple |
Mineral Wells |
| State attribute explanation |
| Tx |
Tx |
| Street |
| 2401 South 31st St |
316 Sw 25th Ave |
| Zip Code |
| 76,504 |
76,067 |
| Phone |
| 2,547,718,200 |
9,403,251,358 |
|
Overall Star Rating |
| 5 |
1 |
|
Health Inspections Star Rating |
| 4 |
1 |
|
Nurse Staffing Star Rating |
| 5 |
|
|
Quality Measures Star Rating |
| 4 |
1 |
|
RN Only Star Rating |
| 5 |
|
|
Number of Certified Beds |
| 49 |
109 |
|
Total Number of Residents |
| 35 |
55 |
|
Percent of Occupied Beds |
| 71 % |
50 % |
| Health Survey Date |
| 6/3/2011 |
6/7/2012 |
| Fire Survey Date |
| 6/2/2011 |
6/6/2012 |
| Sprinkler Status |
| Not Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare |
Medicare And Medicaid |
| Type of Ownership |
| Non Profit - Corporation |
For 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 |
5 |
|
| Staff Information |
| Number of Residents |
| 35 |
55 |
| Number of RN Hours Per Resident Per Day |
| 3.33 |
|
| Number of LPN/LVN Hours Per Resident Per Day |
| 1.79 |
|
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 5.12 |
|
| Number of CNA Hours Per Resident Per Day |
| 0.33 |
|
| Number Therapy Hours Per Resident Per Day |
| 0.33 |
|
| 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 |
|
| Resident Rights Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel Of Harm: 4deficiency: 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: 03/09/2012date Of Correction: 04/03/2012 |
| Quality Care Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 03/09/2012date Of Correction: 04/03/2012 |
| Deficiency #2 |
|
Scope: Somelevel Of Harm: 4deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 03/09/2012date Of Correction: 04/03/2012 |
| 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: 05/29/2009date Of Correction: 06/18/2009 |
| Pharmacy Service Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel Of Harm: 4deficiency: 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: 03/09/2012date Of Correction: 04/03/2012 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
|
45.5 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1.6 % |
9.1 % |
| Percent of long-stay residents who self-report moderate to severe pain |
|
23.2 % |
| Percent of long-stay high-risk residents with pressure ulcers |
|
7 % |
| Percent of long-stay residents who lose too much weight |
|
75.2 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
|
7.2 % |
| Percent of long-stay residents with a urinary tract infection |
|
10.4 % |
| Percent of long-stay residents who have depressive symptoms |
|
32.7 (90.9) |
| Percent of long-stay residents who were physically restrained |
|
4.1 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 16.1 % |
26.2 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 86.9 % |
91.8 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 85.3 % |
100 % |
| 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 |
|
6.1 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
|
43.1 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1.4 % |
5.9 % |
| Percent of long-stay residents who self-report moderate to severe pain |
|
28.3 % |
| Percent of long-stay high-risk residents with pressure ulcers |
|
6.6 % |
| 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 |
|
36.8 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
|
3.6 % |
| Percent of long-stay residents with a urinary tract infection |
|
13.2 % |
| Percent of long-stay residents who have depressive symptoms |
|
44.3 % |
| Percent of long-stay residents who were physically restrained |
|
4.4 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
|
5.1 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 19.9 % |
25 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 84.1 % |
96 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 85.3 % |
99.4 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 % |
7.4 % |