General |
City |
Bryan |
White Settlement |
State attribute explanation |
Tx |
Tx |
Street |
1401 Memorial Dr |
1950 S Las Vegas Trail |
Zip Code |
77,802 |
76,108 |
Phone |
9,797,767,521 |
8,172,464,995 |
Overall Star Rating |
1 |
2 |
Health Inspections Star Rating |
2 |
3 |
Nurse Staffing Star Rating |
2 |
1 |
Quality Measures Star Rating |
1 |
3 |
RN Only Star Rating |
1 |
1 |
Number of Certified Beds |
116 |
240 |
Total Number of Residents |
82 |
165 |
Percent of Occupied Beds |
71 % |
69 % |
Health Survey Date |
9/8/2011 |
8/26/2011 |
Fire Survey Date |
9/6/2011 |
8/25/2011 |
Sprinkler Status |
Fully Sprinklered |
Fully Sprinklered |
Program Participation |
Medicare And Medicaid |
Medicare And Medicaid |
Type of Ownership |
For Profit - Corporation |
For Profit - Individual |
Located Within a Hospital? |
No |
No |
Multi Nursing Home Ownership? |
No |
No |
Resident and Family Councils |
Both |
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 |
13 |
10 |
|
Staff Information |
Number of Residents |
82 |
173 |
Number of RN Hours Per Resident Per Day |
0.34 |
0.43 |
Number of LPN/LVN Hours Per Resident Per Day |
0.93 |
1.2 |
Total Number of Licensed Staff Hours Per Resident Per Day |
1.27 |
1.63 |
Number of CNA Hours Per Resident Per Day |
0.01 |
0.08 |
Number Therapy Hours Per Resident Per Day |
0.01 |
0.08 |
Environmental Deficiencies |
Deficiency #1 |
Scope: Fewlevel 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: 03/04/2010date Of Correction: 03/31/2010 |
|
Deficiency #2 |
Scope: Somelevel Of Harm: 2deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.survey Date: 06/13/2009date Of Correction: 07/13/2009 |
|
Deficiency #3 |
Scope: Fewlevel Of Harm: 3deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 06/13/2009date Of Correction: 07/13/2009 |
|
Deficiency #4 |
Scope: Somelevel Of Harm: 2deficiency: Provide Housekeeping And Maintenance Services.survey Date: 06/13/2009date Of Correction: 07/13/2009 |
|
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: 12/21/2010date Of Correction: 01/14/2011 |
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: 12/21/2010date Of Correction: 01/14/2011 |
Resident Rights Deficiencies |
Deficiency #1 |
Scope: Somelevel Of Harm: 2deficiency: Keep Each Resident's Personal And Medical Records Private And Confidential.survey Date: 06/13/2009date Of Correction: 07/13/2009 |
Scope: Manylevel Of Harm: 1deficiency: Keep Each Resident's Personal And Medical Records Private And Confidential.survey Date: 12/21/2010date Of Correction: 01/14/2011 |
Deficiency #2 |
Scope: Somelevel 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: 06/13/2009date Of Correction: 07/13/2009 |
Scope: Somelevel Of Harm: 2deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.survey Date: 02/26/2010date Of Correction: 03/05/2010 |
Quality Care Deficiencies |
Deficiency #1 |
Scope: Somelevel Of Harm: 3deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 06/13/2009date Of Correction: 07/13/2009 |
Scope: Somelevel Of Harm: 4deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 01/21/2011date Of Correction: 01/21/2011 |
Deficiency #2 |
Scope: Somelevel Of Harm: 3deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 06/13/2009date Of Correction: 07/13/2009 |
Scope: Somelevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 12/21/2010date Of Correction: 01/14/2011 |
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: 02/26/2010date Of Correction: 03/05/2010 |
Resident Assessment Deficiencies |
Deficiency #1 |
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: 03/04/2010date Of Correction: 03/31/2010 |
|
Deficiency #2 |
Scope: Somelevel Of Harm: 2deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan.survey Date: 06/13/2009date Of Correction: 07/13/2009 |
|
Administration Deficiencies |
Deficiency #1 |
Scope: Somelevel Of Harm: 2deficiency: Train All Employees On What To Do In An Emergency, And Carry Out Announced Staff Drills.survey Date: 06/13/2009date Of Correction: 07/17/2009 |
Scope: Somelevel Of Harm: 4deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .survey Date: 01/21/2011date Of Correction: 01/18/2011 |
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: 06/13/2009date Of Correction: 07/20/2009 |
|
Pharmacy Service Deficiencies |
Deficiency #1 |
Scope: Somelevel Of Harm: 2deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.survey Date: 06/13/2009date Of Correction: 07/13/2009 |
|
Nutrition and Dietary Deficiencies |
Deficiency #1 |
|
Scope: Somelevel Of Harm: 2deficiency: Prepare Food That Is Nutritional, Appetizing, Tasty, Attractive, Well-cooked, And At The Right Temperature.survey Date: 05/06/2010date Of Correction: 05/10/2010 |
Deficiency #2 |
|
Scope: Manylevel Of Harm: 2deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.survey Date: 02/26/2010date Of Correction: 03/05/2010 |
Quality Measures Q1 |
Percent of long-stay residents who received an antipsychotic medication |
|
37 % |
Percent of long-stay residents whose need for help with daily activities has increased |
8.9 / 9.9 |
3.1 % |
Percent of long-stay residents who self-report moderate to severe pain |
|
11.2-20 |
Percent of long-stay high-risk residents with pressure ulcers |
|
8.2 % |
Percent of long-stay residents who lose too much weight |
|
6.8 % |
Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
40 % |
Percent of long-stay residents who have had a catheter inserted and left in their bladder |
|
5.8 % |
Percent of long-stay residents with a urinary tract infection |
|
17.1:1 |
Percent of long-stay residents who have depressive symptoms |
|
11.2-20 |
Percent of long-stay residents who were physically restrained |
|
75.2 % |
Percent of short-stay residents who self-report moderate to severe pain |
|
21.3 % |
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
84.4 % |
78.8 % |
Percent of short-stay residents with Pressure ulcers that are new or worsened |
83.3 % |
76 % |
Percent of short-stay residents who newly received an antipsychotic medication |
27.3 % |
2.9 % |
Percent of long-stay residents experiencing one or more falls with major injury |
|
3.2 % |
Quality Measures Q3 |
Percent of long-stay residents who received an antipsychotic medication |
|
37.2 % |
Percent of long-stay residents whose need for help with daily activities has increased |
8.2 % |
1.9 % |
Percent of long-stay residents who self-report moderate to severe pain |
|
11 % |
Percent of long-stay high-risk residents with pressure ulcers |
|
7.3 % |
Percent of long-stay residents who lose too much weight |
22.6 % |
6.2 % |
Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
42 % |
Percent of long-stay residents who have had a catheter inserted and left in their bladder |
|
6.5 % |
Percent of long-stay residents with a urinary tract infection |
38.7 % |
12.6:1 |
Percent of long-stay residents who have depressive symptoms |
27.3 % |
11.9 % |
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 |
3 % |
2.20 % |
Percent of short-stay residents who self-report moderate to severe pain |
29.6 % |
14.4 % |
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
88.9 % |
71.7 % |
Percent of short-stay residents with Pressure ulcers that are new or worsened |
90 % |
69 % |
Percent of short-stay residents who newly received an antipsychotic medication |
12.7 % |
27.1 % |