| General |
| City |
| Jackson |
Bastrop |
| State attribute explanation |
| La |
La |
| Street |
| 5002 Highway 10 |
2650 Holt Street |
| Zip Code |
| 70,748 |
71,220 |
| Phone |
| 2,256,344,000 |
3,182,810,322 |
|
Overall Star Rating |
| 1 |
1 |
|
Health Inspections Star Rating |
| 1 |
2 |
|
Nurse Staffing Star Rating |
| 4 |
2 |
|
Quality Measures Star Rating |
| 1 |
1 |
|
RN Only Star Rating |
| 4 |
1 |
|
Number of Certified Beds |
| 334 |
125 |
|
Total Number of Residents |
| 150 |
85 |
|
Percent of Occupied Beds |
| 45 % |
68 % |
| Health Survey Date |
| 8/12/2011 |
12/15/2011 |
| Fire Survey Date |
| 8/10/2011 |
12/15/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| Government - State |
For Profit - Corporation |
| Located Within a Hospital? |
| Yes |
No |
| Multi Nursing Home Ownership? |
| No |
No |
| Resident and Family Councils |
| Resident |
Resident |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| Yes |
Yes |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 3 |
1 |
| Total Enforcement Actions Count |
| 3 |
1 |
| # of deficiencies |
| 5 |
16 |
|
| Staff Information |
| Number of Residents |
| 167 |
85 |
| Number of RN Hours Per Resident Per Day |
| 0.6 |
0.22 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.94 |
0.89 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.54 |
1.12 |
| Number of CNA Hours Per Resident Per Day |
| 0.03 |
0.05 |
| Number Therapy Hours Per Resident Per Day |
| 0.03 |
0.05 |
| Environmental Deficiencies |
| Deficiency #1 |
| 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: 08/12/2011date Of Correction: 09/30/2011 |
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: 03/03/2010date Of Correction: 03/17/2010 |
| Deficiency #2 |
|
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: 11/19/2009date Of Correction: 01/01/2010 |
| Mistreatment Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment.survey Date: 03/03/2010date Of Correction: 03/17/2010 |
| Deficiency #2 |
|
Scope: Somelevel Of Harm: 2deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment.survey Date: 11/19/2009date Of Correction: 01/01/2010 |
| Resident Rights Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: 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: 08/12/2011date Of Correction: 09/30/2011 |
Scope: Fewlevel Of Harm: 2deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.survey Date: 11/19/2009date Of Correction: 01/01/2010 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.survey Date: 11/19/2009date Of Correction: 01/01/2010 |
| 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: 08/12/2011date Of Correction: 09/30/2011 |
Scope: Fewlevel Of Harm: 3deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 10/19/2011date Of Correction: 11/04/2011 |
| Deficiency #2 |
|
Scope: Somelevel Of Harm: 2deficiency: Make Sure That Residents Receive Proper Treatment And Assistive Devices To Maintain Their Vision And Hearing.survey Date: 11/19/2009date Of Correction: 01/01/2010 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 11/19/2009date Of Correction: 01/01/2010 |
| Deficiency #4 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 11/19/2009date Of Correction: 01/01/2010 |
| Resident Assessment Deficiencies |
| Deficiency #1 |
| 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: 08/12/2011date Of Correction: 09/30/2011 |
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: 10/19/2011date Of Correction: 01/16/2012 |
| 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: 11/19/2009date Of Correction: 01/01/2010 |
| Deficiency #3 |
|
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: 11/19/2009date Of Correction: 01/01/2010 |
| Deficiency #4 |
|
Scope: Fewlevel Of Harm: 2deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.survey Date: 11/19/2009date Of Correction: 01/01/2010 |
| Administration Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 3deficiency: Make Sure That Nurse Aides Show They Have The Skills And Techniques To Be Able To Care For Residents' Needs.survey Date: 08/12/2011date Of Correction: 09/30/2011 |
|
| Pharmacy Service Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: 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: 11/19/2009date Of Correction: 01/01/2010 |
| Nutrition and Dietary Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel Of Harm: 2deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.survey Date: 11/19/2009date Of Correction: 01/01/2010 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 53 % |
33.8 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 9 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 14.3 % |
16.9-24 |
| Percent of long-stay high-risk residents with pressure ulcers |
| 15.4 % |
10.5 % |
| Percent of long-stay residents who lose too much weight |
| 3.5 % |
8.2 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 6.8 % |
15 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 8 % |
4 % |
| Percent of long-stay residents with a urinary tract infection |
| 3.5 % |
2.4 % |
| Percent of long-stay residents who have depressive symptoms |
| 5.6:1 |
75.2 % |
| Percent of long-stay residents who were physically restrained |
| 4.1 % |
10.5 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 40 % |
|
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 72 % |
|
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 83.9 % |
57.7 % |
| 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 |
| 4.1 % |
3.5 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 51.4 % |
30.2 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 5.7 % |
3.4 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 12.2 % |
14.9-28 |
| Percent of long-stay high-risk residents with pressure ulcers |
| 21.7 % |
10.2 % |
| Percent of long-stay residents who lose too much weight |
| 5.8 % |
8.9 / 9.9 |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 6.5 % |
14.7:1 |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 7.2 % |
4.6 % |
| Percent of long-stay residents with a urinary tract infection |
| 4.7 % |
3.5 % |
| Percent of long-stay residents who have depressive symptoms |
| 5 % |
0.8 % |
| Percent of long-stay residents who were physically restrained |
| 3.2 % |
11.1 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 3.7 % |
3.8 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 46.9 % |
29.5 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 69.5 % |
70.7 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 84.5 % |
29.7 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 % |
4.3 % |