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SPANISH MEADOWS NURSING & REHAB

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SPANISH MEADOWS NURSING & REHAB VS
Nursing Homes USA
General
City KATY   0% Nursing Homes USA have KATY
State attribute explanation TX   7.6% Nursing Homes USA have TX
Street 1480 KATY FLEWELLEN  
Zip Code 77494  
Phone 2813940088  
Overall Star Rating
3.11
Health Inspections Star Rating
2.83
Nurse Staffing Star Rating
3.17
Quality Measures Star Rating
3.31
RN Only Star Rating
3.17
Number of Certified Beds
125 
108.94
Total Number of Residents
115 
91.25
Percent of Occupied Beds
92 %
83.65 %
Health Survey Date 6/23/2011  
Fire Survey Date 6/29/2011  
Sprinkler Status Fully Sprinklered  90.2% Nursing Homes USA have Fully Sprinklered
Program Participation Medicare And Medicaid  91.5% Nursing Homes USA have Medicare and Medicaid
Type of Ownership For Profit - Partnership  7.9% Nursing Homes USA have For profit - Partnership
Located Within a Hospital? No  93.6% Nursing Homes USA don't have Located Within a Hospital?
Multi Nursing Home Ownership? No  45.1% Nursing Homes USA don't have Multi Nursing Home Ownership?
Resident and Family Councils RESIDENT   66% Nursing Homes USA have RESIDENT
Continuing Care Retirement Community? No  90.9% Nursing Homes USA don't have Continuing Care Retirement Community?
Quality Indicator Survey? No  68.7% Nursing Homes USA don't have Quality Indicator Survey?
Special Focus Facility? No  99% Nursing Homes USA don't have Special Focus Facility?
Civil Money Penalty Count
58.16
Total Enforcement Actions Count
56.31
# of deficiencies
28 
7.48
Staff Information
Number of Residents
116 
91.38
Number of RN Hours Per Resident Per Day
1.02 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.52 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.54 
1.59
Number of CNA Hours Per Resident Per Day
0.05 
5.49
Number Therapy Hours Per Resident Per Day
0.05 
0.10
Environmental Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 06/23/2011
date Of Correction: Not Available 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Dispose Of Garbage And Refuse Properly.
survey Date: 06/23/2011
date Of Correction: Not Available 
Deficiency #3 Scope: Few
level Of Harm: 3
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 05/24/2011
date Of Correction: 05/25/2011 
Deficiency #4 Scope: Some
level Of Harm: 1
deficiency: Keep All Essential Equipment Working Safely.
survey Date: 06/10/2010
date Of Correction: 06/11/2010 
Deficiency #5 Scope: Some
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 06/10/2010
date Of Correction: 06/11/2010 
Deficiency #6 Scope: Some
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 12/11/2009
date Of Correction: 12/21/2009 
Resident Rights Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 1
deficiency: Provide Proof That All Residents' Personal Money Which Is Deposited With The Nursing Home, Is Secure.
survey Date: 06/23/2011
date Of Correction: Not Available 
Deficiency #2 Scope: Some
level Of Harm: 1
deficiency: Honor All Of The Resident's Rights As A Resident Of The Nursing Home, Free Of Coercion And Reprisal, And As A Citizen Or Resident Of The United States.
survey Date: 06/23/2011
date Of Correction: Not Available 
Quality Care Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 04/06/2012
date Of Correction: 04/09/2012 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Properly Care For Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, And Prostheses.
survey Date: 06/23/2011
date Of Correction: Not Available 
Deficiency #3 Scope: Few
level Of Harm: 3
deficiency: Make Sure That Residents With Reduced Range Of Motion Get Proper Treatment And Services To Increase Range Of Motion.
survey Date: 06/23/2011
date Of Correction: Not Available 
Deficiency #4 Scope: Some
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 06/23/2011
date Of Correction: Not Available 
Deficiency #5 Scope: Some
level Of Harm: 2
deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So.
survey Date: 11/02/2010
date Of Correction: 11/03/2010 
Deficiency #6 Scope: Few
level Of Harm: 2
deficiency: Properly Care For Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, And Prostheses.
survey Date: 06/10/2010
date Of Correction: 06/11/2010 
Deficiency #7 Scope: Some
level Of Harm: 1
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 06/10/2010
date Of Correction: 06/11/2010 
Deficiency #8 Scope: Some
level Of Harm: 4
deficiency: Properly Care For Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, And Prostheses.
survey Date: 12/11/2009
date Of Correction: 12/21/2009 
Resident Assessment Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.
survey Date: 06/23/2011
date Of Correction: Not Available 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Make Sure Each Resident Receives An Accurate Assessment By A Qualified Health Professional.
survey Date: 06/23/2011
date Of Correction: Not Available 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Review Or Revise The Resident's Care Plan After Any Major Change In A Resident's Physical Or Mental Health.
survey Date: 11/02/2010
date Of Correction: 11/03/2010 
Deficiency #4 Scope: Some
level Of Harm: 2
deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.
survey Date: 06/10/2010
date Of Correction: 06/11/2010 
Deficiency #5 Scope: Some
level Of Harm: 2
deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.
survey Date: 06/02/2010
date Of Correction: 06/11/2010 
Deficiency #6 Scope: Some
level Of Harm: 2
deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.
survey Date: 12/11/2009
date Of Correction: 12/21/2009 
Administration Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 4
deficiency: Have A Detailed, Written Plan For Disasters And Emergencies, Such As Fire, Severe Weather, And Missing Residents.
survey Date: 12/11/2009
date Of Correction: 12/18/2009 
Deficiency #2 Scope: Some
level Of Harm: 4
deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .
survey Date: 12/11/2009
date Of Correction: 12/21/2009 
Deficiency #3 Scope: Many
level Of Harm: 1
deficiency: Post Nurse Staffing Information/data On A Daily Basis.
survey Date: 12/11/2009
date Of Correction: 12/21/2009 
Pharmacy Service Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.
survey Date: 10/20/2011
date Of Correction: 10/21/2011 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.
survey Date: 06/23/2011
date Of Correction: Not Available 
Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.
survey Date: 06/10/2010
date Of Correction: 06/11/2010 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
6.3 %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased
3.1 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain 14.7:1 % 
Percent of long-stay high-risk residents with pressure ulcers
16.7 %
12.58 %
Percent of long-stay residents who lose too much weight
20.2 (68.4) %
11.83 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder 9.9:1 % 
Percent of long-stay residents with a urinary tract infection
12.2 %
13.46 %
Percent of long-stay residents who have depressive symptoms
75.2 %
28.38 %
Percent of long-stay residents who were physically restrained
6.2 %
43.68 %
Percent of short-stay residents who self-report moderate to severe pain
23.5 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
95.7 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
97.1 %
83.94 %
Percent of short-stay residents who newly received an antipsychotic medication
13.5 %
45.90 %
Percent of long-stay residents experiencing one or more falls with major injury
2.1 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
7.4 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
2.4 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain 18.2:1 % 
Percent of long-stay high-risk residents with pressure ulcers
12.9 (55.2) %
9.22 %
Percent of long-stay residents who lose too much weight
14.8 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
34.9 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder 8.6:1 % 
Percent of long-stay residents with a urinary tract infection 11.8:1 % 
Percent of long-stay residents who have depressive symptoms
2.20 %
19.86 %
Percent of long-stay residents who were physically restrained
5.5 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
1.7 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
23.7 (74.7) %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
61.8 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
91 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
7.7 %
17.34 %

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