Hillcrest Manor Nursing And Rehabilitation Center

208 Maple St
Luling, TX 78648
Caldwell County
Phone: 830-875-5219
Provider Number: 675075
Last Inspection: 05/01/2015

About the Nursing Home About the Staff

Number of Beds
Number of
Beds
60
Number of Residents
Number of
Residents
43
Number of Beds Available
Beds Available
17
Percent Occupancy
Percent Occupancy
72%
Accepts Insurance
Insurance Accepted
Medicare & Medicaid
Types of Councils
Types of Councils
Resident
Type of Ownership
Type of Ownership
For profit - Corporation
Within a Hospital?
Within Hospital?
NO

State Inspection Deficiencies About State Inspection Deficiencies

Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home. We suggest you use our Nursing Home Checklist to help evaluate the nursing homes you plan to visit.


Deficiency Ratings what is a deficiency rating?
By Region


  • Facility
  • County
  • TX
  • USA
  • 27
  • 33
  • 22
  • 20
Lower Numbers are Better

Deficiency Ratings what is a deficiency rating?
By Year


  • 2015
  • 2014
  • 2013
  • 27
  • 25
  • 44
Lower Numbers are Better

Details by Inspection Date

 

5/1/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide housekeeping and maintenance services. Pattern : Potential 3 5/27/2015
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Isolated : Minimal 3 5/27/2015
Failed To: Provide care by qualified persons according to each resident's written plan of care. Pattern : Minimal 4 5/27/2015
Failed To: Provide food in a way that meets a resident's needs. Pattern : Minimal 4 5/27/2015
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 5/27/2015
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 5/27/2015
Failed To: Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. Pattern : Minimal 4 5/27/2015
 

3/7/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern : Minimal 4 4/4/2014
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Pattern : Minimal 4 4/4/2014
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Minimal 4 4/4/2014
Failed To: Have a program that investigates, controls and keeps infection from spreading. Widespread : Minimal 5 4/4/2014
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Pattern : Minimal 4 4/4/2014
Failed To: Have enough nurses to care for every resident in a way that maximizes the resident's well being. Pattern : Minimal 4 4/4/2014
 

1/4/2013 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 2/28/2013
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 2/28/2013
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Pattern : Minimal 4 2/28/2013
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Actual 4 2/28/2013
Failed To: Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. Isolated : Actual 4 2/28/2013
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 2/28/2013
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Pattern : Minimal 4 2/28/2013
Failed To: Ensure that residents are safe from serious medication errors. Pattern : Minimal 4 2/28/2013
Failed To: Dispose of garbage and refuse properly. Widespread : Minimal 5 2/28/2013
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Pattern : Minimal 4 2/28/2013
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Minimal 4 2/28/2013


 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

 

12/16/2014 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Pattern : Minimal 4 1/6/2015
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 1/6/2015
Failed To: Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. Pattern : Minimal 4 1/6/2015
 

1/17/2014 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Protect each resident from mistreatment, neglect and misappropriation of personal property. Pattern : Minimal 4 2/7/2014
Failed To: 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. Pattern : Minimal 4 2/7/2014
Failed To: Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. Pattern : Minimal 4 2/7/2014
 

6/11/2013 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern : Minimal 4 7/12/2013
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Pattern : Minimal 4 7/12/2013

 

About The Staff About the Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg TX State Avg
Number of Residents 43 56.40 76.40
Registered Nurses 0.69 0.51 0.60
Licensed Practical / Vocational Nurses 0.55 0.58 0.92
Certified Nursing Assistants 1.85 1.93 2.18
Total Staff Hours 3.09 3.03 3.70

About the Residents About the Staff

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% TX State Avg%
High Risk Long Stay Residents With Pressure Ulcers 3 3 6
Long Stay Residents Experiencing One or More Falls with Major Injury 2 3 3
Long Stay Residents Who Have Depressive Symptoms 15 13 6
Long Stay Residents Who Lose Too Much Weight 7 3 6
Long Stay Residents Who Received an Antipsychotic Medication 17 18 22
Long Stay Residents Who Self Report Moderate to Severe Pain 7 12 8
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 2 0 12
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 0 1 9
Long Stay Residents Who Were Physically Restrained 2 0 0
Long Stay Residents Whose Need for Help with ADLs has Increased 33 24 19
Long Stay Residents with a Catheter Inserted and Left in Their Bladder 0 2 3
Long Stay Residents With a Urinary Tract Infection 2 7 5
Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 52 38 46
Short Stay Residents Who Newly Received an Antipsychotic Medication 0 5 3
Short Stay Residents Who Self Report Moderate to Severe Pain 21 29 16
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 4 6 28
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 11 11 28
Short Stay Residents With Pressure Ulcers That Are New or Worsened 0 1 1