Allenbrook Healthcare Center

4109 Allenbrook Dr
Baytown, TX 77521
Harris County
Phone: 281-422-3546
Provider Number: 675079
Last Inspection: 11/06/2014

About the Nursing Home About the Staff

Number of Beds
Number of
Beds
120
Number of Residents
Number of
Residents
75
Number of Beds Available
Beds Available
45
Percent Occupancy
Percent Occupancy
63%
Accepts Insurance
Insurance Accepted
Medicare & Medicaid
Types of Councils
Types of Councils
Both
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
  • 34
  • 25
  • 20
Lower Numbers are Better

Deficiency Ratings what is a deficiency rating?
By Year


  • 2014
  • 2013
  • 2012
  • 27
  • 25
  • 53
Lower Numbers are Better

Details by Inspection Date

 

11/6/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Review or revise the resident's care plan after any major change in physical or mental health. Pattern : Minimal 4 12/1/2014
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Pattern : Minimal 4 12/1/2014
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 12/1/2014
Failed To: Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. Pattern : Minimal 4 12/1/2014
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 12/1/2014
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Pattern : Minimal 4 12/1/2014
Failed To: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Pattern : Minimal 4 12/1/2014
 

11/6/2013 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Pattern : Minimal 4 12/13/2013
Failed To: Ensure residents maintain acceptable nutritional status. Pattern : Minimal 4 12/13/2013
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 12/13/2013
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 12/13/2013
Failed To: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Widespread : Minimal 5 12/20/2013
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 12/13/2013
 

12/6/2012 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Give residents a notice of rights, rules, services and charges. Widespread : Minimal 5 1/2/2013
Failed To: Allow residents to easily view the results of the nursing home's most recent inspection. Pattern : Minimal 4 1/2/2013
Failed To: Provide residents with private access to a telephone. Widespread : Minimal 5 1/2/2013
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 1/2/2013
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Isolated : Minimal 3 1/2/2013
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 1/2/2013
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 1/2/2013
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 1/2/2013
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 1/2/2013
Failed To: Provide care by qualified persons according to each resident's written plan of care. Pattern : Minimal 4 1/2/2013
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Pattern : Minimal 4 1/2/2013
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Pattern : Minimal 4 1/2/2013
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Minimal 4 1/2/2013


 

Complaint Investigation Deficiencies

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

 

12/20/2013 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 . Isolated : Minimal 3 1/9/2014
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated : Minimal 3 1/9/2014
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 1/9/2014
 

3/7/2013 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Pattern : Minimal 4 4/1/2013
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 4/1/2013
 

8/28/2012 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated : Actual 4 9/5/2012
Failed To: Have enough nurses to care for every resident in a way that maximizes the resident's well being. Pattern : Minimal 4 9/5/2012
 

7/5/2012 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
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 : Potential 3 7/6/2012
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 : Potential 3 7/6/2012
 

6/15/2012 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Pattern : Minimal 4 7/6/2012
Failed To: Provide proof that residents' personal money that is deposited with the nursing home is secure. Pattern : Minimal 4 7/6/2012
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 7/6/2012
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 7/6/2012
Failed To: Keep clinical record information safe. Isolated : Minimal 3 7/6/2012
Failed To: Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel. Widespread : Minimal 5 7/6/2012
 

2/17/2012 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Review or revise the resident's care plan after any major change in physical or mental health. Isolated : Minimal 3 2/18/2012
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 2/18/2012
 

1/6/2012 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Protect each resident from all abuse, physical punishment, and involuntary separation from others. Isolated : Minimal 3 1/30/2012
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 1/30/2012
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 1/30/2012
Failed To: Ensure the activities program is directed by a qualified professional. Pattern : Minimal 4 1/30/2012
Failed To: Provide medically-related social services to help each resident achieve the highest possible quality of life. Isolated : Minimal 3 1/30/2012
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Pattern : Minimal 4 1/30/2012
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Pattern : Minimal 4 1/30/2012
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 1/30/2012
Failed To: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Widespread : Minimal 5 1/30/2012

 

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 75 86.10 76.94
Registered Nurses 0.47 0.75 0.56
Licensed Practical / Vocational Nurses 0.84 0.88 0.90
Certified Nursing Assistants 2.50 2.28 2.18
Total Staff Hours 3.82 3.90 3.65

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 8 8 6
Long Stay Residents Experiencing One or More Falls with Major Injury 4 2 3
Long Stay Residents Who Have Depressive Symptoms 34 5 7
Long Stay Residents Who Lose Too Much Weight 11 7 6
Long Stay Residents Who Received an Antipsychotic Medication 41 26 25
Long Stay Residents Who Self Report Moderate to Severe Pain 26 6 8
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 16 15 11
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 0 14 8
Long Stay Residents Who Were Physically Restrained 0 0 0
Long Stay Residents Whose Need for Help with ADLs has Increased 24 18 20
Long Stay Residents with a Catheter Inserted and Left in Their Bladder 5 3 3
Long Stay Residents With a Urinary Tract Infection 6 7 6
Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 39 57 44
Short Stay Residents Who Newly Received an Antipsychotic Medication 9 3 3
Short Stay Residents Who Self Report Moderate to Severe Pain 64 15 18
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 75 27 27
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 0 25 25
Short Stay Residents With Pressure Ulcers That Are New or Worsened 1 0 0