Windsong Village Convalescent Center Inc

3400 E Walnut
Pearland, TX 77581
Brazoria County
Phone: 281-485-2776
Provider Number: 675557
Last Inspection: 10/02/2014

About the Nursing Home About the Staff

Number of Beds
Number of
Beds
138
Number of Residents
Number of
Residents
112
Number of Beds Available
Beds Available
26
Percent Occupancy
Percent Occupancy
81%
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
  • 12
  • 22
  • 24
  • 20
Lower Numbers are Better

Deficiency Ratings what is a deficiency rating?
By Year


  • 2014
  • 2013
  • 2012
  • 12
  • 23
  • 17
Lower Numbers are Better

Details by Inspection Date

 

10/2/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 10/25/2014
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 10/30/2014
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 10/27/2014
 

9/6/2013 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. Isolated : Minimal 3 10/4/2013
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 9/27/2013
Failed To: Give residents a notice of rights, rules, services and charges. Widespread : Potential 4 9/9/2013
Failed To: Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. Pattern : Minimal 4 10/4/2013
Failed To: Provide bedrooms that don't allow residents to see each other when privacy is needed. Pattern : Minimal 4 10/19/2013
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Minimal 4 10/4/2013
 

10/4/2012 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide care by qualified persons according to each resident's written plan of care. Pattern : Minimal 4 10/31/2012
Failed To: Give residents a notice of rights, rules, services and charges. Isolated : Minimal 3 10/22/2012
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Pattern : Minimal 4 10/31/2012
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Isolated : Minimal 3 10/31/2012
Failed To: Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. Isolated : Minimal 3 10/31/2012


 

Complaint Investigation Deficiencies

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

 

3/7/2014 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. Isolated : Minimal 3 3/20/2014
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. Isolated : Minimal 3 3/20/2014
 

5/30/2012 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 6/29/2012

 

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 112 86.67 76.70
Registered Nurses 0.83 0.67 0.58
Licensed Practical / Vocational Nurses 0.77 0.94 0.92
Certified Nursing Assistants 3.08 2.64 2.20
Total Staff Hours 4.68 4.25 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 9 8 6
Long Stay Residents Experiencing One or More Falls with Major Injury 1 3 3
Long Stay Residents Who Have Depressive Symptoms 6 11 7
Long Stay Residents Who Lose Too Much Weight 12 8 5
Long Stay Residents Who Received an Antipsychotic Medication 26 27 24
Long Stay Residents Who Self Report Moderate to Severe Pain 14 7 8
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 0 15 11
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 1 20 10
Long Stay Residents Who Were Physically Restrained 1 1 0
Long Stay Residents Whose Need for Help with ADLs has Increased 20 19 19
Long Stay Residents with a Catheter Inserted and Left in Their Bladder 7 3 3
Long Stay Residents With a Urinary Tract Infection 1 5 6
Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 41 43 45
Short Stay Residents Who Newly Received an Antipsychotic Medication 4 4 3
Short Stay Residents Who Self Report Moderate to Severe Pain 21 17 18
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 6 32 28
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 2 37 26
Short Stay Residents With Pressure Ulcers That Are New or Worsened 0 1 0