Briarwood Nursing & Rehabilitation

7633 Bellfort
Houston, TX 77061
Harris County
Phone: 713-644-2101
Provider Number: 675791
Last Inspection: 12/19/2014

About the Nursing Home About the Staff

Number of Beds
Number of
Beds
200
Number of Residents
Number of
Residents
173
Number of Beds Available
Beds Available
27
Percent Occupancy
Percent Occupancy
87%
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
  • 22
  • 26
  • 22
  • 20
Lower Numbers are Better

Deficiency Ratings what is a deficiency rating?
By Year


  • 2014
  • 2014
  • 2013
  • 22
  • 19
  • 61
Lower Numbers are Better

Details by Inspection Date

 

12/19/2014 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 1/14/2015
Failed To: Provide care by qualified persons according to each resident's written plan of care. Pattern : Minimal 4 1/19/2015
Failed To: Develop policies and procedures for influenza and pneumococcal immunizations. Isolated : Minimal 3 1/15/2015
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 1/14/2015
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 1/15/2015
Failed To: Provide or obtain laboratory services only when ordered by the attending physician. Isolated : Minimal 3 1/15/2015
 

1/10/2014 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. Isolated : Minimal 3 1/31/2014
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Isolated : Minimal 3 1/31/2014
Failed To: Provide bedrooms that don't allow residents to see each other when privacy is needed. Pattern : Minimal 4 2/14/2014
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 2/1/2014
Failed To: Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Widespread : Minimal 5 2/7/2014
 

3/9/2013 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. Isolated : Minimal 3 3/29/2013
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 3/29/2013
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Minimal 4 4/1/2013
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 4/5/2013
Failed To: Keep all essential equipment working safely. Isolated : Minimal 3 4/10/2013
Failed To: Give residents a notice of rights, rules, services and charges. Isolated : Minimal 3 3/29/2013
Failed To: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Isolated : Minimal 3 4/10/2013
Failed To: Provide proof that residents' personal money that is deposited with the nursing home is secure. Isolated : Minimal 3 3/11/2013
Failed To: Keep residents' personal and medical records private and confidential. Isolated : Minimal 3 3/29/2013
Failed To: Send unopened mail from residents and promptly deliver unopened mail to residents. Pattern : Minimal 4 3/29/2013
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. Isolated : Minimal 3 3/29/2013
Failed To: Provide activities to meet the interests and needs of each resident. Pattern : Minimal 4 4/1/2013
Failed To: Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. Pattern : Minimal 4 3/29/2013
Failed To: Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. Pattern : Minimal 4 4/1/2013
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 3/29/2013
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 4/10/2013
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 4/10/2013


 

Complaint Investigation Deficiencies

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

 

1/8/2016 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Pattern : Immediate 6 1/15/2016
Failed To: Protect each resident from mistreatment, neglect and misappropriation of personal property. Pattern : Immediate 6 1/15/2016
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern : Immediate 6 1/15/2016
Failed To: Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . Pattern : Immediate 6 1/15/2016
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Widespread : Minimal 5 1/29/2016
 

6/17/2015 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. Isolated : Minimal 3 7/17/2015
 

7/16/2014 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. Isolated : Minimal 3 7/30/2014

 

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 173 86.48 76.40
Registered Nurses 0.48 0.84 0.60
Licensed Practical / Vocational Nurses 0.73 0.89 0.92
Certified Nursing Assistants 2.36 2.29 2.18
Total Staff Hours 3.57 4.02 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 8 8 6
Long Stay Residents Experiencing One or More Falls with Major Injury 2 2 3
Long Stay Residents Who Have Depressive Symptoms 22 4 6
Long Stay Residents Who Lose Too Much Weight 8 7 6
Long Stay Residents Who Received an Antipsychotic Medication 43 22 22
Long Stay Residents Who Self Report Moderate to Severe Pain 4 5 8
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 0 17 12
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 1 17 9
Long Stay Residents Who Were Physically Restrained 1 0 0
Long Stay Residents Whose Need for Help with ADLs has Increased 22 18 19
Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3 3 3
Long Stay Residents With a Urinary Tract Infection 1 6 5
Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 67 59 46
Short Stay Residents Who Newly Received an Antipsychotic Medication 9 3 3
Short Stay Residents Who Self Report Moderate to Severe Pain 15 13 16
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 2 30 28
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 5 33 28
Short Stay Residents With Pressure Ulcers That Are New or Worsened 1 0 1