Birchwood Nursing And Rehabilitation Lp

110 W Hwy 64
Cooper, TX 75432
Delta County
Phone: 903-395-2125
Provider Number: 675838
Last Inspection: 06/24/2015

About the Nursing Home About the Staff

Number of Beds
Number of
Beds
100
Number of Residents
Number of
Residents
56
Number of Beds Available
Beds Available
44
Percent Occupancy
Percent Occupancy
56%
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
  • 53
  • 53
  • 22
  • 20
Lower Numbers are Better

Deficiency Ratings what is a deficiency rating?
By Year


  • 2015
  • 2014
  • 2013
  • 53
  • 41
  • 33
Lower Numbers are Better

Details by Inspection Date

 

6/24/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Give residents a notice of rights, rules, services and charges. Pattern : Potential 3 6/29/2015
Failed To: Keep each resident free from physical restraints, unless needed for medical treatment. Pattern : Minimal 4 6/29/2015
Failed To: Provide resident groups or resident family groups with private space to meet. Pattern : Minimal 4 7/9/2015
Failed To: Reasonably accommodate the needs and preferences of each resident. Pattern : Minimal 4 6/25/2015
Failed To: Give notice to the resident before a room or roommate change. Pattern : Minimal 4 6/29/2015
Failed To: Assess in a timely manner the resident when the resident enters the nursing home. Pattern : Minimal 4 6/29/2015
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern : Minimal 4 6/29/2015
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 6/29/2015
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 6/29/2015
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 6/29/2015
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 6/29/2015
Failed To: Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Widespread : Minimal 5 6/29/2015
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 6/29/2015
 

5/14/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide activities to meet the interests and needs of each resident. Pattern : Minimal 4 6/6/2014
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 6/6/2014
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 5/30/2014
Failed To: Provide or obtain dental services for each resident. Widespread : Minimal 5 6/6/2014
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Widespread : Minimal 5 6/6/2014
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Minimal 4 6/6/2014
Failed To: Have a program that investigates, controls and keeps infection from spreading. Widespread : Minimal 5 6/6/2014
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 6/12/2014
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 6/6/2014
 

7/17/2013 Inspection

 
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 : Minimal 4 8/9/2013
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 8/9/2013
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Widespread : Minimal 5 8/16/2013
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 8/9/2013
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 8/9/2013
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 8/16/2013
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 8/16/2013
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 8/16/2013


 

Complaint Investigation Deficiencies

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

 

9/29/2015 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 : Immediate 6 9/29/2015
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 : Immediate 6 9/29/2015
 

9/3/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
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. Pattern : Minimal 4 10/13/2015
 

3/25/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 4/24/2015

 

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 56 56.00 76.40
Registered Nurses 0.41 0.41 0.60
Licensed Practical / Vocational Nurses 1.04 1.04 0.92
Certified Nursing Assistants 1.91 1.91 2.18
Total Staff Hours 3.36 3.36 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 5 5 6
Long Stay Residents Experiencing One or More Falls with Major Injury 6 6 3
Long Stay Residents Who Have Depressive Symptoms 17 17 6
Long Stay Residents Who Lose Too Much Weight 7 7 6
Long Stay Residents Who Received an Antipsychotic Medication 37 37 22
Long Stay Residents Who Self Report Moderate to Severe Pain 0 0 8
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 84 84 12
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 50 50 9
Long Stay Residents Who Were Physically Restrained 0 0 0
Long Stay Residents Whose Need for Help with ADLs has Increased 30 30 19
Long Stay Residents with a Catheter Inserted and Left in Their Bladder 1 1 3
Long Stay Residents With a Urinary Tract Infection 10 10 5
Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 26 26 46
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 86 Not Available   3
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 78 Not Available   16
Short Stay Residents With Pressure Ulcers That Are New or Worsened 3 86 28