Mshc The Waterton At Cowhorn Creek Llc

5524 Cowhorn Creek
Texarkana, TX 75503
Bowie County
Phone: 903-223-1188
Provider Number: 675949
Last Inspection: 10/07/2015

About the Nursing Home About the Staff

Number of Beds
Number of
Beds
76
Number of Residents
Number of
Residents
46
Number of Beds Available
Beds Available
30
Percent Occupancy
Percent Occupancy
61%
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
  • 19
  • 36
  • 22
  • 20
Lower Numbers are Better

Deficiency Ratings what is a deficiency rating?
By Year


  • 2015
  • 2014
  • 2013
  • 19
  • 13
  • 52
Lower Numbers are Better

Details by Inspection Date

 

10/7/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Give residents a notice of rights, rules, services and charges. Pattern : Minimal 4 10/26/2015
Failed To: Try to resolve each resident's complaints quickly. Widespread : Minimal 5 11/2/2015
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Widespread : Minimal 5 10/26/2015
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 11/22/2015
 

11/12/2014 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. Pattern : Minimal 4 11/20/2014
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Pattern : Minimal 4 12/1/2014
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Widespread : Minimal 5 11/20/2014
 

11/20/2013 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide written records when a resident is transferred or discharged. Widespread : Potential 4 12/2/2013
Failed To: Provide medically-related social services to help each resident achieve the highest possible quality of life. Pattern : Minimal 4 12/13/2013
Failed To: Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. Widespread : Potential 4 11/30/2013
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Widespread : Minimal 5 12/13/2013
Failed To: Provide proper discharge planning and communication, of the resident's health status and summary of the resident's nursing home stay. Widespread : Potential 4 12/5/2013
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern : Minimal 4 12/13/2013
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Pattern : Minimal 4 12/13/2013
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 12/12/2013
Failed To: Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Widespread : Minimal 5 12/13/2013
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 12/13/2013
Failed To: At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. Pattern : Minimal 4 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 12/13/2013


 

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 46 68.00 76.40
Registered Nurses 0.82 0.51 0.60
Licensed Practical / Vocational Nurses 1.86 0.86 0.92
Certified Nursing Assistants 2.66 2.08 2.18
Total Staff Hours 5.34 3.45 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 4 7 6
Long Stay Residents Experiencing One or More Falls with Major Injury 5 4 3
Long Stay Residents Who Have Depressive Symptoms 29 6 6
Long Stay Residents Who Lose Too Much Weight 20 9 6
Long Stay Residents Who Received an Antipsychotic Medication 31 20 22
Long Stay Residents Who Self Report Moderate to Severe Pain 10 3 8
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 4 7 12
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 0 5 9
Long Stay Residents Who Were Physically Restrained 0 0 0
Long Stay Residents Whose Need for Help with ADLs has Increased 19 18 19
Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3 2 3
Long Stay Residents With a Urinary Tract Infection 14 5 5
Short Stay Residents Who Newly Received an Antipsychotic Medication 4 44 46
Short Stay Residents Who Self Report Moderate to Severe Pain 5 2 3
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 6 9 16
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 10 20 28
Short Stay Residents With Pressure Ulcers That Are New or Worsened 0 25 28