Three Rivers Nursing Home Llc

1717 45thst
Three Rivers, TX 78071
Live Oak County
Phone: 361-786-2256
Provider Number: 676038
Last Inspection: 10/21/2015

About the Nursing Home About the Staff

Number of Beds
Number of
Beds
74
Number of Residents
Number of
Residents
30
Number of Beds Available
Beds Available
44
Percent Occupancy
Percent Occupancy
41%
Accepts Insurance
Insurance Accepted
Medicare & Medicaid
Types of Councils
Types of Councils
Both
Type of Ownership
Type of Ownership
For profit - Partnership
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
  • 52
  • 22
  • 20
Lower Numbers are Better

Deficiency Ratings what is a deficiency rating?
By Year


  • 2015
  • 2014
  • 2013
  • 53
  • 18
  • 21
Lower Numbers are Better

Details by Inspection Date

 

10/21/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide residents with private access to a telephone. Pattern : Minimal 4 12/1/2015
Failed To: Provide housekeeping and maintenance services. Pattern : Potential 3 12/1/2015
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 12/1/2015
Failed To: Provide care by qualified persons according to each resident's written plan of care. Pattern : Minimal 4 12/1/2015
Failed To: Provide proper discharge planning and communication, of the resident's health status and summary of the resident's nursing home stay. Pattern : Potential 3 12/1/2015
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern : Minimal 4 12/1/2015
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Pattern : Minimal 4 12/1/2015
Failed To: Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. Widespread : Minimal 5 12/1/2015
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. Widespread : Minimal 5 12/1/2015
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Minimal 4 12/1/2015
Failed To: Have a program that investigates, controls and keeps infection from spreading. Widespread : Minimal 5 12/1/2015
Failed To: Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Pattern : Potential 3 12/1/2015
Failed To: 1) Give or get tests or x-rays that meet hospital requirements; or 2) to obtain an agreement for these services from an approved provider or supplier. Pattern : Minimal 4 12/1/2015
 

10/15/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Use a registered nurse at least 8 hours a day, 7 days a week. Widespread : Minimal 5 10/19/2014
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 10/19/2014
Failed To: Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Pattern : Potential 3 10/19/2014
Failed To: Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Widespread : Minimal 5 11/25/2014
 

10/2/2013 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 10/3/2013
Failed To: Ensure residents maintain acceptable nutritional status. Isolated : Minimal 3 10/3/2013
Failed To: 1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day. Pattern : Minimal 4 10/3/2013
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 10/3/2013
Failed To: Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Pattern : Potential 3  
Failed To: 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. Widespread : Potential 4 11/8/2013


 

Complaint Investigation Deficiencies

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

 

1/14/2016 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
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 2/5/2016
 

8/14/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Choose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility. Pattern : Minimal 4 8/19/2015
 

3/1/2013 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 3/14/2013
Failed To: Keep all essential equipment working safely. Pattern : Minimal 4 3/14/2013

 

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 30 48.50 76.40
Registered Nurses 0.82 0.65 0.60
Licensed Practical / Vocational Nurses 0.63 0.81 0.92
Certified Nursing Assistants 1.85 1.83 2.18
Total Staff Hours 3.30 3.30 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 3 4 6
Long Stay Residents Experiencing One or More Falls with Major Injury 5 3 3
Long Stay Residents Who Have Depressive Symptoms 7 3 6
Long Stay Residents Who Lose Too Much Weight 0 1 6
Long Stay Residents Who Received an Antipsychotic Medication 1 3 22
Long Stay Residents Who Self Report Moderate to Severe Pain 6 3 8
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 1 1 12
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 0 0 9
Long Stay Residents Who Were Physically Restrained 0 0 0
Long Stay Residents Whose Need for Help with ADLs has Increased 16 16 19
Long Stay Residents with a Catheter Inserted and Left in Their Bladder 2 2 3
Long Stay Residents With a Urinary Tract Infection 11 7 5