SHARPVIEW RESIDENCE AND REHABILITATION CENTER

Nursing Home Inspector

7505 BELLERIVE
HOUSTON, TX 77036
Harris County
Phone: 713-774-9611
Provider Number: 455333
Last Inspection: 02/24/2017

About the Nursing Home

Number of Beds: 134
Number of Residents: 52
Beds Available: 82
Percent Occupancy: 39%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: For profit - Corporation
Within Hospital?: NO

About State Inspection Deficiencies

Nursing Homes that are Medicare and/or Medicaid certified are licensed by the state and are required to comply with rigid standards enforced by regular facility inspections and extensive evaluations.

The state inspection deficiencies provided here are accounts reported by state inspectors of every discrepancy found where the home failed to meet the minimum standards set forth by state and federal regulations. If a home does not show any deficiencies, it has met the minimum standards required.

Please note: 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.


Deficiency Ratings

Our nursing home inspector tool compares the severity of deficiences rather than the number of deficiences. We calculate the severity of each deficiency using the formula:

Severity Rating = Scope + Level of Harm.

Deficiency Rating= Sum of ALL Severity Ratings

Severity Scope Level of Harm
2 1-Isolated 1-Potential for minimal harm
3 2-Pattern 1-Potential for minimal harm
3 1-Isolated 2-Minimal harm or potential for actual harm
4 3-Widespread 1-Potential for minimal harm
4 2-Pattern 2-Minimal harm or potential for actual harm
4 1-Isolated 3-Actual harm
5 3-Widespread 2-Minimal harm or potential for actual harm
5 2-Pattern 3-Actual harm
5 1-Isolated 4-Immediate jeopardy to resident health or safety
6 3-Widespread 3-Actual harm
6 2-Pattern 4-Immediate jeopardy to resident health or safety
7 3-Widespread 4-Immediate jeopardy to resident health or safety

Deficiency Ratings
By Region

Lower Numbers Are Better

 

25

Facility
26

County
22

TX
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

25

2017
33

2016
21

2015

Medicare Ratings

Overall Rating: Overall Rating
Health Rating: Health Rating
Staff Rating: Staff Rating
Quality Rating: Quality Rating

 

Details by Inspection Date

2/24/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Pattern : Minimal 4 4/3/2017
 
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 4/3/2017
 
Failed To: Dispose of garbage and refuse properly. Widespread : Minimal 5 4/3/2017
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Pattern : Minimal 4 4/3/2017
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Pattern : Minimal 4 4/3/2017
 
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Pattern : Minimal 4 4/3/2017
 

3/1/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. Pattern : Minimal 4 3/21/2016
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Widespread : Minimal 5 3/28/2016
 
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 3/10/2016
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Widespread : Minimal 5 3/8/2016
 
Failed To: Ensure residents maintain acceptable nutritional status. Pattern : Minimal 4 3/8/2016
 
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 3/14/2016
 
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Isolated : Minimal 3 3/16/2016
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 3/17/2016
 

2/19/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. Isolated : Minimal 3 3/2/2015
 
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 3/6/2015
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 2/27/2015
 
Failed To: Provide or obtain laboratory services only when ordered by the attending physician. Isolated : Minimal 3 3/2/2015
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 3/2/2015
 
Failed To: Train all employees on what to do in an emergency, and carry out unannounced staff drills. Isolated : Minimal 3 2/27/2015
 

Complaint Investigation Deficiencies

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

2/5/2015 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 2/12/2015
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg TX State Avg
Number of Residents 52 83.27 75.11
Registered Nurses 0.83 0.81 0.59
Licensed Practical / Vocational Nurses 0.64 0.93 0.94
Certified Nursing Assistants 2.17 2.22 2.20
Total Staff Hours 3.64 3.96 3.73

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% TX State Avg%
of high risk long-stay residents with pressure ulcers 20 7 6
of long-stay residents assessed and appropriately given the pneumococcal vaccine 94 84 91
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 93 88 92
of long-stay residents experiencing one or more falls with major injury 3 2 3
of long-stay residents who have depressive symptoms 0 2 3
of long-stay residents who lose too much weight 14 6 5
of long-stay residents who received an antianxiety or hypnotic medication 5 18 26
of long-stay residents who received an antipsychotic medication 24 14 17
of long-stay residents who self-report moderate to severe pain 5 3 5
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 23 23 20
of long-stay residents whose need for help with daily activities has increased 29 18 18
of long-stay residents with a catheter inserted and left in their bladder 4 2 2
of long-stay residents with a urinary tract infection 5 4 3
of low risk long-stay residents who lose control of their bowels or bladder 68 61 49
of short-stay residents assessed and appropriately given the pneumococcal vaccine 85 72 77
of short-stay residents who had an outpatient emergency department visit 8 11 13
of short-stay residents who made improvements in function 61 59 59
of short-stay residents who newly received an antipsychotic medication 7 2 2
of short-stay residents who self-report moderate to severe pain 9 9 12
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 86 70 74
of short-stay residents who were rehospitalized after a nursing home admission 22 26 23
of short-stay residents who were successfully discharged to the community 48 44 46
of short-stay residents with pressure ulcers that are new or worsened 0 0 0