HONDO NURSING AND REHABILITATION LP

Nursing Home Inspector

3002 AVE Q
HONDO, TX 78861
Medina County
Phone: 830-426-3056
Provider Number: 455534
Last Inspection: 01/27/2017

About the Nursing Home

Number of Beds: 84
Number of Residents: 38
Beds Available: 46
Percent Occupancy: 45%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: For profit - Partnership
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

 

60

Facility 		33

County 		22

TX 		20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 
60

2017		 26

2015		 22

2014

Medicare Ratings

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

 

Details by Inspection Date

1/27/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide housekeeping and maintenance services. Pattern : Potential 3 2/10/2017
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Potential 4 1/30/2017
 
Failed To: Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. Pattern : Minimal 4 2/10/2017
 
Failed To: Train all employees on what to do in an emergency, and carry out unannounced staff drills. Widespread : Minimal 5 3/1/2017
 
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 2/22/2017
 
Failed To: Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . Isolated : Minimal 3 3/1/2017
 
Failed To: Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Widespread : Potential 4 2/10/2017
 
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 2/10/2017
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Pattern : Potential 3 2/10/2017
 
Failed To: Make sure that paid feeding assistants 1) completed training; 2) work under the supervision of a RN or LPN; and 3) feed only residents who have no complicated feeding problems. Pattern : Minimal 4 2/10/2017
 
Failed To: Use a registered nurse at least 8 hours a day, 7 days a week. Widespread : Potential 4 2/10/2017
 
Failed To: Provide medically-related social services to help each resident achieve the highest possible quality of life. Isolated : Minimal 3 3/1/2017
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Pattern : Minimal 4 3/1/2017
 
Failed To: Conduct initial and periodic assessments of each resident's functional capacity. Pattern : Minimal 4 2/10/2017
 
Failed To: Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Pattern : Minimal 4 2/13/2017
 
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 2/10/2017
 

12/18/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. Widespread : Minimal 5 12/30/2015
 
Failed To: Provide clean bed and bath linens that are in good condition. Pattern : Minimal 4 12/29/2015
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 1/14/2016
 
Failed To: Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Widespread : Potential 4 12/18/2015
 
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 1/30/2016
 
Failed To: Keep residents' personal and medical records private and confidential. Pattern : Minimal 4 12/29/2015
 

11/14/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 12/10/2014
 
Failed To: Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Widespread : Potential 4  
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 12/5/2014
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Widespread : Minimal 5 12/22/2014
 
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 12/5/2014
 

Complaint Investigation Deficiencies

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

10/22/2015 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. Pattern : Minimal 4 11/20/2015
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 11/20/2015
 

4/14/2015 Investigation

 
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. Widespread : Minimal 5 4/17/2015
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Widespread : Minimal 5 4/17/2015
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg TX State Avg
Number of Residents 38 53.75 75.11
Registered Nurses 1.58 0.66 0.59
Licensed Practical / Vocational Nurses 0.24 0.86 0.94
Certified Nursing Assistants 2.49 2.10 2.20
Total Staff Hours 4.31 3.62 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 2 2 6
of long-stay residents assessed and appropriately given the pneumococcal vaccine 99 98 91
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98 96 92
of long-stay residents experiencing one or more falls with major injury 2 3 3
of long-stay residents who have depressive symptoms 0 5 3
of long-stay residents who lose too much weight 6 7 5
of long-stay residents who received an antianxiety or hypnotic medication 33 24 26
of long-stay residents who received an antipsychotic medication 20 15 17
of long-stay residents who self-report moderate to severe pain 6 2 5
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 18 20 20
of long-stay residents whose need for help with daily activities has increased 19 24 18
of long-stay residents with a catheter inserted and left in their bladder 0 1 2
of long-stay residents with a urinary tract infection 7 3 3
of low risk long-stay residents who lose control of their bowels or bladder 7 19 49
of short-stay residents assessed and appropriately given the pneumococcal vaccine 90 83 77
of short-stay residents who made improvements in function 91 9 13
of short-stay residents who newly received an antipsychotic medication 0 78 59
of short-stay residents who self-report moderate to severe pain 10 1 2
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 71 11 12
of short-stay residents with pressure ulcers that are new or worsened 0 72 74