WESTVIEW MANOR AND REHABILITATION CENTER

Nursing Home Inspector

414 JOHNSON DR
MC GREGOR, TX 76657
Mc Lennan County
Phone: 254-840-3281
Provider Number: 455554
Last Inspection: 10/19/2016

About the Nursing Home

Number of Beds: 186
Number of Residents: 123
Beds Available: 63
Percent Occupancy: 66%
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

 

20

Facility
20

County
22

TX
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

20

2016
15

2015
17

2014

Medicare Ratings

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

 

Details by Inspection Date

10/19/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 11/15/2016
 
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 11/15/2016
 
Failed To: Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. Pattern : Minimal 4 11/15/2016
 
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 11/15/2016
 
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 11/15/2016
 

9/23/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Hire a qualified full-time social worker in a facility with more than 120 beds. Widespread : Potential 4 10/23/2015
 
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 10/23/2015
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 10/23/2015
 
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Isolated : Minimal 3 10/23/2015
 

8/20/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Pattern : Minimal 4 9/8/2014
 
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 9/8/2014
 
Failed To: Review or revise the resident's care plan after any major change in physical or mental health. Widespread : Minimal 5 9/8/2014
 
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 9/8/2014
 

Complaint Investigation Deficiencies

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

12/15/2015 Investigation

 
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 12/30/2015
 
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 : Minimal 4 12/30/2015
 

9/3/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern : Minimal 4 9/5/2015
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg TX State Avg
Number of Residents 123 90.44 75.11
Registered Nurses 0.44 0.42 0.59
Licensed Practical / Vocational Nurses 0.93 0.77 0.94
Certified Nursing Assistants 2.79 1.95 2.20
Total Staff Hours 4.15 3.15 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 5 5 6
of long-stay residents assessed and appropriately given the pneumococcal vaccine 100 84 91
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 99 93 92
of long-stay residents experiencing one or more falls with major injury 4 2 3
of long-stay residents who have depressive symptoms 3 3 3
of long-stay residents who lose too much weight 9 5 5
of long-stay residents who received an antianxiety or hypnotic medication 21 29 26
of long-stay residents who received an antipsychotic medication 13 20 17
of long-stay residents who self-report moderate to severe pain 3 5 5
of long-stay residents who were physically restrained 0 1 0
of long-stay residents whose ability to move independently worsened 13 20 20
of long-stay residents whose need for help with daily activities has increased 10 19 18
of long-stay residents with a catheter inserted and left in their bladder 0 2 2
of long-stay residents with a urinary tract infection 7 2 3
of low risk long-stay residents who lose control of their bowels or bladder 48 45 49
of short-stay residents assessed and appropriately given the pneumococcal vaccine 97 74 77
of short-stay residents who had an outpatient emergency department visit 7 14 13
of short-stay residents who made improvements in function 62 60 59
of short-stay residents who newly received an antipsychotic medication 1 2 2
of short-stay residents who self-report moderate to severe pain 10 15 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 14 19 23
of short-stay residents who were successfully discharged to the community 57 54 46
of short-stay residents with pressure ulcers that are new or worsened 2 0 0