THE PALMS NURSING AND REHABILITATION LP

Nursing Home Inspector

5607 EVERHART RD
CORPUS CHRISTI, TX 78411
Nueces County
Phone: 361-854-4601
Provider Number: 455557
Last Inspection: 08/04/2017

About the Nursing Home

Number of Beds: 204
Number of Residents: 115
Beds Available: 89
Percent Occupancy: 56%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Both
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

 

44

Facility
39

County
22

TX
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

44

2017
36

2016
28

2015

Medicare Ratings

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

 

Details by Inspection Date

8/4/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. Pattern : Minimal 4 10/1/2017
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Pattern : Minimal 4 10/1/2017
 
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 10/1/2017
 
Failed To: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Pattern : Minimal 4 10/1/2017
 
Failed To: Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. Pattern : Minimal 4 10/1/2017
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Minimal 4 10/1/2017
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 10/1/2017
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Pattern : Minimal 4 10/1/2017
 
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Pattern : Minimal 4 10/1/2017
 
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 10/1/2017
 
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 10/1/2017
 

6/30/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Pattern : Minimal 4 7/30/2016
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 7/5/2016
 
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 7/30/2016
 
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Pattern : Minimal 4 7/30/2016
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Pattern : Minimal 4 7/30/2016
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Minimal 4 7/30/2016
 
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 7/30/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 7/30/2016
 
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 7/30/2016
 

6/25/2015 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 8/7/2015
 
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 8/7/2015
 
Failed To: Provide activities to meet the interests and needs of each resident. Pattern : Minimal 4 8/7/2015
 
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Pattern : Minimal 4 8/7/2015
 
Failed To: Assess in a timely manner the resident when the resident enters the nursing home. Pattern : Minimal 4 8/7/2015
 
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Pattern : Minimal 4 8/7/2015
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 8/7/2015
 

Complaint Investigation Deficiencies

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

11/10/2016 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Protect each resident from mistreatment, neglect and misappropriation of personal property. Pattern : Immediate 6 9/29/2016
 
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 : Immediate 6 9/29/2016
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Pattern : Minimal 4 12/15/2016
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Pattern : Minimal 4 12/15/2016
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Immediate 6 9/29/2016
 

5/12/2016 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Keep residents' personal and medical records private and confidential. Pattern : Potential 3 6/17/2016
 
Failed To: Reasonably accommodate the needs and preferences of each resident. Pattern : Minimal 4 6/17/2016
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Pattern : Minimal 4 6/17/2016
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 6/17/2016
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Potential 3 6/17/2016
 
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 6/17/2016
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Pattern : Potential 3 6/17/2016
 

2/5/2016 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 3/1/2016
 

11/5/2015 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 12/5/2015
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg TX State Avg
Number of Residents 115 81.06 75.11
Registered Nurses 0.30 0.85 0.59
Licensed Practical / Vocational Nurses 1.27 1.00 0.94
Certified Nursing Assistants 1.96 2.36 2.20
Total Staff Hours 3.53 4.20 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 9 7 6
of long-stay residents assessed and appropriately given the pneumococcal vaccine 100 95 91
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98 91 92
of long-stay residents experiencing one or more falls with major injury 3 4 3
of long-stay residents who have depressive symptoms 1 2 3
of long-stay residents who lose too much weight 8 5 5
of long-stay residents who received an antianxiety or hypnotic medication 36 26 26
of long-stay residents who received an antipsychotic medication 22 11 17
of long-stay residents who self-report moderate to severe pain 8 5 5
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 13 22 20
of long-stay residents whose need for help with daily activities has increased 16 19 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 2 2 3
of low risk long-stay residents who lose control of their bowels or bladder 40 53 49
of short-stay residents assessed and appropriately given the pneumococcal vaccine 98 86 77
of short-stay residents who had an outpatient emergency department visit 17 13 13
of short-stay residents who made improvements in function 65 54 59
of short-stay residents who newly received an antipsychotic medication 1 1 2
of short-stay residents who self-report moderate to severe pain 7 12 12
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 95 81 74
of short-stay residents who were rehospitalized after a nursing home admission 17 20 23
of short-stay residents with pressure ulcers that are new or worsened 1 45 46