EDEN HOME INC

Nursing Home Inspector

631 LAKEVIEW BLVD
NEW BRAUNFELS, TX 78130
Comal County
Phone: 830-625-6291
Provider Number: 455618
Last Inspection: 12/09/2016

About the Nursing Home

Number of Beds: 184
Number of Residents: 137
Beds Available: 47
Percent Occupancy: 74%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Both
Ownership: Non profit - Church related
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

 

19

Facility
21

County
22

TX
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

19

2016
23

2015
68

2014

Medicare Ratings

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

 

Details by Inspection Date

12/9/2016 Inspection

 
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 1/9/2017
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Minimal 4 1/9/2017
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 1/9/2017
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Pattern : Minimal 4 1/9/2017
 
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 1/9/2017
 

12/4/2015 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 12/21/2015
 
Failed To: Assess in a timely manner the resident when the resident enters the nursing home. Pattern : Minimal 4 12/11/2015
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Pattern : Potential 3 1/5/2016
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern : Minimal 4 12/21/2015
 
Failed To: Keep residents' personal and medical records private and confidential. Pattern : Minimal 4 12/21/2015
 
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 12/31/2015
 

10/31/2014 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 11/1/2014
 
Failed To: Dispose of garbage and refuse properly. Widespread : Minimal 5 11/4/2014
 
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 12/15/2014
 
Failed To: Ensure residents maintain acceptable nutritional status. Pattern : Minimal 4 12/15/2014
 
Failed To: Ensure that residents receive proper treatment and assistive devices to maintain their vision and hearing. Pattern : Minimal 4 12/15/2014
 
Failed To: Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. Pattern : Minimal 4 12/15/2014
 
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 12/15/2014
 
Failed To: Allow residents to easily view the results of the nursing home's most recent inspection. Widespread : Potential 4 11/1/2014
 
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 12/15/2014
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 12/15/2014
 
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. Pattern : Minimal 4 12/15/2014
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Widespread : Minimal 5 12/15/2014
 
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 12/15/2014
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 12/15/2014
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Pattern : Minimal 4 12/15/2014
 
Failed To: Provide medically-related social services to help each resident achieve the highest possible quality of life. Pattern : Minimal 4 12/15/2014
 

Complaint Investigation Deficiencies

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

1/12/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Keep residents' personal and medical records private and confidential. Pattern : Minimal 4 2/27/2015
 
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Pattern : Minimal 4 2/27/2015
 
Failed To: Make sure that special or therapeutic diets are ordered by the attending doctor. Pattern : Minimal 4 2/27/2015
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 2/27/2015
 
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 2/27/2015
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg TX State Avg
Number of Residents 137 97.17 75.11
Registered Nurses 0.38 0.45 0.59
Licensed Practical / Vocational Nurses 1.04 0.89 0.94
Certified Nursing Assistants 2.49 1.89 2.20
Total Staff Hours 3.91 3.23 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 4 6
of long-stay residents assessed and appropriately given the pneumococcal vaccine 96 93 91
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97 95 92
of long-stay residents experiencing one or more falls with major injury 3 3 3
of long-stay residents who have depressive symptoms 5 2 3
of long-stay residents who lose too much weight 8 7 5
of long-stay residents who received an antianxiety or hypnotic medication 17 27 26
of long-stay residents who received an antipsychotic medication 25 19 17
of long-stay residents who self-report moderate to severe pain 4 5 5
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 14 16 20
of long-stay residents whose need for help with daily activities has increased 15 16 18
of long-stay residents with a catheter inserted and left in their bladder 3 1 2
of long-stay residents with a urinary tract infection 7 4 3
of low risk long-stay residents who lose control of their bowels or bladder 57 54 49
of short-stay residents assessed and appropriately given the pneumococcal vaccine 94 81 77
of short-stay residents who had an outpatient emergency department visit 11 13 13
of short-stay residents who made improvements in function 45 55 59
of short-stay residents who newly received an antipsychotic medication 3 2 2
of short-stay residents who self-report moderate to severe pain 11 10 12
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 87 74 74
of short-stay residents who were rehospitalized after a nursing home admission 18 21 23
of short-stay residents who were successfully discharged to the community 52 54 46
of short-stay residents with pressure ulcers that are new or worsened 1 0 0