ADVANCED REHABILITATION AND HEALTHCARE OF VERNON

Nursing Home Inspector

4401 COLLEGE DR
VERNON, TX 76384
Wilbarger County
Phone: 940-552-9316
Provider Number: 455931
Last Inspection: 11/04/2016

About the Nursing Home

Number of Beds: 120
Number of Residents: 103
Beds Available: 17
Percent Occupancy: 86%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: Government - Hospital district
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

 

14

Facility
21

County
22

TX
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

14

2016
17

2015
79

2014

Medicare Ratings

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

 

Details by Inspection Date

11/4/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure the activities program is directed by a qualified professional. Widespread : Potential 4 11/28/2016
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Widespread : Minimal 5 12/1/2016
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Widespread : Minimal 5 12/1/2016
 

11/20/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Make sure that doctors visit residents regularly, as required. Pattern : Minimal 4 12/4/2015
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 12/4/2015
 
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 12/4/2015
 
Failed To: Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. Widespread : Minimal 5 12/4/2015
 

11/7/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that residents are fully informed and understand their health status, care and treatments. Pattern : Minimal 4 12/7/2014
 
Failed To: Provide residents with private access to a telephone. Pattern : Potential 3 12/7/2014
 
Failed To: Reasonably accommodate the needs and preferences of each resident. Pattern : Minimal 4 12/7/2014
 
Failed To: Provide activities to meet the interests and needs of each resident. Pattern : Minimal 4 12/7/2014
 
Failed To: Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. Widespread : Potential 4 12/7/2014
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Widespread : Minimal 5 12/7/2014
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 12/7/2014
 
Failed To: Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. Pattern : Minimal 4 12/7/2014
 
Failed To: Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Pattern : Minimal 4 12/7/2014
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 12/7/2014
 
Failed To: Dispose of garbage and refuse properly. Widespread : Potential 4 12/7/2014
 
Failed To: Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. Pattern : Minimal 4 12/7/2014
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Widespread : Minimal 5 12/7/2014
 
Failed To: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Pattern : Potential 3 12/7/2014
 
Failed To: Have enough backup water supply for essential areas of the nursing home. Widespread : Minimal 5 12/7/2014
 
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 12/7/2014
 
Failed To: Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. Pattern : Minimal 4 12/7/2014
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Widespread : Potential 4 12/7/2014
 
Failed To: Train all employees on what to do in an emergency, and carry out unannounced staff drills. Widespread : Minimal 5 12/7/2014
 

Complaint Investigation Deficiencies

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

No Complaint Deficiencies Reported

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg TX State Avg
Number of Residents 103 70.00 75.11
Registered Nurses 0.67 0.57 0.59
Licensed Practical / Vocational Nurses 1.08 1.10 0.94
Certified Nursing Assistants 2.08 2.04 2.20
Total Staff Hours 3.83 3.71 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 4 4 6
of long-stay residents assessed and appropriately given the pneumococcal vaccine 99 73 91
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 99 99 92
of long-stay residents experiencing one or more falls with major injury 2 1 3
of long-stay residents who have depressive symptoms 0 1 3
of long-stay residents who lose too much weight 4 5 5
of long-stay residents who received an antianxiety or hypnotic medication 23 33 26
of long-stay residents who received an antipsychotic medication 8 22 17
of long-stay residents who self-report moderate to severe pain 4 10 5
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 14 15 20
of long-stay residents whose need for help with daily activities has increased 12 13 18
of long-stay residents with a catheter inserted and left in their bladder 1 0 2
of long-stay residents with a urinary tract infection 1 4 3
of low risk long-stay residents who lose control of their bowels or bladder 51 43 49
of short-stay residents assessed and appropriately given the pneumococcal vaccine 98 98 77
of short-stay residents who had an outpatient emergency department visit 16 16 13
of short-stay residents who made improvements in function 61 61 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 14 14 12
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 86 86 74
of short-stay residents who were rehospitalized after a nursing home admission 23 23 23
of short-stay residents who were successfully discharged to the community 47 47 46
of short-stay residents with pressure ulcers that are new or worsened 1 1 0