MEMORIAL NURSING AND REHABILITATION CENTER

Nursing Home Inspector

224 E 2ND ST
DUMAS, TX 79029
Moore County
Phone: 806-935-6500
Provider Number: 45F199
Last Inspection: 10/26/2017

About the Nursing Home

Number of Beds: 47
Number of Residents: 34
Beds Available: 13
Percent Occupancy: 72%
Insurance Accepted: 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

 

7

Facility
3

County
22

TX
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

7

2017
0

2016
0

2016

Medicare Ratings

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

 

Details by Inspection Date

10/26/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
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 12/1/2017
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 11/25/2017
 

Complaint Investigation Deficiencies

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

3/24/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
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 4/13/2015
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg TX State Avg
Number of Residents 34 52.00 75.11
Registered Nurses 0.50 0.54 0.59
Licensed Practical / Vocational Nurses 1.22 0.98 0.94
Certified Nursing Assistants 2.73 2.39 2.20
Total Staff Hours 4.46 3.91 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 6 4 6
of long-stay residents assessed and appropriately given the pneumococcal vaccine 100 100 91
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100 99 92
of long-stay residents experiencing one or more falls with major injury 5 3 3
of long-stay residents who have depressive symptoms 5 5 3
of long-stay residents who lose too much weight 10 7 5
of long-stay residents who received an antianxiety or hypnotic medication 21 26 26
of long-stay residents who received an antipsychotic medication 21 22 17
of long-stay residents who self-report moderate to severe pain 19 22 5
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 20 11 20
of long-stay residents whose need for help with daily activities has increased 17 13 18
of long-stay residents with a catheter inserted and left in their bladder 2 1 2
of long-stay residents with a urinary tract infection 9 6 3
of low risk long-stay residents who lose control of their bowels or bladder 49 38 49
of short-stay residents assessed and appropriately given the pneumococcal vaccine 100 98 77
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 100 10 13
of short-stay residents with pressure ulcers that are new or worsened 0 46 59