BRIARWOOD MANOR CARE CENTER

Nursing Home Inspector

1515 W MAIN
BELLVILLE, TX 77418
Austin County
Phone: 979-865-3145
Provider Number: 45F462
Last Inspection: 09/29/2016

About the Nursing Home

Number of Beds: 51
Number of Residents: 33
Beds Available: 18
Percent Occupancy: 65%
Insurance Accepted: Medicaid
Types of Councils: Resident
Ownership: For profit - Partnership
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

 

8

Facility
25

County
22

TX
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

8

2016
28

2015
28

2014

Medicare Ratings

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

 

Details by Inspection Date

9/29/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Widespread : Minimal 5 10/12/2016
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 10/5/2016
 

10/1/2015 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 10/16/2015
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 10/30/2015
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 10/16/2015
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Widespread : Minimal 5 10/16/2015
 
Failed To: Put firmly secured handrails on each side of hallways. Widespread : Minimal 5 10/16/2015
 
Failed To: Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. Widespread : Minimal 5 10/16/2015
 

10/15/2014 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 11/4/2014
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Isolated : Minimal 3 11/3/2014
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 11/4/2014
 
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 11/4/2014
 
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Isolated : Minimal 3 11/4/2014
 
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Isolated : Minimal 3 11/3/2014
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Minimal 4 11/4/2014
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Pattern : Minimal 4 11/4/2014
 

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 33 40.33 75.11
Registered Nurses 0.59 0.42 0.59
Licensed Practical / Vocational Nurses 0.76 0.79 0.94
Certified Nursing Assistants 2.12 1.70 2.20
Total Staff Hours 3.47 2.91 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 7 6
of long-stay residents assessed and appropriately given the pneumococcal vaccine 99 82 91
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100 93 92
of long-stay residents experiencing one or more falls with major injury 0 1 3
of long-stay residents who have depressive symptoms 0 1 3
of long-stay residents who lose too much weight 5 7 5
of long-stay residents who received an antianxiety or hypnotic medication 13 13 26
of long-stay residents who received an antipsychotic medication 7 17 17
of long-stay residents who self-report moderate to severe pain 3 2 5
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 22 22 20
of long-stay residents whose need for help with daily activities has increased 13 17 18
of long-stay residents with a catheter inserted and left in their bladder 3 2 2
of long-stay residents with a urinary tract infection 6 6 3
of low risk long-stay residents who lose control of their bowels or bladder 17 36 49