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.
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
| |||
20![]() Facility |
19![]() County |
22![]() TX |
20![]() USA |
Deficiency Ratings
|
||
20![]() 2017 |
20![]() 2016 |
19![]() 2015 |
Overall Rating: | ![]() |
Health Rating: | ![]() |
Staff Rating: | ![]() |
Quality Rating: | ![]() |
8/3/2017 Inspection | |||
Deficiency Description | Scope : Level of Harm | 1 -- Rating -- 7 | Corrected |
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 |
![]() ![]() |
9/4/2017
![]() |
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. | Pattern : Minimal |
![]() ![]() |
9/1/2017
![]() |
Failed To: Have a program that investigates, controls and keeps infection from spreading. | Pattern : Minimal |
![]() ![]() |
9/4/2017
![]() |
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Pattern : Minimal |
![]() ![]() |
9/1/2017
![]() |
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Pattern : Minimal |
![]() ![]() |
9/4/2017
![]() |
7/8/2016 Inspection | |||
Deficiency Description | Scope : Level of Harm | 1 -- Rating -- 7 | Corrected |
Failed To: Provide housekeeping and maintenance services. | Pattern : Minimal |
![]() ![]() |
8/4/2016
![]() |
Failed To: Ensure that residents are safe from serious medication errors. | Pattern : Minimal |
![]() ![]() |
8/4/2016
![]() |
Failed To: Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Pattern : Minimal |
![]() ![]() |
8/4/2016
![]() |
Failed To: Store, cook, and serve food in a safe and clean way. | Pattern : Minimal |
![]() ![]() |
8/4/2016
![]() |
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Pattern : Minimal |
![]() ![]() |
8/4/2016
![]() |
9/3/2015 Inspection | |||
Deficiency Description | Scope : Level of Harm | 1 -- Rating -- 7 | Corrected |
Failed To: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Isolated : Minimal |
![]() ![]() |
10/19/2015
![]() |
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 |
![]() ![]() |
10/19/2015
![]() |
Failed To: Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Pattern : Minimal |
![]() ![]() |
10/31/2015
![]() |
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Pattern : Minimal |
![]() ![]() |
10/19/2015
![]() |
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Pattern : Minimal |
![]() ![]() |
10/19/2015
![]() |
5/5/2017 Investigation | |||
Deficiency Description | Scope : Level of Harm | 1 -- Rating -- 7 | Corrected |
Failed To: Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. | Pattern : Minimal |
![]() ![]() |
5/26/2017
![]() |
9/15/2016 Investigation | |||
Deficiency Description | Scope : Level of Harm | 1 -- Rating -- 7 | Corrected |
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Pattern : Minimal |
![]() ![]() |
10/3/2016
![]() |
5/5/2016 Investigation | |||
Deficiency Description | Scope : Level of Harm | 1 -- Rating -- 7 | Corrected |
Failed To: Permit residents to remain in the facility and not be transferred or discharged without adequate reason. | Pattern : Minimal |
![]() ![]() |
5/27/2016
![]() |
Failed To: Provide timely notification to the resident before transfer or discharge. | Pattern : Minimal |
![]() ![]() |
5/27/2016
![]() |
4/5/2016 Investigation | |||
Deficiency Description | Scope : Level of Harm | 1 -- Rating -- 7 | Corrected |
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 |
![]() ![]() |
5/2/2016
![]() |
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . | Pattern : Minimal |
![]() ![]() |
5/2/2016
![]() |
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. | Pattern : Minimal |
![]() ![]() |
5/2/2016
![]() |
2/16/2016 Investigation | |||
Deficiency Description | Scope : Level of Harm | 1 -- Rating -- 7 | Corrected |
Failed To: Protect each resident from mistreatment, neglect and misappropriation of personal property. | Widespread : Immediate |
![]() ![]() |
3/9/2016
![]() |
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . | Widespread : Immediate |
![]() ![]() |
3/9/2016
![]() |
Failed To: Have a program that investigates, controls and keeps infection from spreading. | Widespread : Immediate |
![]() ![]() |
3/9/2016
![]() |
Failed To: Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Widespread : Immediate |
![]() ![]() |
3/9/2016
![]() |
10/9/2015 Investigation | |||
Deficiency Description | Scope : Level of Harm | 1 -- Rating -- 7 | Corrected |
Failed To: Provide housekeeping and maintenance services. | Pattern : Minimal |
![]() ![]() |
11/13/2015
![]() |
Failed To: Have a program that investigates, controls and keeps infection from spreading. | Pattern : Minimal |
![]() ![]() |
11/13/2015
![]() |
6/24/2015 Investigation | |||
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. | Isolated : Minimal |
![]() ![]() |
7/13/2015
![]() |
Staffing Hours Per Day Per Resident... | This Facility | County Avg | TX State Avg |
Number of Residents | 53 | 78.60 | 75.11 |
Registered Nurses | 0.38 | 0.56 | 0.59 |
Licensed Practical / Vocational Nurses | 1.02 | 0.80 | 0.94 |
Certified Nursing Assistants | 2.51 | 2.00 | 2.20 |
Total Staff Hours | 3.90 | 3.35 | 3.73 |
Percent of Residents... | This Facility | % | County Avg | % | TX State Avg | % |
of high risk long-stay residents with pressure ulcers |
![]() ![]() |
4 |
![]() ![]() |
6 |
![]() ![]() |
6 |
of long-stay residents assessed and appropriately given the pneumococcal vaccine |
![]() ![]() |
89 |
![]() ![]() |
90 |
![]() ![]() |
91 |
of long-stay residents assessed and appropriately given the seasonal influenza vaccine |
![]() ![]() |
89 |
![]() ![]() |
90 |
![]() ![]() |
92 |
of long-stay residents experiencing one or more falls with major injury |
![]() ![]() |
2 |
![]() ![]() |
3 |
![]() ![]() |
3 |
of long-stay residents who have depressive symptoms |
![]() ![]() |
1 |
![]() ![]() |
3 |
![]() ![]() |
3 |
of long-stay residents who lose too much weight |
![]() ![]() |
9 |
![]() ![]() |
6 |
![]() ![]() |
5 |
of long-stay residents who received an antianxiety or hypnotic medication |
![]() ![]() |
24 |
![]() ![]() |
24 |
![]() ![]() |
26 |
of long-stay residents who received an antipsychotic medication |
![]() ![]() |
27 |
![]() ![]() |
15 |
![]() ![]() |
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 |
![]() ![]() |
25 |
![]() ![]() |
20 |
![]() ![]() |
20 |
of long-stay residents whose need for help with daily activities has increased |
![]() ![]() |
19 |
![]() ![]() |
16 |
![]() ![]() |
18 |
of long-stay residents with a catheter inserted and left in their bladder |
![]() ![]() |
1 |
![]() ![]() |
2 |
![]() ![]() |
2 |
of long-stay residents with a urinary tract infection |
![]() ![]() |
1 |
![]() ![]() |
3 |
![]() ![]() |
3 |
of low risk long-stay residents who lose control of their bowels or bladder |
![]() ![]() |
34 |
![]() ![]() |
49 |
![]() ![]() |
49 |
of short-stay residents assessed and appropriately given the pneumococcal vaccine |
![]() ![]() |
49 |
![]() ![]() |
72 |
![]() ![]() |
77 |
of short-stay residents who had an outpatient emergency department visit |
![]() ![]() |
20 |
![]() ![]() |
13 |
![]() ![]() |
13 |
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine |
![]() ![]() |
69 |
![]() ![]() |
59 |
![]() ![]() |
59 |
of short-stay residents who were rehospitalized after a nursing home admission |
![]() ![]() |
38 |
![]() ![]() |
1 |
![]() ![]() |
2 |
of short-stay residents with pressure ulcers that are new or worsened |
![]() ![]() |
0 |
![]() ![]() |
8 |
![]() ![]() |
12 |