FOCUSED CARE AT LINDEN

Nursing Home Inspector

1201 W HOUSTON ST
LINDEN, TX 75563
Cass County
Phone: 903-756-5537
Provider Number: 675293
Last Inspection: 11/09/2016

About the Nursing Home

Number of Beds: 131
Number of Residents: 41
Beds Available: 90
Percent Occupancy: 31%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Both
Ownership: For profit - Corporation
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

 

15

Facility
39

County
22

TX
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

15

2016
16

2015
56

2014

Medicare Ratings

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

 

Details by Inspection Date

11/9/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide care by qualified persons according to each resident's written plan of care. Widespread : Minimal 5 12/9/2016
 
Failed To: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Widespread : Minimal 5 11/29/2016
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Widespread : Minimal 5 12/16/2016
 

12/2/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that residents receive proper treatment and assistive devices to maintain their vision and hearing. Pattern : Minimal 4 12/30/2015
 
Failed To: Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Pattern : Minimal 4 12/21/2015
 
Failed To: Provide food in a way that meets a resident's needs. Pattern : Minimal 4 12/30/2015
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 12/3/2015
 

10/16/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Protect each resident from mistreatment, neglect and misappropriation of personal property. Pattern : Immediate 6 10/16/2014
 
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 : Immediate 6 10/16/2014
 
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 11/6/2014
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Pattern : Minimal 4 11/6/2014
 
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Pattern : Minimal 4 11/17/2014
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 11/6/2014
 
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. Widespread : Minimal 5 11/6/2014
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 11/6/2014
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 11/6/2014
 
Failed To: Keep all essential equipment working safely. Pattern : Minimal 4 11/6/2014
 
Failed To: Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . Pattern : Immediate 6 10/16/2014
 
Failed To: Give or get x-rays and other tests in a timely manner to meet the needs of residents. Pattern : Minimal 4 11/6/2014
 

Complaint Investigation Deficiencies

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

6/27/2017 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Widespread : Minimal 5 8/8/2017
 

2/12/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 2/16/2015
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg TX State Avg
Number of Residents 41 49.80 75.11
Registered Nurses 0.87 0.64 0.59
Licensed Practical / Vocational Nurses 1.10 1.25 0.94
Certified Nursing Assistants 1.94 2.74 2.20
Total Staff Hours 3.91 4.62 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 7 6
of long-stay residents assessed and appropriately given the pneumococcal vaccine 100 97 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 5 3
of long-stay residents who have depressive symptoms 0 3 3
of long-stay residents who lose too much weight 4 8 5
of long-stay residents who received an antianxiety or hypnotic medication 50 31 26
of long-stay residents who received an antipsychotic medication 26 19 17
of long-stay residents who self-report moderate to severe pain 3 4 5
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 20 21 20
of long-stay residents whose need for help with daily activities has increased 23 19 18
of long-stay residents with a catheter inserted and left in their bladder 8 2 2
of long-stay residents with a urinary tract infection 4 6 3
of low risk long-stay residents who lose control of their bowels or bladder 34 42 49
of short-stay residents assessed and appropriately given the pneumococcal vaccine 99 90 77
of short-stay residents who had an outpatient emergency department visit 13 18 13
of short-stay residents who made improvements in function 48 69 59
of short-stay residents who newly received an antipsychotic medication 5 5 2
of short-stay residents who self-report moderate to severe pain 19 17 12
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 100 87 74
of short-stay residents who were rehospitalized after a nursing home admission 13 24 23
of short-stay residents with pressure ulcers that are new or worsened 0 40 46