THE OAKS AT RADFORD HILLS

Nursing Home Inspector

725 MEDICAL DR
ABILENE, TX 79601
Taylor County
Phone: 325-672-3236
Provider Number: 675330
Last Inspection: 08/25/2017

About the Nursing Home

Number of Beds: 116
Number of Residents: 87
Beds Available: 29
Percent Occupancy: 75%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
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

 

23

Facility
23

County
22

TX
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

23

2017
24

2016
41

2015

Medicare Ratings

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

 

Details by Inspection Date

8/25/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Pattern : Minimal 4 9/30/2017
 
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 9/30/2017
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Pattern : Minimal 4 9/30/2017
 
Failed To: Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Pattern : Minimal 4 9/30/2017
 
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Isolated : Minimal 3 9/30/2017
 
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Pattern : Minimal 4 9/30/2017
 

6/17/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Pattern : Minimal 4 7/25/2016
 
Failed To: Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Pattern : Potential 3 7/25/2016
 
Failed To: Provide special eating equipment and utensils for each resident who needs them. Pattern : Minimal 4 7/25/2016
 
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 7/25/2016
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 7/25/2016
 
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 4 7/25/2016
 

6/11/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Actual 4 7/10/2015
 
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. Widespread : Minimal 5 7/10/2015
 
Failed To: Provide food in a way that meets a resident's needs. Isolated : Minimal 3 7/10/2015
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 7/10/2015
 
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 4 7/10/2015
 
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 7/10/2015
 
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. Widespread : Minimal 5 7/10/2015
 
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Pattern : Minimal 4 7/10/2015
 
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 7/10/2015
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Actual 4 7/10/2015
 

Complaint Investigation Deficiencies

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

8/26/2015 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 : Immediate 6 9/1/2015
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Pattern : Immediate 6 9/1/2015
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern : Immediate 6 9/1/2015
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg TX State Avg
Number of Residents 87 59.62 75.11
Registered Nurses 0.59 0.86 0.59
Licensed Practical / Vocational Nurses 0.62 0.86 0.94
Certified Nursing Assistants 2.18 2.32 2.20
Total Staff Hours 3.39 4.04 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 3 4 6
of long-stay residents assessed and appropriately given the pneumococcal vaccine 86 88 91
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 94 93 92
of long-stay residents experiencing one or more falls with major injury 3 4 3
of long-stay residents who have depressive symptoms 0 2 3
of long-stay residents who lose too much weight 3 6 5
of long-stay residents who received an antianxiety or hypnotic medication 8 23 26
of long-stay residents who received an antipsychotic medication 15 16 17
of long-stay residents who self-report moderate to severe pain 2 8 5
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 6 20 20
of long-stay residents whose need for help with daily activities has increased 8 14 18
of long-stay residents with a catheter inserted and left in their bladder 1 1 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 53 50 49
of short-stay residents assessed and appropriately given the pneumococcal vaccine 28 73 77
of short-stay residents who had an outpatient emergency department visit 18 11 13
of short-stay residents who made improvements in function 48 63 59
of short-stay residents who newly received an antipsychotic medication 4 2 2
of short-stay residents who self-report moderate to severe pain 2 9 12
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 38 72 74
of short-stay residents who were rehospitalized after a nursing home admission 28 18 23
of short-stay residents who were successfully discharged to the community 46 48 46
of short-stay residents with pressure ulcers that are new or worsened 0 1 0