BASTROP NURSING CENTER

Nursing Home Inspector

400 OLD AUSTIN HWY
BASTROP, TX 78602
Bastrop County
Phone: 512-321-2529
Provider Number: 675356
Last Inspection: 11/10/2016

About the Nursing Home

Number of Beds: 96
Number of Residents: 64
Beds Available: 32
Percent Occupancy: 67%
Insurance Accepted: Medicare & 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

 

25

Facility
16

County
22

TX
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

25

2016
35

2015
25

2014

Medicare Ratings

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

 

Details by Inspection Date

11/10/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Pattern : Minimal 4 12/10/2016
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Actual 4 12/10/2016
 
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Pattern : Minimal 4 12/10/2016
 
Failed To: At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. Pattern : Minimal 4 12/10/2016
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Widespread : Minimal 5 12/10/2016
 
Failed To: Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Widespread : Potential 4 12/10/2016
 

9/25/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. Pattern : Minimal 4 10/26/2015
 
Failed To: Keep residents' personal and medical records private and confidential. Isolated : Minimal 3 10/26/2015
 
Failed To: Protect each resident from mistreatment, neglect and misappropriation of personal property. Isolated : Actual 4 10/26/2015
 
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. Isolated : Actual 4 10/26/2015
 
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. Isolated : Minimal 3 10/26/2015
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Actual 4 10/26/2015
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 10/26/2015
 
Failed To: Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Widespread : Potential 4 10/26/2015
 
Failed To: Train all employees on what to do in an emergency, and carry out unannounced staff drills. Pattern : Minimal 4 10/26/2015
 

7/10/2014 Inspection

 
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. Isolated : Minimal 3 8/8/2014
 
Failed To: Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Widespread : Minimal 5 8/8/2014
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 8/8/2014
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 8/8/2014
 
Failed To: Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Widespread : Potential 4 8/8/2014
 
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 8/8/2014
 

Complaint Investigation Deficiencies

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

8/10/2016 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 4 8/11/2016
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg TX State Avg
Number of Residents 64 84.00 75.11
Registered Nurses 0.39 0.61 0.59
Licensed Practical / Vocational Nurses 0.50 0.75 0.94
Certified Nursing Assistants 1.24 2.14 2.20
Total Staff Hours 2.13 3.50 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 7 7 6
of long-stay residents assessed and appropriately given the pneumococcal vaccine 100 94 91
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 99 93 92
of long-stay residents experiencing one or more falls with major injury 3 3 3
of long-stay residents who have depressive symptoms 0 4 3
of long-stay residents who lose too much weight 3 4 5
of long-stay residents who received an antianxiety or hypnotic medication 15 22 26
of long-stay residents who received an antipsychotic medication 17 20 17
of long-stay residents who self-report moderate to severe pain 6 3 5
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 16 21 20
of long-stay residents whose need for help with daily activities has increased 19 24 18
of long-stay residents with a catheter inserted and left in their bladder 0 1 2
of long-stay residents with a urinary tract infection 0 3 3
of low risk long-stay residents who lose control of their bowels or bladder 43 53 49
of short-stay residents assessed and appropriately given the pneumococcal vaccine 100 60 77
of short-stay residents who had an outpatient emergency department visit 14 12 13
of short-stay residents who made improvements in function 72 64 59
of short-stay residents who newly received an antipsychotic medication 7 5 2
of short-stay residents who self-report moderate to severe pain 11 8 12
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 96 53 74
of short-stay residents who were rehospitalized after a nursing home admission 21 22 23
of short-stay residents who were successfully discharged to the community 30 44 46
of short-stay residents with pressure ulcers that are new or worsened 0 0 0