VAL VERDE NURSING AND REHABILITATION CENTER

Nursing Home Inspector

100 HERMANN DR
DEL RIO, TX 78840
Val Verde County
Phone: 830-775-7477
Provider Number: 675395
Last Inspection: 10/19/2017

About the Nursing Home

Number of Beds: 80
Number of Residents: 70
Beds Available: 10
Percent Occupancy: 88%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Both
Ownership: Government - Hospital district
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

 

19

Facility
28

County
22

TX
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

19

2017
3

2016
43

2015

Medicare Ratings

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

 

Details by Inspection Date

10/19/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide medically-related social services to help each resident achieve the highest possible quality of life. Pattern : Minimal 4 10/20/2017
 
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 10/20/2017
 
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 10/20/2017
 
Failed To: Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Pattern : Potential 3 10/20/2017
 
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 10/20/2017
 

10/13/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Pattern : Potential 3 10/14/2016
 

8/20/2015 Inspection

 
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 3 10/15/2015
 
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 : Minimal 3 10/15/2015
 
Failed To: Provide care for each resident in a way that maintains or improves their quality of life. Pattern : Minimal 4 9/20/2015
 
Failed To: Maintain comfortable and safe temperature levels. Pattern : Minimal 4 9/20/2015
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Pattern : Minimal 4 8/20/2015
 
Failed To: Post nurse staffing information/data on a daily basis. Widespread : Potential 4 8/20/2015
 
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 8/20/2015
 
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 9/17/2015
 
Failed To: 1) Receive registry verification that a nurse aide has met the required training and skills that the State requires; and 2) ensure nurse aides receive the required retraining after 24 months if nursing related services were not provided for monetary compe Widespread : Minimal 5 9/9/2015
 
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 9/17/2015
 
Failed To: Provide or obtain laboratory services only when ordered by the attending physician. Pattern : Minimal 4 8/20/2015
 

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 70 65.33 75.11
Registered Nurses 0.37 0.50 0.59
Licensed Practical / Vocational Nurses 0.67 0.71 0.94
Certified Nursing Assistants 2.46 2.31 2.20
Total Staff Hours 3.49 3.51 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 8 6
of long-stay residents assessed and appropriately given the pneumococcal vaccine 10 69 91
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 34 74 92
of long-stay residents experiencing one or more falls with major injury 1 1 3
of long-stay residents who have depressive symptoms 0 0 3
of long-stay residents who lose too much weight 1 2 5
of long-stay residents who received an antianxiety or hypnotic medication 23 18 26
of long-stay residents who received an antipsychotic medication 7 8 17
of long-stay residents who self-report moderate to severe pain 1 0 5
of long-stay residents who were physically restrained 2 0 0
of long-stay residents whose ability to move independently worsened 29 21 20
of long-stay residents whose need for help with daily activities has increased 28 21 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 0 1 3
of low risk long-stay residents who lose control of their bowels or bladder 30 53 49
of short-stay residents assessed and appropriately given the pneumococcal vaccine 9 66 77
of short-stay residents who had an outpatient emergency department visit 9 15 13
of short-stay residents who made improvements in function 63 67 59
of short-stay residents who newly received an antipsychotic medication 3 1 2
of short-stay residents who self-report moderate to severe pain 6 7 12
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 11 59 74
of short-stay residents who were rehospitalized after a nursing home admission 11 17 23
of short-stay residents who were successfully discharged to the community 47 46 46
of short-stay residents with pressure ulcers that are new or worsened 0 0 0