FLORESVILLE RESIDENCE AND REHABILITATION CENTER

Nursing Home Inspector

1811 SIXTH ST
FLORESVILLE, TX 78114
Wilson County
Phone: 830-393-2561
Provider Number: 675469
Last Inspection: 10/20/2017

About the Nursing Home

Number of Beds: 144
Number of Residents: 113
Beds Available: 31
Percent Occupancy: 78%
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

 

25

Facility
17

County
22

TX
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

25

2017
51

2016
29

2015

Medicare Ratings

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

 

Details by Inspection Date

10/20/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 10/21/2017
 
Failed To: Provide residents with private access to a telephone. Widespread : Minimal 5 11/9/2017
 
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 10/21/2017
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Pattern : Minimal 4 10/21/2017
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Pattern : Minimal 4 10/21/2017
 
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 4 10/21/2017
 

11/17/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Pattern : Potential 3 12/8/2016
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Pattern : Minimal 4 12/9/2016
 
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Pattern : Minimal 4 12/9/2016
 
Failed To: Keep complete, dated laboratory records in the resident's file. Pattern : Minimal 4 12/9/2016
 
Failed To: Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Pattern : Potential 3  
 
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 11/18/2016
 
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 12/9/2016
 
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 : Potential 4 12/9/2016
 
Failed To: Quickly tell the resident's doctor the results of laboratory tests. Pattern : Minimal 4 12/9/2016
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Minimal 4 12/9/2016
 
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 12/9/2016
 
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 11/18/2016
 
Failed To: Keep all essential equipment working safely. Widespread : Minimal 5 12/5/2016
 

10/29/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Keep all essential equipment working safely. Pattern : Minimal 4 10/30/2015
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 10/30/2015
 
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 10/30/2015
 
Failed To: Provide housekeeping and maintenance services. Pattern : Potential 3 11/18/2015
 
Failed To: Keep residents' personal and medical records private and confidential. Pattern : Minimal 4 10/30/2015
 
Failed To: Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Pattern : Potential 3  
 
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Pattern : Minimal 4 10/30/2015
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Isolated : Minimal 3 10/30/2015
 

Complaint Investigation Deficiencies

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

5/16/2017 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 5/17/2017
 
Failed To: Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. Pattern : Minimal 4 5/17/2017
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 5/17/2017
 

4/19/2016 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
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 5/5/2016
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern : Minimal 4 5/5/2016
 
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 4 5/5/2016
 
Failed To: Ensure that all full-time nurse aids employed for more than 4 months are fully trained and competent to provide nursing and nursing-related services, as defined by Federal requirements. Pattern : Minimal 4 5/5/2016
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg TX State Avg
Number of Residents 113 88.80 75.11
Registered Nurses 0.32 0.45 0.59
Licensed Practical / Vocational Nurses 0.88 0.78 0.94
Certified Nursing Assistants 1.79 1.98 2.20
Total Staff Hours 2.99 3.21 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 10 6 6
of long-stay residents assessed and appropriately given the pneumococcal vaccine 93 93 91
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 99 94 92
of long-stay residents experiencing one or more falls with major injury 5 4 3
of long-stay residents who have depressive symptoms 0 0 3
of long-stay residents who lose too much weight 6 8 5
of long-stay residents who received an antianxiety or hypnotic medication 32 34 26
of long-stay residents who received an antipsychotic medication 17 11 17
of long-stay residents who self-report moderate to severe pain 3 2 5
of long-stay residents who were physically restrained 1 0 0
of long-stay residents whose ability to move independently worsened 21 22 20
of long-stay residents whose need for help with daily activities has increased 20 22 18
of long-stay residents with a catheter inserted and left in their bladder 2 2 2
of long-stay residents with a urinary tract infection 1 4 3
of low risk long-stay residents who lose control of their bowels or bladder 44 36 49
of short-stay residents assessed and appropriately given the pneumococcal vaccine 81 74 77
of short-stay residents who had an outpatient emergency department visit 15 12 13
of short-stay residents who made improvements in function 42 41 59
of short-stay residents who newly received an antipsychotic medication 4 3 2
of short-stay residents who self-report moderate to severe pain 6 12 12
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 84 66 74
of short-stay residents who were rehospitalized after a nursing home admission 29 20 23
of short-stay residents who were successfully discharged to the community 52 43 46
of short-stay residents with pressure ulcers that are new or worsened 3 1 0