GOLDEN ESTATES REHABILITATION CENTER

Nursing Home Inspector

130 SPENCER LN
SAN ANTONIO, TX 78201
Bexar County
Phone: 210-736-4544
Provider Number: 675690
Last Inspection: 04/21/2017

About the Nursing Home

Number of Beds: 93
Number of Residents: 73
Beds Available: 20
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

 

35

Facility
28

County
22

TX
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

35

2017
21

2016
25

2015

Medicare Ratings

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

 

Details by Inspection Date

4/21/2017 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 5/21/2017
 
Failed To: Keep each resident free from physical restraints, unless needed for medical treatment. Isolated : Minimal 3 5/21/2017
 
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 5/21/2017
 
Failed To: Put firmly secured handrails on each side of hallways. Pattern : Minimal 4 5/21/2017
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Pattern : Minimal 4 5/21/2017
 
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 5/21/2017
 
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 5/21/2017
 
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated : Minimal 3 5/21/2017
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 5/21/2017
 

4/8/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Make sure that a working call system is available in each resident's room or bathroom and bathing area. Pattern : Minimal 4 5/8/2016
 
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 5/8/2016
 
Failed To: Put firmly secured handrails on each side of hallways. Pattern : Minimal 4 5/8/2016
 
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 5/8/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 5/8/2016
 

4/10/2015 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 4/11/2015
 
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. Pattern : Minimal 4 4/11/2015
 
Failed To: Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. Pattern : Minimal 4 4/11/2015
 
Failed To: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Widespread : Potential 4 4/11/2015
 
Failed To: Put firmly secured handrails on each side of hallways. Pattern : Minimal 4 4/11/2015
 
Failed To: Post nurse staffing information/data on a daily basis. Widespread : Potential 4 4/11/2015
 

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 73 82.68 75.11
Registered Nurses 0.40 0.61 0.59
Licensed Practical / Vocational Nurses 1.14 1.02 0.94
Certified Nursing Assistants 2.97 2.12 2.20
Total Staff Hours 4.51 3.74 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 11 6 6
of long-stay residents assessed and appropriately given the pneumococcal vaccine 100 92 91
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97 91 92
of long-stay residents experiencing one or more falls with major injury 2 3 3
of long-stay residents who have depressive symptoms 1 2 3
of long-stay residents who lose too much weight 9 6 5
of long-stay residents who received an antianxiety or hypnotic medication 22 28 26
of long-stay residents who received an antipsychotic medication 20 16 17
of long-stay residents who self-report moderate to severe pain 5 3 5
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 27 21 20
of long-stay residents whose need for help with daily activities has increased 17 19 18
of long-stay residents with a catheter inserted and left in their bladder 5 2 2
of long-stay residents with a urinary tract infection 5 3 3
of low risk long-stay residents who lose control of their bowels or bladder 59 55 49
of short-stay residents assessed and appropriately given the pneumococcal vaccine 86 78 77
of short-stay residents who had an outpatient emergency department visit 15 11 13
of short-stay residents who newly received an antipsychotic medication 2 56 59
of short-stay residents who self-report moderate to severe pain 24 2 2
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 84 9 12
of short-stay residents who were rehospitalized after a nursing home admission 28 74 74
of short-stay residents who were successfully discharged to the community 40 23 23
of short-stay residents with pressure ulcers that are new or worsened 1 48 46