KEENELAND NURSING AND REHABILITATION LP

Nursing Home Inspector

700 S BOWIE DR
WEATHERFORD, TX 76086
Parker County
Phone: 817-594-2715
Provider Number: 675708
Last Inspection: 10/19/2017

About the Nursing Home

Number of Beds: 72
Number of Residents: 38
Beds Available: 34
Percent Occupancy: 53%
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

 

61

Facility
19

County
22

TX
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

61

2017
13

2016
10

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: Keep residents' personal and medical records private and confidential. Widespread : Potential 4  
 
Failed To: Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. Pattern : Minimal 4  
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern : Minimal 4  
 
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 : Minimal 4  
 
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. Widespread : Minimal 5  
 
Failed To: Provide residents with private access to a telephone. Widespread : Potential 4  
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3  
 
Failed To: Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Isolated : Minimal 3  
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Widespread : Minimal 5  
 
Failed To: Send unopened mail from residents and promptly deliver unopened mail to residents. Widespread : Potential 4  
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Pattern : Minimal 4  
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4  
 
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Isolated : Minimal 3  
 
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  
 
Failed To: Allow residents to easily view the results of the nursing home's most recent inspection. Widespread : Potential 4  
 
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Isolated : Minimal 3  
 

10/20/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Have a program that investigates, controls and keeps infection from spreading. Widespread : Minimal 5 11/12/2016
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Minimal 4 11/12/2016
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern : Minimal 4 11/12/2016
 

12/3/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Widespread : Minimal 5 12/31/2015
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Widespread : Minimal 5 12/31/2015
 

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 38 83.25 75.11
Registered Nurses 0.56 0.52 0.59
Licensed Practical / Vocational Nurses 0.96 1.06 0.94
Certified Nursing Assistants 1.92 2.17 2.20
Total Staff Hours 3.45 3.75 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 2 6 6
of long-stay residents assessed and appropriately given the pneumococcal vaccine 98 91 91
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 99 92 92
of long-stay residents experiencing one or more falls with major injury 9 5 3
of long-stay residents who have depressive symptoms 16 9 3
of long-stay residents who lose too much weight 1 6 5
of long-stay residents who received an antianxiety or hypnotic medication 31 31 26
of long-stay residents who received an antipsychotic medication 22 19 17
of long-stay residents who self-report moderate to severe pain 0 6 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 29 17 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 4 2 3
of low risk long-stay residents who lose control of their bowels or bladder 35 41 49
of short-stay residents assessed and appropriately given the pneumococcal vaccine 98 78 77
of short-stay residents who had an outpatient emergency department visit 16 14 13
of short-stay residents who newly received an antipsychotic medication 2 67 59
of short-stay residents who self-report moderate to severe pain 0 1 2
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 92 16 12
of short-stay residents who were rehospitalized after a nursing home admission 6 70 74
of short-stay residents with pressure ulcers that are new or worsened 0 17 23