STAMFORD RESIDENCE AND REHABILITATION CENTER

Nursing Home Inspector

1003 COLUMBIA
STAMFORD, TX 79553
Jones County
Phone: 325-773-3671
Provider Number: 675769
Last Inspection: 06/23/2017

About the Nursing Home

Number of Beds: 112
Number of Residents: 40
Beds Available: 72
Percent Occupancy: 36%
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

 

56

Facility
26

County
22

TX
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

56

2017
5

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

6/23/2017 Inspection

 
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 7/28/2017
 
Failed To: Provide housekeeping and maintenance services. Pattern : Potential 3 7/28/2017
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Widespread : Minimal 5 7/28/2017
 
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Widespread : Minimal 5 7/28/2017
 
Failed To: Make sure that doctors visit residents regularly, as required. Pattern : Minimal 4 7/28/2017
 
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 7/28/2017
 
Failed To: Keep residents' personal and medical records private and confidential. Pattern : Minimal 4 7/28/2017
 
Failed To: Reasonably accommodate the needs and preferences of each resident. Pattern : Minimal 4 7/28/2017
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 7/28/2017
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Widespread : Minimal 5 7/28/2017
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Widespread : Minimal 5 7/28/2017
 
Failed To: Keep all essential equipment working safely. Widespread : Potential 4 7/28/2017
 
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 7/28/2017
 

5/11/2016 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 6/11/2016
 

4/30/2015 Inspection

 
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 5/28/2015
 
Failed To: Provide activities to meet the interests and needs of each resident. Widespread : Potential 4 5/28/2015
 
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 5/28/2015
 
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 5/28/2015
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 5/28/2015
 
Failed To: Make sure that doctors visit residents regularly, as required. Isolated : Minimal 3 5/28/2015
 
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Pattern : Minimal 4 5/28/2015
 
Failed To: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Widespread : Minimal 5 5/28/2015
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Widespread : Minimal 5 5/28/2015
 
Failed To: Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. Widespread : Minimal 5 5/28/2015
 

Complaint Investigation Deficiencies

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

4/17/2017 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. Widespread : Potential 4 5/14/2017
 
Failed To: Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. Pattern : Minimal 4 5/14/2017
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Pattern : Potential 3 5/14/2017
 

2/2/2017 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Widespread : Immediate 7 2/28/2017
 
Failed To: Protect each resident from all abuse, physical punishment, and involuntary separation from others. Pattern : Immediate 6 2/28/2017
 
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. Pattern : Immediate 6 2/28/2017
 
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 : Immediate 6 2/28/2017
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 2/28/2017
 
Failed To: Ensure residents maintain acceptable nutritional status. Pattern : Immediate 6 2/28/2017
 
Failed To: Use a registered nurse at least 8 hours a day, 7 days a week. Widespread : Minimal 5 2/28/2017
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 2/28/2017
 

1/11/2016 Investigation

 
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. Pattern : Immediate 6 2/11/2016
 
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. Pattern : Immediate 6 2/11/2016
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Immediate 6 2/11/2016
 

12/9/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Widespread : Minimal 5 1/31/2016
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 2/11/2016
 

10/2/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Give the resident's representative the ability to exercise the resident's rights. Pattern : Minimal 4 11/1/2015
 
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 11/1/2015
 
Failed To: Keep each resident free from drugs that restrain them, unless needed for medical treatment. Pattern : Minimal 4 11/1/2015
 
Failed To: Protect each resident from mistreatment, neglect and misappropriation of personal property. Pattern : Minimal 4 11/1/2015
 
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. Pattern : Minimal 4 11/1/2015
 

7/17/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
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 8/31/2015
 

3/18/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Use a registered nurse at least 8 hours a day, 7 days a week. Widespread : Minimal 5 4/24/2015
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg TX State Avg
Number of Residents 40 25.33 75.11
Registered Nurses 0.21 0.52 0.59
Licensed Practical / Vocational Nurses 3.62 2.13 0.94
Certified Nursing Assistants 2.64 2.46 2.20
Total Staff Hours 6.47 5.11 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 15 11 6
of long-stay residents assessed and appropriately given the pneumococcal vaccine 94 96 91
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96 97 92
of long-stay residents experiencing one or more falls with major injury 1 10 3
of long-stay residents who have depressive symptoms 2 12 3
of long-stay residents who lose too much weight 0 0 5
of long-stay residents who received an antianxiety or hypnotic medication 34 28 26
of long-stay residents who received an antipsychotic medication 28 25 17
of long-stay residents who self-report moderate to severe pain 16 9 5
of long-stay residents who were physically restrained 0 1 0
of long-stay residents whose ability to move independently worsened 26 22 20
of long-stay residents whose need for help with daily activities has increased 29 20 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 2 7 3
of low risk long-stay residents who lose control of their bowels or bladder 28 52 49
of short-stay residents assessed and appropriately given the pneumococcal vaccine 70 86 77
of short-stay residents who had an outpatient emergency department visit 32 16 13
of short-stay residents who newly received an antipsychotic medication 3 Not Available   59
of short-stay residents who self-report moderate to severe pain 8 3 2
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 62 8 12
of short-stay residents who were rehospitalized after a nursing home admission 26 78 74
of short-stay residents who were successfully discharged to the community 29 18 23
of short-stay residents with pressure ulcers that are new or worsened 5 29 46