MERIDIAN CARE OF HEBBRONVILLE

Nursing Home Inspector

606 W GRUY
HEBBRONVILLE, TX 78361
Jim Hogg County
Phone: 361-527-4411
Provider Number: 675796
Last Inspection: 07/13/2017

About the Nursing Home

Number of Beds: 60
Number of Residents: 47
Beds Available: 13
Percent Occupancy: 78%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Both
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

 

43

Facility
43

County
22

TX
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

43

2017
12

2016
7

2015

Medicare Ratings

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

 

Details by Inspection Date

7/13/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. Pattern : Minimal 4 7/14/2017
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Pattern : Actual 5 8/2/2017
 
Failed To: 1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day. Pattern : Minimal 4 7/14/2017
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Pattern : Minimal 4 8/2/2017
 
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Pattern : Actual 5 8/2/2017
 
Failed To: Protect each resident from mistreatment, neglect and misappropriation of personal property. Pattern : Actual 5 8/2/2017
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Pattern : Minimal 4 7/31/2017
 
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 : Actual 5 8/2/2017
 
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated : Minimal 3 7/14/2017
 
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 7/31/2017
 

6/9/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that residents receive proper treatment and assistive devices to maintain their vision and hearing. Pattern : Minimal 4 6/13/2016
 
Failed To: Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. Pattern : Minimal 4 6/10/2016
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern : Minimal 4 6/10/2016
 

4/29/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 5/4/2015
 
Failed To: Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. Pattern : Potential 3 5/4/2015
 

Complaint Investigation Deficiencies

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

9/15/2016 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern : Minimal 4 9/20/2016
 
Failed To: Give the right treatment and services to residents who display physical or psychosocial problems adapting to changes in circumstances. Pattern : Minimal 4 9/19/2016
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 9/16/2016
 
Failed To: Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. Pattern : Minimal 4 9/16/2016
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg TX State Avg
Number of Residents 47 47.00 75.11
Registered Nurses 0.68 0.68 0.59
Licensed Practical / Vocational Nurses 0.56 0.56 0.94
Certified Nursing Assistants 2.36 2.36 2.20
Total Staff Hours 3.61 3.61 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 23 23 6
of long-stay residents assessed and appropriately given the pneumococcal vaccine 100 100 91
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 99 99 92
of long-stay residents experiencing one or more falls with major injury 3 3 3
of long-stay residents who have depressive symptoms 0 0 3
of long-stay residents who lose too much weight 1 1 5
of long-stay residents who received an antianxiety or hypnotic medication 32 32 26
of long-stay residents who received an antipsychotic medication 13 13 17
of long-stay residents who self-report moderate to severe pain 9 9 5
of long-stay residents who were physically restrained 4 4 0
of long-stay residents whose ability to move independently worsened 28 28 20
of long-stay residents whose need for help with daily activities has increased 17 17 18
of long-stay residents with a catheter inserted and left in their bladder 0 0 2
of long-stay residents with a urinary tract infection 8 8 3
of low risk long-stay residents who lose control of their bowels or bladder 90 90 49
of short-stay residents assessed and appropriately given the pneumococcal vaccine 52 52 77
of short-stay residents who had an outpatient emergency department visit 14 14 13
of short-stay residents who newly received an antipsychotic medication 23 Not Available   59
of short-stay residents who self-report moderate to severe pain 16 23 2
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 41 16 12
of short-stay residents who were rehospitalized after a nursing home admission 18 41 74
of short-stay residents with pressure ulcers that are new or worsened 0 18 23