WINDFLOWER HEALTH CENTER

Nursing Home Inspector

5500 SW 9TH AVE
AMARILLO, TX 79106
Potter County
Phone: 806-352-7244
Provider Number: 675904
Last Inspection: 10/18/2017

About the Nursing Home

Number of Beds: 120
Number of Residents: 66
Beds Available: 54
Percent Occupancy: 55%
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

 

8

Facility
13

County
22

TX
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

8

2017
20

2016
49

2016

Medicare Ratings

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

 

Details by Inspection Date

10/18/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
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. Isolated : Minimal 3 11/30/2017
 
Failed To: Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. Widespread : Minimal 5 11/30/2017
 

12/14/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 1/6/2017
 
Failed To: Maintain comfortable and safe temperature levels. Pattern : Minimal 4 1/6/2017
 
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 1/6/2017
 
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 : Minimal 4 1/6/2017
 
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 : Minimal 4 1/6/2017
 

1/28/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure residents maintain acceptable nutritional status. Pattern : Minimal 4 2/11/2016
 
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 2/11/2016
 
Failed To: Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. Isolated : Minimal 3 2/11/2016
 
Failed To: Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. Isolated : Minimal 3 2/11/2016
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern : Minimal 4 2/11/2016
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Pattern : Minimal 4 2/11/2016
 
Failed To: Keep residents' personal and medical records private and confidential. Isolated : Minimal 3 2/11/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 2/11/2016
 
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 2/11/2016
 
Failed To: Conduct initial and periodic assessments of each resident's functional capacity. Pattern : Minimal 4 2/11/2016
 
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 2/11/2016
 
Failed To: Post nurse staffing information/data on a daily basis. Widespread : Potential 4 2/11/2016
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Pattern : Minimal 4 2/11/2016
 

Complaint Investigation Deficiencies

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

1/2/2015 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. Isolated : Minimal 3 1/14/2015
 
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. Isolated : Minimal 3 1/14/2015
 

12/18/2014 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. Isolated : Minimal 3 1/8/2015
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg TX State Avg
Number of Residents 66 75.90 75.11
Registered Nurses 0.66 0.55 0.59
Licensed Practical / Vocational Nurses 1.39 1.13 0.94
Certified Nursing Assistants 2.65 2.15 2.20
Total Staff Hours 4.69 3.83 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 1 4 6
of long-stay residents assessed and appropriately given the pneumococcal vaccine 99 98 91
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96 96 92
of long-stay residents experiencing one or more falls with major injury 2 5 3
of long-stay residents who have depressive symptoms 0 4 3
of long-stay residents who lose too much weight 2 7 5
of long-stay residents who received an antianxiety or hypnotic medication 28 27 26
of long-stay residents who received an antipsychotic medication 34 17 17
of long-stay residents who self-report moderate to severe pain 0 5 5
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 13 16 20
of long-stay residents whose need for help with daily activities has increased 17 16 18
of long-stay residents with a catheter inserted and left in their bladder 2 3 2
of long-stay residents with a urinary tract infection 9 5 3
of low risk long-stay residents who lose control of their bowels or bladder 62 47 49
of short-stay residents assessed and appropriately given the pneumococcal vaccine 97 94 77
of short-stay residents who had an outpatient emergency department visit 5 10 13
of short-stay residents who made improvements in function 47 59 59
of short-stay residents who newly received an antipsychotic medication 4 2 2
of short-stay residents who self-report moderate to severe pain 12 14 12
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 97 88 74
of short-stay residents who were rehospitalized after a nursing home admission 19 17 23
of short-stay residents who were successfully discharged to the community 62 59 46
of short-stay residents with pressure ulcers that are new or worsened 0 0 0