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.
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
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9![]() Facility |
31![]() County |
22![]() TX |
20![]() USA |
Deficiency Ratings
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9![]() 2016 |
8![]() 2015 |
9![]() 2014 |
Overall Rating: | ![]() |
Health Rating: | ![]() |
Staff Rating: | ![]() |
Quality Rating: | ![]() |
11/16/2016 Inspection | |||
Deficiency Description | Scope : Level of Harm | 1 -- Rating -- 7 | Corrected |
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. | Widespread : Minimal |
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12/16/2016
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Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Pattern : Minimal |
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12/16/2016
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10/28/2015 Inspection | |||
Deficiency Description | Scope : Level of Harm | 1 -- Rating -- 7 | Corrected |
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 |
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10/30/2015
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Failed To: Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Pattern : Minimal |
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10/30/2015
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10/15/2014 Inspection | |||
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 . | Isolated : Minimal |
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11/7/2014
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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 |
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11/7/2014
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Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Isolated : Minimal |
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11/7/2014
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8/13/2017 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. | Pattern : Minimal |
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8/31/2017
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12/12/2016 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 |
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1/12/2017
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Failed To: Provide care by qualified persons according to each resident's written plan of care. | Pattern : Minimal |
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1/12/2017
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Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . | Isolated : Actual |
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1/12/2017
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Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Widespread : Minimal |
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1/12/2017
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Staffing Hours Per Day Per Resident... | This Facility | County Avg | TX State Avg |
Number of Residents | 86 | 56.88 | 75.11 |
Registered Nurses | Not Available | 0.31 | 0.59 |
Licensed Practical / Vocational Nurses | Not Available | 0.97 | 0.94 |
Certified Nursing Assistants | Not Available | 1.77 | 2.20 |
Total Staff Hours | Not Available | 3.05 | 3.73 |
Percent of Residents... | This Facility | % | County Avg | % | TX State Avg | % |
of high risk long-stay residents with pressure ulcers |
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6 |
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6 |
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6 |
of long-stay residents assessed and appropriately given the pneumococcal vaccine |
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99 |
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95 |
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91 |
of long-stay residents assessed and appropriately given the seasonal influenza vaccine |
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98 |
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96 |
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92 |
of long-stay residents experiencing one or more falls with major injury |
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2 |
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5 |
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3 |
of long-stay residents who have depressive symptoms |
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2 |
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3 |
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3 |
of long-stay residents who lose too much weight |
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11 |
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6 |
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5 |
of long-stay residents who received an antianxiety or hypnotic medication |
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32 |
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38 |
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26 |
of long-stay residents who received an antipsychotic medication |
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12 |
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22 |
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17 |
of long-stay residents who self-report moderate to severe pain |
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7 |
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9 |
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5 |
of long-stay residents who were physically restrained |
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0 |
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0 |
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0 |
of long-stay residents whose ability to move independently worsened |
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23 |
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17 |
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20 |
of long-stay residents whose need for help with daily activities has increased |
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22 |
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17 |
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18 |
of long-stay residents with a catheter inserted and left in their bladder |
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2 |
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1 |
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2 |
of long-stay residents with a urinary tract infection |
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4 |
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3 |
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3 |
of low risk long-stay residents who lose control of their bowels or bladder |
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66 |
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44 |
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49 |
of short-stay residents assessed and appropriately given the pneumococcal vaccine |
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99 |
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75 |
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77 |
of short-stay residents who had an outpatient emergency department visit |
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14 |
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20 |
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13 |
of short-stay residents who made improvements in function |
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65 |
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52 |
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59 |
of short-stay residents who newly received an antipsychotic medication |
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2 |
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2 |
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2 |
of short-stay residents who self-report moderate to severe pain |
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1 |
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15 |
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12 |
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine |
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92 |
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78 |
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74 |
of short-stay residents who were rehospitalized after a nursing home admission |
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15 |
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22 |
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23 |
of short-stay residents who were successfully discharged to the community |
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58 |
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35 |
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46 |
of short-stay residents with pressure ulcers that are new or worsened |
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1 |
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1 |
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0 |