SENIOR CARE OF JACKSONVILLE

Nursing Home Inspector

810 BELAIRE STREET
JACKSONVILLE, TX 75766
Cherokee County
Phone: 903-589-5300
Provider Number: 676102
Last Inspection: 11/16/2016

About the Nursing Home

Number of Beds: 101
Number of Residents: 86
Beds Available: 15
Percent Occupancy: 85%
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

 

9

Facility 		31

County 		22

TX 		20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 
9

2016		 8

2015		 9

2014

Medicare Ratings

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

 

Details by Inspection Date

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 5 12/16/2016
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 12/16/2016
 

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 4 10/30/2015
 
Failed To: Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. Pattern : Minimal 4 10/30/2015
 

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 3 11/7/2014
 
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 11/7/2014
 
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Isolated : Minimal 3 11/7/2014
 

Complaint Investigation Deficiencies

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

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 4 8/31/2017
 

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 5 1/12/2017
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Pattern : Minimal 4 1/12/2017
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Actual 4 1/12/2017
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Widespread : Minimal 5 1/12/2017
 

About The Staff

(Higher Numbers Are Better)

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

 


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 6 6 6
of long-stay residents assessed and appropriately given the pneumococcal vaccine 99 95 91
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98 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 2 3 3
of long-stay residents who lose too much weight 11 6 5
of long-stay residents who received an antianxiety or hypnotic medication 32 38 26
of long-stay residents who received an antipsychotic medication 12 22 17
of long-stay residents who self-report moderate to severe pain 7 9 5
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 23 17 20
of long-stay residents whose need for help with daily activities has increased 22 17 18
of long-stay residents with a catheter inserted and left in their bladder 2 1 2
of long-stay residents with a urinary tract infection 4 3 3
of low risk long-stay residents who lose control of their bowels or bladder 66 44 49
of short-stay residents assessed and appropriately given the pneumococcal vaccine 99 75 77
of short-stay residents who had an outpatient emergency department visit 14 20 13
of short-stay residents who made improvements in function 65 52 59
of short-stay residents who newly received an antipsychotic medication 2 2 2
of short-stay residents who self-report moderate to severe pain 1 15 12
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 92 78 74
of short-stay residents who were rehospitalized after a nursing home admission 15 22 23
of short-stay residents who were successfully discharged to the community 58 35 46
of short-stay residents with pressure ulcers that are new or worsened 1 1 0