PROVIDENCE PARK REHABILITATION AND SKILLED NURSING

Nursing Home Inspector

5505 NEW COPELAND RD
TYLER, TX 75703
Smith County
Phone: 903-939-2443
Provider Number: 676184
Last Inspection: 08/17/2016

About the Nursing Home

Number of Beds: 125
Number of Residents: 101
Beds Available: 24
Percent Occupancy: 81%
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

 

19

Facility
30

County
22

TX
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

19

2016
10

2015
11

2014

Medicare Ratings

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

 

Details by Inspection Date

8/17/2016 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 9/12/2016
 
Failed To: Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Widespread : Minimal 5 9/12/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 9/12/2016
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 9/12/2016
 

9/30/2015 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 10/5/2015
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Widespread : Minimal 5 10/5/2015
 

8/6/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
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 8/20/2014
 
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Pattern : Minimal 4 8/20/2014
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 8/20/2014
 

Complaint Investigation Deficiencies

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

9/27/2017 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide a tasty and well-balanced diet that meets the nutritional needs of each resident. Pattern : Minimal 4 10/15/2017
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Widespread : Minimal 5 10/15/2017
 

3/8/2017 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Pattern : Minimal 4 3/27/2017
 

6/16/2015 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. Pattern : Actual 5 7/10/2015
 
Failed To: Try to resolve each resident's complaints quickly. Widespread : Minimal 5 7/10/2015
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern : Actual 5 7/10/2015
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg TX State Avg
Number of Residents 101 82.27 75.11
Registered Nurses 0.53 0.49 0.59
Licensed Practical / Vocational Nurses 0.98 0.86 0.94
Certified Nursing Assistants 2.50 2.24 2.20
Total Staff Hours 4.02 3.59 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 2 6 6
of long-stay residents assessed and appropriately given the pneumococcal vaccine 84 88 91
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98 91 92
of long-stay residents experiencing one or more falls with major injury 4 3 3
of long-stay residents who have depressive symptoms 1 3 3
of long-stay residents who lose too much weight 6 6 5
of long-stay residents who received an antianxiety or hypnotic medication 20 27 26
of long-stay residents who received an antipsychotic medication 8 15 17
of long-stay residents who self-report moderate to severe pain 1 7 5
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 28 19 20
of long-stay residents whose need for help with daily activities has increased 17 18 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 0 2 3
of low risk long-stay residents who lose control of their bowels or bladder 68 42 49
of short-stay residents assessed and appropriately given the pneumococcal vaccine 83 81 77
of short-stay residents who had an outpatient emergency department visit 12 14 13
of short-stay residents who made improvements in function 59 61 59
of short-stay residents who newly received an antipsychotic medication 1 2 2
of short-stay residents who self-report moderate to severe pain 9 15 12
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 82 72 74
of short-stay residents who were rehospitalized after a nursing home admission 19 23 23
of short-stay residents who were successfully discharged to the community 64 46 46
of short-stay residents with pressure ulcers that are new or worsened 0 0 0