VALLEY BAPTIST MEDICAL CENTER BROWNSVILLE

Nursing Home Inspector

1040 W JEFFERSON ST
BROWNSVILLE, TX 78520
Cameron County
Phone: 956-698-5400
Provider Number: 676199
Last Inspection: 07/01/2015

About the Nursing Home

Number of Beds: 6
Number of Residents: 6
Beds Available: 0
Percent Occupancy: 100%
Insurance Accepted: Medicare
Types of Councils: None
Ownership: For profit - Partnership
Within Hospital?: YES

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

 

21

Facility
42

County
22

TX
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

21

2015
24

2014
35

2013

Medicare Ratings

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

 

Details by Inspection Date

7/1/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Keep residents' personal and medical records private and confidential. Pattern : Minimal 4 8/30/2015
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Pattern : Minimal 4 8/30/2015
 
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Pattern : Minimal 4 8/30/2015
 
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Pattern : Minimal 4 8/30/2015
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Widespread : Minimal 5 8/30/2015
 

7/8/2014 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  
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Pattern : Minimal 4  
 
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. Pattern : Minimal 4  
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4  
 
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. Pattern : Minimal 4  
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4  
 

7/10/2013 Inspection

 
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 9/1/2013
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Widespread : Minimal 5 9/1/2013
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern : Minimal 4 9/1/2013
 
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Pattern : Minimal 4 9/1/2013
 
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. Pattern : Minimal 4 9/1/2013
 
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Pattern : Minimal 4 9/1/2013
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Widespread : Minimal 5 9/1/2013
 
Failed To: Quickly tell the resident's doctor the results of laboratory tests. Widespread : Minimal 5 9/1/2013
 

Complaint Investigation Deficiencies

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

No Complaint Deficiencies Reported

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg TX State Avg
Number of Residents 6 89.31 75.11
Registered Nurses 5.43 0.95 0.59
Licensed Practical / Vocational Nurses 0.00 0.89 0.94
Certified Nursing Assistants 4.00 2.62 2.20
Total Staff Hours 9.43 4.47 3.73

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% TX State Avg%
of short-stay residents assessed and appropriately given the pneumococcal vaccine 100 6 6
of short-stay residents who had an outpatient emergency department visit 17 82 91
of short-stay residents who made improvements in function 40 89 92
of short-stay residents who newly received an antipsychotic medication 0 1 3
of short-stay residents who self-report moderate to severe pain 20 1 3
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 91 4 5
of short-stay residents who were rehospitalized after a nursing home admission 28 13 26
of short-stay residents who were successfully discharged to the community 50 14 17
of short-stay residents with pressure ulcers that are new or worsened 0 3 5