FOUNDERS PLAZA NURSING & REHAB

Nursing Home Inspector

721 S HWY 78
WYLIE, TX 75098
Dallas County
Phone: 972-303-8100
Provider Number: 676248
Last Inspection: 04/19/2017

About the Nursing Home

Number of Beds: 106
Number of Residents: 89
Beds Available: 17
Percent Occupancy: 84%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: Government - Hospital district
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

 

23

Facility
11

County
22

TX
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

23

2017
0

2016
4

2015

Medicare Ratings

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

 

Details by Inspection Date

4/19/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide doctor's orders for the resident's immediate care at the time the resident was admitted. Pattern : Minimal 4 4/20/2017
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern : Minimal 4 4/20/2017
 
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 4/20/2017
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 4/20/2017
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 4/20/2017
 
Failed To: Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. Pattern : Minimal 4 4/20/2017
 

5/7/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. Pattern : Minimal 4 5/9/2015
 

Complaint Investigation Deficiencies

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

2/13/2017 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Dispose of garbage and refuse properly. Widespread : Minimal 5 3/17/2017
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg TX State Avg
Number of Residents 89 84.23 75.11
Registered Nurses 0.56 0.65 0.59
Licensed Practical / Vocational Nurses 0.61 0.88 0.94
Certified Nursing Assistants 2.22 2.14 2.20
Total Staff Hours 3.38 3.68 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 91 91
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100 88 92
of long-stay residents experiencing one or more falls with major injury 2 2 3
of long-stay residents who have depressive symptoms 0 3 3
of long-stay residents who lose too much weight 3 4 5
of long-stay residents who received an antianxiety or hypnotic medication 26 20 26
of long-stay residents who received an antipsychotic medication 28 15 17
of long-stay residents who self-report moderate to severe pain 7 2 5
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 17 22 20
of long-stay residents whose need for help with daily activities has increased 18 19 18
of long-stay residents with a catheter inserted and left in their bladder 2 2 2
of long-stay residents with a urinary tract infection 6 2 3
of low risk long-stay residents who lose control of their bowels or bladder 70 53 49
of short-stay residents assessed and appropriately given the pneumococcal vaccine 79 77 77
of short-stay residents who had an outpatient emergency department visit 7 12 13
of short-stay residents who made improvements in function 40 53 59
of short-stay residents who newly received an antipsychotic medication 3 2 2
of short-stay residents who self-report moderate to severe pain 11 10 12
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 91 72 74
of short-stay residents who were rehospitalized after a nursing home admission 16 25 23
of short-stay residents who were successfully discharged to the community 41 42 46
of short-stay residents with pressure ulcers that are new or worsened 0 0 0