Nursing Home Inspector

Mc Lennan County
Phone: 254-420-0056
Provider Number: 676401
Last Inspection: 08/15/2016

About the Nursing Home

Number of Beds: 9
Number of Residents: 3
Beds Available: 6
Percent Occupancy: 33%
Insurance Accepted: Medicare & Medicaid
Types of Councils: None
Ownership: For profit - Partnership
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

No Deficiencies Reported

Medicare Ratings

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

Complaint Investigation Deficiencies

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

5/11/2017 Investigation

Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that residents are safe from serious medication errors. Pattern : Minimal 4 6/1/2017
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Pattern : Minimal 4 6/1/2017
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Pattern : Minimal 4 6/1/2017

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg TX State Avg
Number of Residents 3 90.44 75.11
Registered Nurses Not Available 0.42 0.59
Licensed Practical / Vocational Nurses Not Available 0.77 0.94
Certified Nursing Assistants Not Available 1.95 2.20
Total Staff Hours Not Available 3.15 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 95 5 6
of short-stay residents who made improvements in function 66 84 91
of short-stay residents who newly received an antipsychotic medication 1 93 92
of short-stay residents who self-report moderate to severe pain 19 2 3
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 79 3 3
of short-stay residents with pressure ulcers that are new or worsened 0 5 5