VISTA LIVING OF ARCHER

Nursing Home Inspector

201 E CHESTNUT ST
ARCHER CITY, TX 76351
Archer County
Phone: 940-574-4551
Provider Number: 676403
Last Inspection: 06/09/2017

About the Nursing Home

Number of Beds: 46
Number of Residents: 22
Beds Available: 24
Percent Occupancy: 48%
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

 

43

Facility
43

County
22

TX
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

43

2017
40

2016
63

2015

Medicare Ratings

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

 

Details by Inspection Date

6/9/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. Widespread : Potential 4 6/15/2017
 
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Widespread : Minimal 5 7/24/2017
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 7/24/2017
 
Failed To: Make sure that doctors visit residents regularly, as required. Pattern : Minimal 4 7/24/2017
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Widespread : Minimal 5 7/24/2017
 
Failed To: Ensure that all full-time nurse aids employed for more than 4 months are fully trained and competent to provide nursing and nursing-related services, as defined by Federal requirements. Widespread : Minimal 5 7/24/2017
 
Failed To: 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. Widespread : Minimal 5 7/24/2017
 
Failed To: Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. Widespread : Minimal 5 7/24/2017
 
Failed To: Train all employees on what to do in an emergency, and carry out unannounced staff drills. Widespread : Minimal 5 7/24/2017
 

6/8/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Assess in a timely manner the resident when the resident enters the nursing home. Widespread : Minimal 5 7/24/2016
 
Failed To: Completely assess the resident at least every twelve months. Widespread : Minimal 5 7/24/2016
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Widespread : Minimal 5 7/24/2016
 
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Widespread : Minimal 5 7/24/2016
 
Failed To: Use a registered nurse at least 8 hours a day, 7 days a week. Widespread : Minimal 5 7/24/2016
 
Failed To: Make sure that doctors visit residents regularly, as required. Widespread : Minimal 5 7/24/2016
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Widespread : Minimal 5 7/24/2016
 
Failed To: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Widespread : Minimal 5 7/24/2016
 

6/10/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide proof that residents' personal money that is deposited with the nursing home is secure. Pattern : Minimal 4 7/25/2015
 
Failed To: Provide housekeeping and maintenance services. Widespread : Potential 4 7/25/2015
 
Failed To: Completely assess the resident at least every twelve months. Widespread : Minimal 5 7/25/2015
 
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Widespread : Minimal 5 7/25/2015
 
Failed To: Provide proper discharge planning and communication, of the resident's health status and summary of the resident's nursing home stay. Widespread : Potential 4 7/25/2015
 
Failed To: Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. Pattern : Minimal 4 7/25/2015
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 7/25/2015
 
Failed To: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Widespread : Potential 4 7/25/2015
 
Failed To: 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. Widespread : Minimal 5 7/25/2015
 
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 7/25/2015
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Widespread : Minimal 5 7/25/2015
 
Failed To: Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. Widespread : Minimal 5 7/25/2015
 
Failed To: Train all employees on what to do in an emergency, and carry out unannounced staff drills. Widespread : Minimal 5 7/25/2015
 
Failed To: Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Widespread : Minimal 5 7/25/2015
 

Complaint Investigation Deficiencies

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

2/24/2016 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Widespread : Minimal 5 2/25/2016
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg TX State Avg
Number of Residents 22 22.00 75.11
Registered Nurses 0.75 0.75 0.59
Licensed Practical / Vocational Nurses 1.09 1.09 0.94
Certified Nursing Assistants 2.29 2.29 2.20
Total Staff Hours 4.12 4.12 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 3 3 6
of long-stay residents assessed and appropriately given the pneumococcal vaccine 100 100 91
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 92 92 92
of long-stay residents experiencing one or more falls with major injury 0 0 3
of long-stay residents who have depressive symptoms 47 47 3
of long-stay residents who lose too much weight 2 2 5
of long-stay residents who received an antianxiety or hypnotic medication 39 39 26
of long-stay residents who received an antipsychotic medication 37 37 17
of long-stay residents who self-report moderate to severe pain 13 13 5
of long-stay residents who were physically restrained 4 4 0
of long-stay residents whose ability to move independently worsened 38 38 20
of long-stay residents whose need for help with daily activities has increased 36 36 18
of long-stay residents with a catheter inserted and left in their bladder 14 14 2
of long-stay residents with a urinary tract infection 8 8 3