TRUCARE LIVING CENTERS - SELMA

Nursing Home Inspector

16550 RETAMA PARKWAY
SELMA, TX 78154
Guadalupe County
Phone: 210-886-8393
Provider Number: 676406
Last Inspection: 08/10/2017

About the Nursing Home

Number of Beds: 128
Number of Residents: 46
Beds Available: 82
Percent Occupancy: 36%
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

 

47

Facility
27

County
22

TX
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

47

2017
30

2016

Medicare Ratings

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

 

Details by Inspection Date

8/10/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 8/11/2017
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern : Minimal 4 8/15/2017
 
Failed To: Quickly tell the resident's doctor the results of laboratory tests. Pattern : Minimal 4 8/15/2017
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Pattern : Minimal 4 8/15/2017
 
Failed To: Post nurse staffing information/data on a daily basis. Widespread : Potential 4 8/11/2017
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 8/15/2017
 
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Pattern : Minimal 4 8/15/2017
 
Failed To: Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. Pattern : Minimal 4 8/15/2017
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 8/15/2017
 
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 8/15/2017
 
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 8/15/2017
 
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Pattern : Minimal 4 8/15/2017
 

10/5/2016 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. Isolated : Minimal 3 10/8/2016
 
Failed To: Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. Isolated : Minimal 3 10/8/2016
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 10/8/2016
 
Failed To: Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. Isolated : Minimal 3 10/7/2016
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Pattern : Minimal 4 10/7/2016
 
Failed To: Assess in a timely manner the resident when the resident enters the nursing home. Widespread : Minimal 5 10/7/2016
 
Failed To: Provide food in a way that meets a resident's needs. Isolated : Minimal 3 10/8/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 10/8/2016
 

Complaint Investigation Deficiencies

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

6/16/2017 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. Isolated : Minimal 3 6/17/2017
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg TX State Avg
Number of Residents 46 82.75 75.11
Registered Nurses 0.84 0.50 0.59
Licensed Practical / Vocational Nurses 1.59 0.89 0.94
Certified Nursing Assistants 2.71 2.08 2.20
Total Staff Hours 5.15 3.47 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 12 5 6
of long-stay residents assessed and appropriately given the pneumococcal vaccine 100 96 91
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 92 95 92
of long-stay residents experiencing one or more falls with major injury 0 3 3
of long-stay residents who have depressive symptoms 0 3 3
of long-stay residents who lose too much weight 3 3 5
of long-stay residents who received an antianxiety or hypnotic medication 9 25 26
of long-stay residents who received an antipsychotic medication 8 12 17
of long-stay residents who self-report moderate to severe pain 0 4 5
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 15 20 20
of long-stay residents whose need for help with daily activities has increased 19 17 18
of long-stay residents with a catheter inserted and left in their bladder 3 1 2
of long-stay residents with a urinary tract infection 6 2 3
of short-stay residents assessed and appropriately given the pneumococcal vaccine 95 47 49
of short-stay residents who made improvements in function 69 80 77
of short-stay residents who newly received an antipsychotic medication 2 14 13
of short-stay residents who self-report moderate to severe pain 8 62 59
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 97 2 2
of short-stay residents with pressure ulcers that are new or worsened 0 9 12