COLLEGE PARK REHABILITATION AND CARE CENTER - WEATHERFORD, TX

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Address

1715 MARTIN DR
WEATHERFORD, TX, 76086

Phone (make sure to verify first before calling): (817) 458-3100

Number of Certified Beds: 120
Total Number of Residents: 110
Percent of Occupied Beds: 92%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: For profit - Corporation
Located Within a Hospital?: No
Multi Nursing Home Ownership?: Yes
Resident and Family Councils: Resident
Continuing Care Retirement Community?: No
Quality Indicator Survey?: No
Special Focus Facility?: No

Overall Star Rating: 2 Stars
Health Inspections Star Rating: 3 Stars
Nurse Staffing Star Rating: 1 Star
Quality Measures Star Rating: 4 Stars
RN Only Star Rating: 1 Star

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased

This Nursing Home:	16.9%
State:	20.4%

Percent of long-stay high-risk residents with pressure ulcers

This Nursing Home:	4.5%
Texas:	7.2%

Percent of long-stay residents who lose too much weight

This Nursing Home:	1.9%
State:	6.7%

Percent of long-stay low-risk residents who lose control of their bowels or bladder

This Nursing Home:	29.0%
Texas:	46.0%

Percent of long-stay residents who have had a catheter inserted and left in their bladder

Here:	6.5%
Texas:	3.9%

Percent of long-stay residents with a urinary tract infection

Here:	5.8%
State:	8.3%

Percent of long-stay residents who have depressive symptoms

This Nursing Home:	3.6%
Texas:	9.3%

Percent of long-stay residents who were physically restrained

Here:	0.9%
Texas:	1.6%

Percent of long-stay residents experiencing one or more falls with major injury

Here:	1.8%
State:	3.5%

Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine

Here:	42.7%
Texas:	91.6%

Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine

This Nursing Home:	100.0%
Texas:	91.1%

Percent of short-stay residents who self-report moderate to severe pain

This Nursing Home:	8.7%
Texas:	20.2%

Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine

This Nursing Home:	95.0%
State:	74.3%

Percent of short-stay residents who newly received an antipsychotic medication

This Nursing Home:	15.8%
State:	3.6%

Percent of long-stay residents who received an antipsychotic medication

Here:	27.8%
Texas:	28.5%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	0.310
Texas:	0.469

Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day

This Nursing Home:	1.060
Texas:	0.894

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	1.370
State:	1.350

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

Here:	0.110
Texas:	0.067

Number Therapy Hours Per Resident Per Day

Here:	0.110
Texas:	0.074

Complaint Deficiency

Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed: Some (Minimal harm or potential for actual harm)

A two-hour-resistant firewall in common walls: Some (Minimal harm or potential for actual harm)

A properly installed and maintained dumbwaiter or escalator: Some (Minimal harm or potential for actual harm)

Determine if it is safe for the resident to self-administer drugs: Few (Minimal harm or potential for actual harm)

1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents: Some (Minimal harm or potential for actual harm)

Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property: Some (Minimal harm or potential for actual harm)

Maintain 15 months of resident assessments in the resident's active clinical record: Some (Potential for minimal harm)

1) Make sure that each resident's drug regimen is free from unnecessary drugs; 2) Each resident's entire drug/medication is managed and monitored to achieve highest well being: Few (Minimal harm or potential for actual harm)

Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%: Some (Minimal harm or potential for actual harm)

Make sure that residents are safe from serious medication errors: Few (Minimal harm or potential for actual harm)

Store, cook, and serve food in a safe and clean way: Many (Minimal harm or potential for actual harm)

At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor: Some (Minimal harm or potential for actual harm)

Have a program that investigates, controls and keeps infection from spreading: Some (Minimal harm or potential for actual harm)

Store, cook, and serve food in a safe and clean way: Many (Minimal harm or potential for actual harm)

Properly maintained smoke detectors: Many (Potential for minimal harm)

Automatic sprinkler systems that have been maintained in working order: Some (Minimal harm or potential for actual harm)

Properly protected cooking facilities: Many (Potential for minimal harm)

Keep each resident's personal and medical records private and confidential: Few (Minimal harm or potential for actual harm)

Provide necessary care and services to maintain the highest well being of each resident : Some (Minimal harm or potential for actual harm)

Safely provide drugs and other similar products available, which are needed every day and in emergencies, by a licensed pharmacist: Some (Minimal harm or potential for actual harm)

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards: Many (Minimal harm or potential for actual harm)

1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews: Some (Minimal harm or potential for actual harm)

Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs: Some (Minimal harm or potential for actual harm)

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