COUNTRYSIDE NURSING AND REHABILITATION LP - PILOT POINT, TX

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COUNTRYSIDE NURSING AND REHABILITATION LP
1700 N WASHINGTON
PILOT POINT, TX, 76258

Phone (make sure to verify first before calling): (940) 686-5556

Number of Certified Beds: 120
Total Number of Residents: 67
Percent of Occupied Beds: 56%
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
Type: Skilled Nursing Facilities

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

Employment Full-Time Equivalent

Administrative Staff - Full Time: 1.24
Certified Nurse Aides - Full Time: 19.61
Dietitians - Under Contract: 0.11
Food Service Personnel - Full Time: 6.57
Housekeeping Personnel - Full Time: 4.03
Licensed Practical/ Vocational Nurses - Full Time: 14.54
Medical Directors - Under Contract: 0.06
Nurses With Administrative Duties - Full Time: 1.19
Persons Not Included In Any Other Categories - Full Time: 3.64
Physical Therapists - Under Contract: 0.01
Rn Director Of Nursing - Full Time: 1.24
Dentists - Under Contract: 0.03
Speech Pathologists - Under Contract: 0.01
Physician Extenders - Under Contract: 0.14
Registered Nurses - Part Time: 0.49
Social Workers - Part Time: 0.33
Medication Aides/ Technicians - Full Time: 2.13

Provided Services

Clinical Laboratory Services Are Provided Onsite To Residents
Dental Services Are Provided Onsite To Residents
Diagnostic Xray Services Are Provided Onsite To Residents
Dietary Services Are Provided Onsite To Residents
Housekeeping Services Are Provided Onsite To Residents
Mental Health Services Are Provided Onsite To Residents
Nursing Services Are Provided Onsite To Residents
Occupational Therapy Services Are Provided Onsite To Residents
Pharmacy Services Are Provided Onsite To Residents
Physical Therapy Services Are Provided Onsite To Residents
Physician Extender Services Are Provided Onsite To Residents
Physician Services Are Provided Onsite To Residents
Podiatry Services Are Provided Onsite To Residents
Social Work Services Are Provided Onsite To Residents
Speech/Language Pathology Services Are Provided Onsite To Residents

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	0.400
State:	0.433

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

Here:	1.010
State:	0.884

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.410
State:	1.317

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	1.930
State:	2.304

Quality Measures

Percent of long-stay residents given influenza vaccination during the flu season

This Nursing Home:	96.0%
Texas:	92.8%

Percent of long-stay residents who were assessed and given pneumococcal vaccination

This Nursing Home:	85.0%
Texas:	87.3%

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

This Nursing Home:	46.0%
State:	18.0%

Percent of long-stay residents who have moderate to severe pain

This Nursing Home:	1.0%
State:	3.8%

Percent of high-risk long-stay residents who have pressure sores

Here:	7.0%
State:	11.4%

Percent of long-stay residents who are more depressed or anxious

Here:	10.0%
State:	12.8%

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

Here:	34.0%
Texas:	47.2%

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

Here:	2.0%
State:	4.4%

Percent of long-stay residents who spend most of their time in bed or in a chair

This Nursing Home:	3.0%
Texas:	5.1%

Percent of long-stay residents whose ability to move about in and around their room got worse

This Nursing Home:	8.0%
State:	12.0%

Percent of long-stay residents who had a urinary tract infection

This Nursing Home:	11.0%
Texas:	9.3%

Percent of long-stay residents who lose too much weight

Here:	6.0%
State:	6.3%

Percent of short-stay residents given influenza vaccination during the flu season

Here:	97.0%
Texas:	83.5%

Percent of short-stay residents who were assessed and given pneumococcal vaccination

This Nursing Home:	82.0%
Texas:	76.8%

Complaint Deficiency

1) Hire only people who have 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: Pattern (Minimal harm or potential for actual harm)

Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property: Pattern (Minimal harm or potential for actual harm)

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores: Pattern (Actual harm)

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

Make sure that residents are safe from serious medication errors: Pattern (Actual harm)

Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly: Pattern (Actual harm)

Store, cook, and give out food in a safe and clean way: Widespread (Potential for minimal harm)

Give or get special rehabilitation if in the patient's plan of care: Pattern (Minimal harm or potential for actual harm)

Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly: Pattern (Minimal harm or potential for actual harm)

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