Hospital and Nursing Home Profiles  

DUNCANVILLE HEALTHCARE AND REHABILITATION CENTER - DUNCANVILLE, TX

 



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Address
419 S COCKRELL HILL RD
DUNCANVILLE, TX, 75116
Phone (make sure to verify first before calling): (972) 708-8800

Number of Certified Beds: 124
Total Number of Residents: 74
Percent of Occupied Beds: 60%
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: Both
Continuing Care Retirement Community?: No
Quality Indicator Survey?: No
Special Focus Facility?: No


Overall Star Rating: 2 Stars
Health Inspections Star Rating: 1 Star
Nurse Staffing Star Rating: 1 Star
Quality Measures Star Rating: 5 Stars
RN Only Star Rating: 1 Star

Staff Information

Number of Registered Nurses Hours Per Resident Per Day
This Nursing Home:

0.420
Texas:

0.469
Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day
This Nursing Home:

1.010
Texas:

0.894
Total Number of Licensed Staff Hours Per Resident Per Day
Here:

1.430
Texas:

1.350
Number of ,Certified Nurse Assistant Hours Per Resident Per Day
This Nursing Home:

0.080
Texas:

0.067
Number Therapy Hours Per Resident Per Day
Here:

0.080
State:

0.074

Quality Measures

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

21.6%
Texas:

20.4%
Percent of long-stay residents who self-report moderate to severe pain
This Nursing Home:

2.5%
Texas:

11.4%
Percent of long-stay high-risk residents with pressure ulcers
This Nursing Home:

14.6%
State:

7.2%
Percent of long-stay residents who lose too much weight
This Nursing Home:

14.3%
Texas:

6.7%
Percent of long-stay residents who have had a catheter inserted and left in their bladder
Here:

1.3%
Texas:

3.9%
Percent of long-stay residents with a urinary tract infection
This Nursing Home:

1.6%
State:

8.3%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Here:

61.2%
Texas:

91.6%
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine
Here:

68.7%
Texas:

91.1%
Percent of short-stay residents who self-report moderate to severe pain
Here:

8.7%
State:

20.2%
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Here:

31.0%
State:

76.2%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
Here:

32.2%
State:

74.3%
Percent of short-stay residents who newly received an antipsychotic medication
Here:

3.4%
State:

3.6%
Percent of long-stay residents who received an antipsychotic medication
This Nursing Home:

18.8%
Texas:

28.5%

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)

Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death: Few (Minimal harm or potential for actual harm)

Restrictions on the use of portable space heaters: Some (Minimal harm or potential for actual harm)

Proper backup exit lighting: Some (Immediate jeopardy to resident health or safety)

Conduct initial and periodic assessments of each resident's functional capacity: Few (Minimal harm or potential for actual harm)

Have enough outside ventilation via a window or mechanical ventilation, or both: Some (Immediate jeopardy to resident health or safety)

Post nurse staffing information/data on a daily basis: Some (Minimal harm or potential for actual harm)

Exits that are accessible at all times: Some (Minimal harm or potential for actual harm)

Make sure that each resident who enters the nursing home without a catheter is not given a catheter, and receive proper services to prevent urinary tract infections and restore normal bladder function: Few (Minimal harm or potential for actual harm)

Exits that are free from obstructions and can be used at all times: 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)

Exits that are free from obstructions and can be used at all times: Few (Minimal harm or potential for actual harm)

Be administered in an acceptable way that maintains the well-being of each resident : Some (Minimal harm or potential for actual harm)

Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death: Some (Immediate jeopardy to resident health or safety)

Approved construction type or materials: Some (Actual harm)

A two-hour-resistant firewall in common walls: Some (Actual harm)

Make sure that each resident who enters the nursing home without a catheter is not given a catheter, and receive proper services to prevent urinary tract infections and restore normal bladder function: Some (Minimal harm or potential for actual harm)

Provide proof that all residents' personal money which is deposited with the nursing home, is secure: Some (Actual harm)

Properly hold, secure and manage each resident's personal money which is deposited with the nursing home: Some (Minimal harm or potential for actual harm)

Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death: Some (Immediate jeopardy to resident health or safety)

Tell the resident completely about his or her health status, care and treatments: Many (Minimal harm or potential for actual harm)

Signs that state that exit doors are to be kept closed: Many (Actual harm)

Approved construction type or materials: Many (Actual harm)

A two-hour-resistant firewall in common walls: Many (Actual harm)

Properly installed electrical wiring and equipment: Many (Actual harm)

Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death: Many (Actual harm)

Provide proof that all residents' personal money which is deposited with the nursing home, is secure: Many (Actual harm)

Record of quarterly fire drills for each shift under varying conditions: Many (Minimal harm or potential for actual harm)

Properly protected cooking facilities: Many (Minimal harm or potential for actual harm)

Exits that are free from obstructions and can be used at all times: Some (Minimal harm or potential for actual harm)

Provide clean bed and bath linens that are in good condition: Some (Minimal harm or potential for actual harm)

Allow the resident the right to participate in the planning or revision of the resident's care plan: Some (Minimal harm or potential for actual harm)

Provide necessary care and services to maintain the highest well being of each resident : Some (Immediate jeopardy to resident health or safety)

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

Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature: Many (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)

Safely provide drugs and other similar products available, which are needed every day and in emergencies, by a licensed pharmacist: Some (Immediate jeopardy to resident health or safety)

Train all employees on what to do in an emergency, and carry out announced staff drills: Some (Minimal harm or potential for actual harm)

Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour: Some (Minimal harm or potential for actual harm)

Construction that can resist fire for one hour or an approved fire extinguishing system: Some (Potential for minimal harm)

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

Make sure that private space is available in the nursing home for resident groups or residents' families to meet: Some (Minimal harm or potential for actual harm)

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores: Some (Minimal harm or potential for actual harm)

Train all employees on what to do in an emergency, and carry out announced staff drills: Some (Minimal harm or potential for actual harm)

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