FRIENDSHIP HAVEN HEALTHCARE AND REHABILITATION CEN - FRIENDSWOOD, TX
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Address 1500 SUNSET DRPhone (make sure to verify first before calling): (281) 992-4300 Number of Certified Beds: 150 Total Number of Residents: 131 Percent of Occupied Beds: 87% Sprinkler Status: Fully Sprinklered Program Participation: Medicare and Medicaid Type of Ownership: For profit - Partnership 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: 3 Stars Nurse Staffing Star Rating: 1 Star Quality Measures Star Rating: 3 Stars RN Only Star Rating: 1 Star Employment Full-Time EquivalentAdministrative Staff - Full Time: 9.49Administrative Staff - Part Time: 0.47 Certified Nurse Aides - Full Time: 66.81 Dietitians - Under Contract: 0.26 Food Service Personnel - Full Time: 19.46 Housekeeping Personnel - Full Time: 17.30 Licensed Practical/ Vocational Nurses - Full Time: 25.14 Medical Directors - Under Contract: 0.17 Mental Health Services Personnel - Under Contract: 0.14 Nurses With Administrative Duties - Full Time: 3.46 Persons Not Included In Any Other Categories - Full Time: 7.57 Physical Therapists - Under Contract: 0.99 Registered Nurses - Full Time: 0.94 Rn Director Of Nursing - Full Time: 1.64 Social Workers - Full Time: 1.33 Activities Professionals - Full Time: 1.37 Dentists - Under Contract: 0.06 Occupational Therapists - Under Contract: 1.26 Pharmacists - Under Contract: 0.11 Podiatrists - Under Contract: 0.03 Speech Pathologists - Under Contract: 0.80 Physician Extenders - Under Contract: 0.23 Medication Aides/ Technicians - Full Time: 18.71 Provided Services
Staff InformationNumber of Registered Nurses Hours Per Resident Per Day
Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day
Total Number of Licensed Staff Hours Per Resident Per Day
Number of ,Certified Nurse Assistant Hours Per Resident Per Day
Number Therapy Hours Per Resident Per Day
Quality MeasuresPercent of long-stay residents whose need for help with daily activities has increased
Percent of long-stay residents who self-report moderate to severe pain
Percent of long-stay high-risk residents with pressure ulcers
Percent of long-stay residents who lose too much weight
Percent of long-stay low-risk residents who lose control of their bowels or bladder
Percent of long-stay residents who have had a catheter inserted and left in their bladder
Percent of long-stay residents with a urinary tract infection
Percent of long-stay residents who have depressive symptoms
Percent of long-stay residents who were physically restrained
Percent of long-stay residents experiencing one or more falls with major injury
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine
Percent of short-stay residents who self-report moderate to severe pain
Percent of short-stay residents with Pressure ulcers that are new or worsened
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
Percent of short-stay residents who newly received an antipsychotic medication
Percent of long-stay residents who received an antipsychotic medication
Complaint DeficiencyFollow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death: Some (Minimal harm or potential for actual harm)Conduct initial and periodic assessments of each resident's functional capacity: Some (Minimal harm or potential for actual harm) Keep accurate, complete and organized clinical records on each resident that meet professional standards: Some (Minimal harm or potential for actual harm) Exits that are accessible at all times: Few (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) Review or revise the resident's care plan after any major change in a resident's physical or mental health: Some (Potential for minimal harm) Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured: 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) 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) 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: Some (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) 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) 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) Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public: 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) 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) An approved installation, maintenance and testing program for fire alarm systems: Many (Potential for minimal harm) Automatic sprinkler systems that have been maintained in working order: Many (Minimal harm or potential for actual harm) Portable fire extinguishers: Many (Potential for minimal harm) Properly protected cooking facilities: Many (Potential for minimal harm) Weekly inspections and monthly testing of generators: Some (Minimal harm or potential for actual harm) Properly installed electrical wiring and equipment: Many (Potential for minimal harm) Corridor and hallway doors that block smoke: Few (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: Few (Minimal harm or potential for actual harm) Construction that can resist fire for one hour or an approved fire extinguishing system: Some (Minimal harm or potential for actual harm) A fire alarm system that can be heard throughout the facility: Few (Minimal harm or potential for actual harm) Properly working sprinkler alarm system: Many (Minimal harm or potential for actual harm) Automatic sprinkler systems that have been maintained in working order: Few (Minimal harm or potential for actual harm) Restrictions on the use of portable space heaters: Few (Minimal harm or potential for actual harm) Proper medical gas storage and administration areas: Few (Minimal harm or potential for actual harm) Properly installed electrical wiring and equipment: Many (Potential for minimal harm) Provide necessary care and services to maintain the highest well being of each resident : 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: Some (Minimal harm or potential for actual harm) Give each resident enough fluids to keep them healthy and prevent dehydration: Some (Minimal harm or potential for actual harm) Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature: Some (Minimal harm or potential for actual harm) Make sure that special or therapeutic diets are ordered by the attending doctor: Few (Minimal harm or potential for actual harm) Keep accurate, complete and organized clinical records on each resident that meet professional standards: Some (Potential for minimal harm) Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour: Many (Minimal harm or potential for actual harm) Properly located and lighted Exit signs: Few (Minimal harm or potential for actual harm) Record of quarterly fire drills for each shift under varying conditions: Many (Potential for minimal harm) An approved automatic sprinkler system connected to the fire alarm system: Few (Minimal harm or potential for actual harm) Automatic sprinkler systems that have been maintained in working order: Few (Minimal harm or potential for actual harm) Portable fire extinguishers: Few (Minimal harm or potential for actual harm) Properly installed hallway dispensers for alcohol-based hand rub: Few (Minimal harm or potential for actual harm) Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured: 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: Some (Minimal harm or potential for actual harm) Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents: Few (Minimal harm or potential for actual harm) Make sure that special or therapeutic diets are ordered by the attending doctor: Few (Minimal harm or potential for actual harm) Store, cook, and serve food in a safe and clean way: 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) 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) Other nearby hospitals and nursing homes
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