GRAHAM OAKS CARE CENTER - GRAHAM, TX

Submitted by:

Crystal Holman, Director Nursing services

Graham oaks has a ventilator/respiratory unit..medical specialty unit for residents utilizing med part a services /rehab and returning to community..short stay

Institution representatives - add corrected or new information about GRAHAM OAKS CARE CENTER »

GRAHAM OAKS CARE CENTER
1325 FIRST ST
GRAHAM, TX, 76450

Phone (make sure to verify first before calling): (940) 549-8787

Number of Certified Beds: 120
Total Number of Residents: 87
Percent of Occupied Beds: 73%
Sprinkler Status: Fully sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: For profit - Corporation
Located Within a Hospital?: No
Multi Nursing Home Ownership?: No
Resident and Family Councils: Both
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: 2 Stars
RN Only Star Rating: 2 Stars

Employment Full-Time Equivalent

Administrative Staff - Full Time: 4.23
Certified Nurse Aides - Full Time: 16.77
Food Service Personnel - Full Time: 5.51
Housekeeping Personnel - Full Time: 5.31
Licensed Practical/ Vocational Nurses - Full Time: 10.31
Nurses With Administrative Duties - Full Time: 4.43
Registered Nurses - Full Time: 2.56
Rn Director Of Nursing - Full Time: 1.14
Social Workers - Full Time: 1.14
Activities Professionals - Full Time: 1.24
Medical Directors - Full Time: 0.11
Mental Health Services Personnel - Full Time: 0.11
Nurse Aides In Training - Full Time: 1.24
Dietitians - Full Time: 0.26
Sppech Pathologists - Full Time: 0.49
Occupational Therapists - Full Time: 1.14
Physical Therapists - Full Time: 1.14
Other Physicians - Full Time: 0.20
Podiatrists - Full Time: 0.11

Provided Services

Activities Services Are Provided Onsite To Residents
Clinical Laboratory Services Are Provided Offsite To Residents
Dental Services Are Provided Offsite To Residents
Diagnostic Xray Services Are Provided Offsite To Residents
Dietary Services Are Provided Onsite To Residents
Housekeeping Services Are Provided Onsite To Residents
Mental Health Services Are Provided Offsite 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 Offsite To Residents
Pharmacy Services Are Provided Onsite To Residents
Physical Therapy Services Are Provided Onsite To Residents
Physician Services Are Provided Offsite 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:	0.430
State:	0.433

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

Here:	1.090
Texas:	0.884

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	1.520
Texas:	1.317

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

Here:	2.010
Texas:	2.304

Quality Measures

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

Here:	100.0%
State:	92.8%

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

This Nursing Home:	95.0%
Texas:	87.3%

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

This Nursing Home:	23.0%
State:	18.0%

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

This Nursing Home:	1.0%
Texas:	3.8%

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

This Nursing Home:	11.0%
State:	11.4%

Percent of long-stay residents who were physically restrained

This Nursing Home:	4.0%
State:	1.8%

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

Here:	3.0%
Texas:	12.8%

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

Here:	41.0%
State:	47.2%

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

Here:	18.0%
Texas:	4.4%

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

This Nursing Home:	8.0%
State:	5.1%

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

This Nursing Home:	27.0%
State:	12.0%

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

This Nursing Home:	12.0%
State:	9.3%

Percent of long-stay residents who lose too much weight

This Nursing Home:	3.0%
State:	6.3%

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

Here:	100.0%
State:	83.5%

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

This Nursing Home:	100.0%
Texas:	76.8%

Percent of short-stay residents who have delirium

This Nursing Home:	12.0%
Texas:	1.4%

Percent of short-stay residents who had moderate to severe pain

This Nursing Home:	3.0%
Texas:	14.2%

Percent of short-stay residents who have pressure sores

Here:	10.0%
State:	10.8%

Complaint Deficiency

Weekly inspections and monthly testing of generators: Widespread (Minimal harm or potential for actual harm)

The appropriate emergency electrical equipment: Widespread (Minimal harm or potential for actual harm)

Properly installed electrical wiring and equipment: Widespread (Potential for minimal harm)

Give each resident care and services to get or keep the highest quality of life possible: Isolated (Actual harm)

Have enough nurses to care for every resident in a way that maximizes the resident's well being: Pattern (Minimal harm or potential for actual harm)

Have a program to keep infection from spreading: Pattern (Minimal harm or potential for actual harm)

Have a detailed, written plan for disasters and emergencies: Pattern (Minimal harm or potential for actual harm)

Give each resident care and services to get or keep the highest quality of life possible: Isolated (Minimal harm or potential for actual harm)

Hire nurse aides who have completed required training and shown that they are skilled: Pattern (Minimal harm or potential for actual harm)

Quickly tell the resident's doctor the results of lab tests: Isolated (Minimal harm or potential for actual harm)

Hire nurse aides who have shown that they are skilled and care for residents safely on-the-job: Pattern (Minimal harm or potential for actual harm)

Have enough nurses to care for every resident in a way that maximizes the resident's well being: Widespread (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)

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: Isolated (Minimal harm or potential for actual harm)

Provide needed housekeeping and maintenance: Pattern (Potential for minimal harm)

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

Keep accurate and appropriate medical records: Isolated (Minimal harm or potential for actual harm)

Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged: Isolated (Minimal harm or potential for actual harm)

Make sure that the nursing home area is safe, easy to use, clean and comfortable: Pattern (Minimal harm or potential for actual harm)

Make sure that the nursing home area is safe, easy to use, clean and comfortable: Pattern (Minimal harm or potential for actual harm)

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