GREENHILL VILLAS (MOUNT PLEASANT, TX) Detailed Nursing Home Profile

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	0.370
Texas:	0.469

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

This Nursing Home:	0.520
Texas:	0.894

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	0.880
Texas:	1.350

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

Here:	0.070
State:	0.067

Number Therapy Hours Per Resident Per Day

Here:	0.070
Texas:	0.074

Quality Measures

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

Here:	24.7%
State:	20.4%

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

Here:	24.6%
State:	11.4%

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

Here:	9.3%
State:	7.2%

Percent of long-stay residents who lose too much weight

This Nursing Home:	8.8%
Texas:	6.7%

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

Here:	1.4%
Texas:	3.9%

Percent of long-stay residents with a urinary tract infection

Here:	2.5%
Texas:	8.3%

Percent of long-stay residents who have depressive symptoms

This Nursing Home:	2.5%
State:	9.3%

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

This Nursing Home:	3.5%
Texas:	3.5%

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

This Nursing Home:	74.1%
State:	91.6%

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

This Nursing Home:	65.9%
Texas:	91.1%

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

Here:	12.0%
State:	20.2%

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

This Nursing Home:	20.8%
Texas:	74.3%

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

This Nursing Home:	3.8%
Texas:	3.6%

Percent of long-stay residents who received an antipsychotic medication

Here:	57.3%
State:	28.5%

Complaint Deficiency

Provide doctors orders for the resident's immediate care, at the time the resident was admitted
- Harm: Minimal harm or potential for actual harm
- Scope: Few
A fire alarm system that can be heard throughout the facility
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Provide proper discharge planning and communication, of the resident's health status and summary of the resident's stay
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Signs that state that exit doors are to be kept closed
- Harm: Immediate jeopardy to resident health or safety
- Scope: Many
Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death
- Harm: Immediate jeopardy to resident health or safety
- Scope: Some
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Smoke barrier doors that can resist smoke for at least 20 minutes
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Construction that can resist fire for one hour or an approved fire extinguishing system
- Harm: Minimal harm or potential for actual harm
- Scope: Some
An approved automatic sprinkler system connected to the fire alarm system
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Properly working alarms on sprinkler valves
- Harm: Potential for minimal harm
- Scope: Many
Proper medical gas storage and administration areas
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Reasonably accommodate the needs and preferences of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Provide necessary care and services to maintain the highest well being of each resident
- Harm: Immediate jeopardy to resident health or safety
- Scope: Some
Assist those residents who need total help with eating/drinking, grooming and personal and oral hygiene
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores
- Harm: Immediate jeopardy to resident health or safety
- Scope: Some
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Dispose of garbage and refuse properly
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Many
1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs
- Harm: Minimal harm or potential for actual harm
- Scope: Some

GREENHILL VILLAS - MOUNT PLEASANT, TX

Staff Information

Quality Measures

Complaint Deficiency

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