CLEVELAND HEALTH CARE CENTER - CLEVELAND, TX

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Address

903 E HOUSTON ST
CLEVELAND, TX, 77327

Phone (make sure to verify first before calling): (281) 593-3737

Number of Certified Beds: 142
Total Number of Residents: 76
Percent of Occupied Beds: 54%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: Non 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: 4 Stars
Health Inspections Star Rating: 4 Stars
Nurse Staffing Star Rating: 4 Stars
Quality Measures Star Rating: 3 Stars
RN Only Star Rating: 2 Stars

Provided Services

Activities Services Are Provided Offsite To Residents
Activities Services Are Provided Onsite To Residents
Administration And Storage Of Blood Services Are Provided Offsite To Residents
Clinical Laboratory Services Are Provided Offsite To Residents
Clinical Laboratory Services Are Provided Onsite To Residents
Dental Services Are Provided Offsite To Residents
Dental Services Are Provided Onsite To Residents
Diagnostic Xray Services Are Provided Offsite To Residents
Diagnostic Xray Services Are Provided Onsite To Residents
Dietary 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 Offsite To Residents
Nursing Services Are Provided Onsite To Residents
Occupational Therapy Services Are Provided Offsite 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 Offsite To Residents
Physical Therapy Services Are Provided Onsite To Residents
Physician Extender Services Are Provided Offsite To Residents
Physician Extender Services Are Provided Onsite To Residents
Physician Services Are Provided Offsite To Residents
Physician Services Are Provided Onsite To Residents
Podiatry Services Are Provided Offsite To Residents
Podiatry Services Are Provided Onsite To Residents
Social Work Services Are Provided Offsite To Residents
Social Work Services Are Provided Onsite To Residents
Speech/Language Pathology Services Are Provided Offsite To Residents
Speech/Language Pathology Services Are Provided Onsite To Residents
Therapeutic Recrecation Specialist Services Are Provided Offsite To Residents
Vocational Services Are Provided Offsite To Residents

Employment Full-Time Equivalent

Administrative Staff - Full Time: 4.96
Certified Nurse Aides - Full Time: 27.36
Dietitians - Under Contract: 0.11
Food Service Personnel - Full Time: 10.03
Licensed Practical/ Vocational Nurses - Full Time: 10.46
Nurses With Administrative Duties - Full Time: 2.54
Physical Therapists - Under Contract: 2.01
Rn Director Of Nursing - Full Time: 1.37
Social Workers - Full Time: 1.24
Activities Professionals - Full Time: 1.31
Occupational Therapists - Under Contract: 2.49
Speech Pathologists - Under Contract: 1.30
Medication Aides/ Technicians - Full Time: 8.63

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	0.520
State:	0.469

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

Here:	1.050
Texas:	0.894

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	1.570
State:	1.350

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	0.040
State:	0.067

Number Therapy Hours Per Resident Per Day

Here:	0.040
State:	0.074

Quality Measures

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

This Nursing Home:	23.6%
Texas:	20.4%

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

Here:	15.4%
Texas:	11.4%

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

This Nursing Home:	3.6%
Texas:	7.2%

Percent of long-stay residents who lose too much weight

This Nursing Home:	10.6%
State:	6.7%

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

This Nursing Home:	43.2%
State:	46.0%

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

Here:	3.2%
State:	3.9%

Percent of long-stay residents with a urinary tract infection

Here:	15.3%
Texas:	8.3%

Percent of long-stay residents who were physically restrained

Here:	2.3%
Texas:	1.6%

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

This Nursing Home:	2.3%
Texas:	3.5%

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

Here:	90.7%
State:	91.6%

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

Here:	82.8%
State:	91.1%

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

This Nursing Home:	28.3%
State:	20.2%

Percent of short-stay residents with Pressure ulcers that are new or worsened

Here:	1.2%
Texas:	1.4%

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

Here:	30.3%
Texas:	76.2%

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

This Nursing Home:	15.3%
Texas:	74.3%

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

This Nursing Home:	12.5%
Texas:	3.6%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	16.3%
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)

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

Fire-resistant room wall surfaces: 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: Many (Minimal harm or potential for actual harm)

Construction that can resist fire for one hour or an approved fire extinguishing system: Few (Minimal harm or potential for actual harm)

Heating and ventilation systems that have been properly installed according to the manufacturer's instructions: Many (Potential for minimal harm)

Properly installed electrical wiring and equipment: Many (Minimal harm or potential for actual harm)

Try to resolve each resident's complaints quickly: Some (Potential for minimal harm)

1) Hire only people with 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: Some (Minimal harm or potential for actual harm)

Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property: Some (Minimal harm or potential for actual harm)

Provide housekeeping and maintenance services: Some (Potential for minimal harm)

Review or revise the resident's care plan after any major change in a resident's physical or mental health: Some (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)

Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible: Few (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: 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)

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 (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)

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

Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action: Some (Minimal harm or potential for actual harm)

Approved construction type or materials: Many (Minimal harm or potential for actual harm)

Construction that can resist fire for one hour or an approved fire extinguishing system: Many (Minimal harm or potential for actual harm)

Exits that are accessible at all times: Many (Potential for minimal harm)

A fire alarm system that can be heard throughout the facility: Many (Minimal harm or potential for actual harm)

Posted No-smoking signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed: Many (Potential for minimal harm)

An externally vented heating system: Many (Minimal harm or potential for actual harm)

A separate and independent backup electrical power source: Many (Minimal harm or potential for actual harm)

Smoke barrier doors that can resist smoke for at least 20 minutes: Some (Minimal harm or potential for actual harm)

Construction that can resist fire for one hour or an approved fire extinguishing system: Many (Minimal harm or potential for actual harm)

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

Proper medical gas storage and administration areas: Some (Minimal harm or potential for actual harm)

Other fire safety features required by fire safety codes: Few (Minimal harm or potential for actual harm)

Properly installed electrical wiring and equipment: Some (Minimal harm or potential for actual harm)

Other nearby hospitals and nursing homes

CLEVELAND REGIONAL MEDICAL CTR (0.39 miles)
DAVITA-CLEVELAND DIALYSIS CENTER (0.21 miles)
DOCTORS DIAGNOSTIC HOSPITAL (1.10 miles)
HOME CARE OF EAST TEXAS, CLEVELAND (0.54 miles)
LEE STREET HOUSE (0.93 miles)
TEXAS HOME HEALTH SKILLED SERVICES (0.85 miles)

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