LANCASTER NURSING AND REHABILITATION CENTER - LANCASTER, TX

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Address

1515 N ELM ST
LANCASTER, TX, 75134

Phone (make sure to verify first before calling): (972) 227-6066

Number of Certified Beds: 120
Total Number of Residents: 91
Percent of Occupied Beds: 76%
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: 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: 2 Stars
Nurse Staffing Star Rating: 1 Star
Quality Measures Star Rating: 5 Stars
RN Only Star Rating: 2 Stars

Employment Full-Time Equivalent

Administrative Staff - Full Time: 5.76
Administrative Staff - Part Time: 0.61
Certified Nurse Aides - Full Time: 28.93
Certified Nurse Aides - Part Time: 2.27
Dietitians - Under Contract: 0.11
Food Service Personnel - Full Time: 9.27
Food Service Personnel - Part Time: 0.93
Housekeeping Personnel - Full Time: 11.49
Licensed Practical/ Vocational Nurses - Full Time: 14.33
Licensed Practical/ Vocational Nurses - Part Time: 1.94
Medical Directors - Under Contract: 0.10
Mental Health Services Personnel - Under Contract: 0.31
Nurses With Administrative Duties - Full Time: 4.36
Persons Not Included In Any Other Categories - Full Time: 3.67
Physical Therapists - Under Contract: 0.41
Registered Nurses - Full Time: 1.09
Rn Director Of Nursing - Full Time: 1.14
Social Workers - Full Time: 1.14
Activities Professionals - Full Time: 1.10
Dentists - Under Contract: 0.04
Occupational Therapists - Under Contract: 1.14
Podiatrists - Under Contract: 0.11
Speech Pathologists - Under Contract: 1.14
Other Physicians - Under Contract: 0.06
Physician Extenders - Under Contract: 0.23
Persons Not Included In Any Other Categories - Part Time: 0.04
Housekeeping Personnel - Part Time: 0.07
Physical Therapy Aide - Under Contract: 2.27
Medication Aides/ Technicians - Part Time: 0.06
Medication Aides/ Technicians - Full Time: 4.39

Provided Services

Activities Services Are Provided Onsite To Residents
Clinical Laboratory Services Are Provided Onsite To Residents
Dental Services Are Provided Onsite To Residents
Diagnostic Xray Services Are Provided Onsite To Residents
Dietary Services Are Provided Onsite To Residents
Housekeeping Services Are Provided Onsite To Residents
Mental Health Services Are Provided Onsite To Residents
Nursing Services Are Provided Onsite To Residents
Occupational Therapy Services Are Provided Onsite To Non Residents
Occupational Therapy Services Are Provided Onsite To Residents
Pharmacy Services Are Provided Onsite To Residents
Physical Therapy Services Are Provided Onsite To Non Residents
Physical Therapy Services Are Provided Onsite To Residents
Physician Extender Services Are Provided Onsite 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 Non Residents
Speech/Language Pathology Services Are Provided Onsite To Residents

Quality Measures

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

This Nursing Home:	7.9%
State:	20.4%

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

This Nursing Home:	1.5%
State:	11.4%

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

Here:	7.7%
State:	7.2%

Percent of long-stay residents who lose too much weight

Here:	2.5%
Texas:	6.7%

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

Here:	65.0%
Texas:	46.0%

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

Here:	5.8%
State:	3.9%

Percent of long-stay residents with a urinary tract infection

Here:	3.8%
State:	8.3%

Percent of long-stay residents who have depressive symptoms

Here:	4.1%
State:	9.3%

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

This Nursing Home:	89.9%
State:	91.6%

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

Here:	95.1%
Texas:	91.1%

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

This Nursing Home:	70.0%
Texas:	76.2%

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

This Nursing Home:	85.3%
Texas:	74.3%

Percent of long-stay residents who received an antipsychotic medication

Here:	29.2%
State:	28.5%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	0.460
Texas:	0.469

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

Here:	0.410
Texas:	0.894

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	0.870
State:	1.350

Complaint Deficiency

Proper exit design: Some (Minimal harm or potential for actual harm)

Exits that are accessible at all times: Some (Actual harm)

An approved automatic sprinkler system connected to the fire alarm system: 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)

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: Some (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)

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

Properly working alarms on sprinkler valves: Some (Minimal harm or potential for actual harm)

Automatic sprinkler systems that have been maintained in working order: 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)

Proper medical gas storage and administration areas: 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)

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

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

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

An approved installation, maintenance and testing program for fire alarm systems: Many (Potential for minimal harm)

Posted No-smoking signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed: 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)

Keep each resident free from physical restraints, unless needed for medical treatment: 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: Many (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)

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)

Safely provide drugs and other similar products available, which are needed every day and in emergencies, by a licensed pharmacist: Many (Minimal harm or potential for actual harm)

Have a program that investigates, controls and keeps infection from spreading: Many (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

BARRY LANE (0.88 miles)
CRESCENT CARE CENTER OF LANCASTER (1.49 miles)
MULTI CARE HOME HEALTH SERVICES LLC (1.44 miles)
SILENT NIGHT NH (1.14 miles)
TRADITIONAL HEALTHCARE SERVICES (0.61 miles)
WESTRIDGE NURSING AND REHABILITATION LP (0.27 miles)
WILLOWOOD (0.43 miles)

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