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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)

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