LEGEND OAKS HEALTHCARE AND REHABILITATION-WEST HOU - HOUSTON, TX
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Address 7107 QUEENSTON BLVDPhone (make sure to verify first before calling): (281) 463-7333 Number of Certified Beds: 124 Total Number of Residents: 107 Percent of Occupied Beds: 86% Sprinkler Status: Fully Sprinklered Program Participation: Medicare and Medicaid Type of Ownership: For profit - Partnership Located Within a Hospital?: No Multi Nursing Home Ownership?: Yes Resident and Family Councils: Both Continuing Care Retirement Community?: No Quality Indicator Survey?: No Special Focus Facility?: No Overall Star Rating: 2 Stars Health Inspections Star Rating: 3 Stars Nurse Staffing Star Rating: 1 Star Quality Measures Star Rating: 3 Stars RN Only Star Rating: 2 Stars Staff InformationNumber of Registered Nurses Hours Per Resident Per Day
Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day
Total Number of Licensed Staff Hours Per Resident Per Day
Number of ,Certified Nurse Assistant Hours Per Resident Per Day
Number Therapy Hours Per Resident Per Day
Quality MeasuresPercent of long-stay residents whose need for help with daily activities has increased
Percent of long-stay residents who self-report moderate to severe pain
Percent of long-stay high-risk residents with pressure ulcers
Percent of long-stay residents who lose too much weight
Percent of long-stay low-risk residents who lose control of their bowels or bladder
Percent of long-stay residents who have had a catheter inserted and left in their bladder
Percent of long-stay residents with a urinary tract infection
Percent of long-stay residents who have depressive symptoms
Percent of long-stay residents who were physically restrained
Percent of long-stay residents experiencing one or more falls with major injury
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine
Percent of short-stay residents who self-report moderate to severe pain
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
Percent of short-stay residents who newly received an antipsychotic medication
Percent of long-stay residents who received an antipsychotic medication
Complaint DeficiencyKeep accurate, complete and organized clinical records on each resident that meet professional standards: Few (Minimal harm or potential for actual harm)Properly hold, secure and manage each resident's personal money which is deposited with the nursing home: Few (Minimal harm or potential for actual harm) A two-hour-resistant firewall in common walls: Some (Minimal harm or potential for actual harm) Properly installed electrical wiring and equipment: Some (Minimal harm or potential for actual harm) Provide proper discharge planning and communication, of the resident's health status and summary of the resident's stay: Some (Minimal harm or potential for actual harm) Provide proof that all residents' personal money which is deposited with the nursing home, is secure: Some (Minimal harm or potential for actual harm) Keep accurate, complete and organized clinical records on each resident that meet professional standards: Few (Minimal harm or potential for actual harm) Provide bedrooms that hold no more than 4 residents per room: Few (Minimal harm or potential for actual harm) Did not have a written emergency evacuation plan: Many (Potential for minimal harm) Fire-resistant interior walls: Few (Minimal harm or potential for actual harm) Provide care by qualified persons according to each resident's written plan of care: Few (Minimal harm or potential for actual harm) Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses: Few (Minimal harm or potential for actual harm) Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%: Some (Minimal harm or potential for actual harm) Make sure that residents are safe from serious medication errors: Few (Minimal harm or potential for actual harm) Store, cook, and serve food in a safe and clean way: 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) Keep accurate, complete and organized clinical records on each resident that meet professional standards: Few (Minimal harm or potential for actual harm) Exits that are free from obstructions and can be used at all times: Many (Minimal harm or potential for actual harm) Weekly inspections and monthly testing of generators: Many (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) Properly working alarms on sprinkler valves: Many (Minimal harm or potential for actual harm) Automatic sprinkler systems that have been maintained in working order: Few (Minimal harm or potential for actual harm) Exits that are free from obstructions and can be used at all times: Many (Minimal harm or potential for actual harm) Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property: Few (Minimal harm or potential for actual harm) Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property: Few (Minimal harm or potential for actual harm) Provide care for residents in a way that keeps or builds each resident's dignity and respect of individuality: 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) Provide necessary care and services to maintain the highest well being of each resident : 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: Some (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: Few (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) Keep accurate, complete and organized clinical records on each resident that meet professional standards: Few (Minimal harm or potential for actual harm) Other nearby hospitals and nursing homes
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