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LEGEND OAKS HEALTHCARE AND REHABILITATION-WEST HOU - HOUSTON, TX

 



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Address
7107 QUEENSTON BLVD
HOUSTON, TX, 77095
Phone (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 Information

Number of Registered Nurses Hours Per Resident Per Day
Here:

0.520
Texas:

0.469
Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day
This Nursing Home:

0.730
State:

0.894
Total Number of Licensed Staff Hours Per Resident Per Day
This Nursing Home:

1.250
Texas:

1.350
Number of ,Certified Nurse Assistant Hours Per Resident Per Day
This Nursing Home:

0.080
Texas:

0.067
Number Therapy Hours Per Resident Per Day
This Nursing Home:

0.080
Texas:

0.074

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased
This Nursing Home:

21.4%
State:

20.4%
Percent of long-stay residents who self-report moderate to severe pain
Here:

21.9%
State:

11.4%
Percent of long-stay high-risk residents with pressure ulcers
Here:

10.2%
State:

7.2%
Percent of long-stay residents who lose too much weight
Here:

7.0%
Texas:

6.7%
Percent of long-stay low-risk residents who lose control of their bowels or bladder
This Nursing Home:

48.6%
State:

46.0%
Percent of long-stay residents who have had a catheter inserted and left in their bladder
This Nursing Home:

1.1%
Texas:

3.9%
Percent of long-stay residents with a urinary tract infection
This Nursing Home:

11.6%
Texas:

8.3%
Percent of long-stay residents who have depressive symptoms
This Nursing Home:

7.1%
Texas:

9.3%
Percent of long-stay residents who were physically restrained
This Nursing Home:

1.1%
Texas:

1.6%
Percent of long-stay residents experiencing one or more falls with major injury
This Nursing Home:

3.4%
Texas:

3.5%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
This Nursing Home:

100.0%
State:

91.6%
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine
Here:

93.2%
Texas:

91.1%
Percent of short-stay residents who self-report moderate to severe pain
This Nursing Home:

38.9%
State:

20.2%
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
This Nursing Home:

74.6%
State:

76.2%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
Here:

57.3%
Texas:

74.3%
Percent of short-stay residents who newly received an antipsychotic medication
This Nursing Home:

4.2%
State:

3.6%
Percent of long-stay residents who received an antipsychotic medication
This Nursing Home:

25.5%
State:

28.5%

Complaint Deficiency

Keep 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)

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