CYPRESSWOOD HEALTH AND REHABILITATION CENTER - HOUSTON, TX

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CYPRESSWOOD HEALTH AND REHABILITATION CENTER
10851 CRESCENT MOON DR
HOUSTON, TX, 77064

Phone (make sure to verify first before calling): (281) 955-4100

Number of Certified Beds: 202
Total Number of Residents: 149
Percent of Occupied Beds: 74%
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: 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: 3 Stars
Nurse Staffing Star Rating: 1 Star
Quality Measures Star Rating: 3 Stars
RN Only Star Rating: 2 Stars

Employment Full-Time Equivalent

Administrative Staff - Full Time: 14.34
Certified Nurse Aides - Full Time: 48.89
Certified Nurse Aides - Part Time: 1.77
Dietitians - Under Contract: 0.23
Food Service Personnel - Full Time: 13.37
Housekeeping Personnel - Full Time: 10.30
Licensed Practical/ Vocational Nurses - Full Time: 23.59
Licensed Practical/ Vocational Nurses - Part Time: 0.57
Medical Directors - Under Contract: 0.46
Mental Health Services Personnel - Under Contract: 0.43
Nurses With Administrative Duties - Full Time: 12.10
Persons Not Included In Any Other Categories - Full Time: 7.44
Registered Nurses - Full Time: 1.03
Rn Director Of Nursing - Full Time: 1.14
Social Workers - Full Time: 1.14
Activities Professionals - Full Time: 1.20
Dentists - Under Contract: 0.11
Pharmacists - Under Contract: 0.11
Nurse Aides In Training - Full Time: 0.21
Other Physicians - Under Contract: 0.57
Physician Extenders - Under Contract: 0.11
Sppech Pathologists - Full Time: 0.94
Registered Nurses - Part Time: 0.46
Occupational Therapists - Full Time: 1.14
Physical Therapists - Full Time: 2.40
Occupational Therapy Assistants - Full Time: 1.70
Physical Therapy Aide - Full Time: 0.53
Medication Aides/ Technicians - Full Time: 18.27

Provided Services

Activities Services Are Provided Onsite 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 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 Residents
Pharmacy Services Are Provided Onsite To Residents
Physical Therapy Services Are Provided Onsite 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 Onsite To Residents
Social Work Services Are Provided Onsite To Residents
Speech/Language Pathology Services Are Provided Onsite To Residents

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	0.440
Texas:	0.433

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

Here:	0.790
State:	0.884

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.230
Texas:	1.317

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

Here:	1.950
Texas:	2.304

Quality Measures

Percent of long-stay residents given influenza vaccination during the flu season

Here:	75.0%
Texas:	92.8%

Percent of long-stay residents who were assessed and given pneumococcal vaccination

This Nursing Home:	71.0%
State:	87.3%

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

This Nursing Home:	23.0%
Texas:	18.0%

Percent of long-stay residents who have moderate to severe pain

This Nursing Home:	1.0%
Texas:	3.8%

Percent of high-risk long-stay residents who have pressure sores

This Nursing Home:	16.0%
State:	11.4%

Percent of low-risk long-stay residents who have pressure sores

This Nursing Home:	3.0%
Texas:	1.6%

Percent of long-stay residents who were physically restrained

Here:	2.0%
State:	1.8%

Percent of long-stay residents who are more depressed or anxious

Here:	13.0%
Texas:	12.8%

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

This Nursing Home:	79.0%
Texas:	47.2%

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

This Nursing Home:	1.0%
State:	4.4%

Percent of long-stay residents who spend most of their time in bed or in a chair

Here:	6.0%
State:	5.1%

Percent of long-stay residents whose ability to move about in and around their room got worse

Here:	19.0%
State:	12.0%

Percent of long-stay residents who had a urinary tract infection

Here:	9.0%
Texas:	9.3%

Percent of long-stay residents who lose too much weight

Here:	9.0%
State:	6.3%

Percent of short-stay residents given influenza vaccination during the flu season

Here:	69.0%
State:	83.5%

Percent of short-stay residents who were assessed and given pneumococcal vaccination

This Nursing Home:	64.0%
State:	76.8%

Percent of short-stay residents who have pressure sores

Here:	13.0%
State:	10.8%

Complaint Deficiency

1) Hire only people who have 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: Pattern (Minimal harm or potential for actual harm)

Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property: Pattern (Minimal harm or potential for actual harm)

Provide services to meet the needs and preferences of each resident: Pattern (Minimal harm or potential for actual harm)

Keep temperature levels comfortable and safe: Isolated (Minimal harm or potential for actual harm)

Provide a final summary of the resident's health status and a summary of the resident's stay, when the resident is ready to leave the nursing home: Pattern (Potential for minimal 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: Isolated (Minimal harm or potential for actual harm)

Make sure that the nursing home area is free of dangers that cause accidents: Pattern (Minimal harm or potential for actual harm)

Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly: Pattern (Minimal harm or potential for actual harm)

Give professional services that follow each resident's written care plan: Isolated (Minimal harm or potential for actual harm)

Protect residents from mistreatment, neglect, and/or theft of personal property: Isolated (Actual harm)

Provide enough notice before discharging or transferring a resident: Pattern (Minimal harm or potential for actual harm)

Give professional services that follow each resident's written care plan: Isolated (Minimal harm or potential for actual harm)

Keep accurate and appropriate medical records: Pattern (Minimal harm or potential for actual harm)

Give or get dental care for each resident: Isolated (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: Isolated (Minimal harm or potential for actual harm)

Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly: Pattern (Potential for minimal harm)

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