WESTCHASE HEALTH AND REHABILITATION CENTER - HOUSTON, TX
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Address 8820 TOWN PARK DRPhone (make sure to verify first before calling): (713) 777-7241 Number of Certified Beds: 180 Total Number of Residents: 144 Percent of Occupied Beds: 80% 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 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: 2 Stars RN Only Star Rating: 1 Star Employment Full-Time EquivalentAdministrative Staff - Full Time: 11.67Administrative Staff - Part Time: 0.96 Certified Nurse Aides - Full Time: 35.94 Certified Nurse Aides - Part Time: 16.30 Dietitians - Under Contract: 0.30 Food Service Personnel - Full Time: 7.43 Food Service Personnel - Part Time: 5.24 Housekeeping Personnel - Full Time: 5.43 Licensed Practical/ Vocational Nurses - Full Time: 17.63 Licensed Practical/ Vocational Nurses - Part Time: 0.90 Medical Directors - Under Contract: 0.14 Mental Health Services Personnel - Under Contract: 1.14 Nurses With Administrative Duties - Full Time: 4.57 Persons Not Included In Any Other Categories - Full Time: 4.20 Registered Nurses - Full Time: 7.53 Rn Director Of Nursing - Full Time: 1.14 Social Workers - Full Time: 1.14 Activities Professionals - Full Time: 1.14 Dentists - Under Contract: 0.06 Pharmacists - Under Contract: 0.14 Podiatrists - Under Contract: 0.13 Physician Extenders - Under Contract: 0.21 Sppech Pathologists - Full Time: 1.14 Persons Not Included In Any Other Categories - Part Time: 1.23 Registered Nurses - Part Time: 2.10 Housekeeping Personnel - Part Time: 3.64 Occupational Therapists - Full Time: 1.14 Physical Therapists - Full Time: 1.14 Occupational Therapy Assistants - Full Time: 0.96 Medication Aides/ Technicians - Part Time: 3.67 Medication Aides/ Technicians - Full Time: 5.66 Provided Services
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 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 with Pressure ulcers that are new or worsened
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
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
Complaint DeficiencyMake sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed: Few (Minimal harm or potential for actual harm)A two-hour-resistant firewall in common walls: Few (Minimal harm or potential for actual harm) Corridor and hallway doors that block smoke: Some (Minimal harm or potential for actual harm) Corridor and hallway doors that block smoke: Some (Minimal harm or potential for actual harm) Smoke barrier doors that can resist smoke for at least 20 minutes: Few (Minimal harm or potential for actual harm) Construction that can resist fire for one hour or an approved fire extinguishing system: Few (Minimal harm or potential for actual harm) Exits that are accessible at all times: Few (Minimal harm or potential for actual harm) A fire alarm system that can be heard throughout the facility: Few (Minimal harm or potential for actual harm) Properly maintained smoke detectors: Few (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) Properly installed electrical wiring and equipment: 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: Few (Minimal harm or potential for actual harm) Make sure that each resident who enters the nursing home without a catheter is not given a catheter, and receive proper services to prevent urinary tract infections and restore normal bladder function: 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: Few (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: Some (Minimal harm or potential for actual harm) At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor: Some (Minimal harm or potential for actual harm) Have a program that investigates, controls and keeps infection from spreading: Few (Minimal harm or potential for actual harm) Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public: Some (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: Few (Minimal harm or potential for actual harm) Give or get quality lab services/tests in a timely manner to meet the needs of residents: Few (Minimal harm or potential for actual harm) A fire alarm system that can be heard throughout the facility: Few (Minimal harm or potential for actual harm) An approved automatic sprinkler system connected to the fire alarm system: Many (Potential for minimal harm) Restrictions on the use of flammable curtains: 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: Few (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: 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) Safely provide drugs and other similar products available, which are needed every day and in emergencies, by a licensed pharmacist: Few (Minimal harm or potential for actual harm) Have a program that investigates, controls and keeps infection from spreading: Few (Minimal harm or potential for actual harm) Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public: Few (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: Few (Minimal harm or potential for actual harm) Make sure each resident receives an accurate assessment by a qualified health professional: 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 care by qualified persons according to each resident's written plan of care: Few (Minimal harm or potential for actual harm) Make sure that each resident who enters the nursing home without a catheter is not given a catheter, and receive proper services to prevent urinary tract infections and restore normal bladder function: Few (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: Few (Minimal harm or potential for actual harm) Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%: Few (Minimal harm or potential for actual harm) At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor: Few (Minimal harm or potential for actual harm) Keep complete, dated lab records in the resident's file: Few (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) Corridor and hallway doors that block smoke: Few (Minimal harm or potential for actual harm) Construction that can resist fire for one hour or an approved fire extinguishing system: Few (Minimal harm or potential for actual harm) A fire alarm system that can be heard throughout the facility: Many (Minimal harm or potential for actual harm) Heating and ventilation systems that have been properly installed according to the manufacturer's instructions: Many (Minimal harm or potential for actual harm) Exits that are free from obstructions and can be used at all times: Few (Minimal harm or potential for actual harm) Properly installed electrical wiring and equipment: Few (Minimal harm or potential for actual harm) Other nearby nursing homes
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