MILLBROOK HEALTHCARE AND REHABILITATION CENTER - LANCASTER, TX

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Address

1850 W PLEASANT RUN RD
LANCASTER, TX, 75146

Phone (make sure to verify first before calling): (972) 275-1900

Number of Certified Beds: 124
Total Number of Residents: 79
Percent of Occupied Beds: 64%
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: Both
Continuing Care Retirement Community?: No
Quality Indicator Survey?: No
Special Focus Facility?: No

Overall Star Rating: 3 Stars
Health Inspections Star Rating: 3 Stars
Nurse Staffing Star Rating: 1 Star
Quality Measures Star Rating: 5 Stars
RN Only Star Rating: 1 Star

Quality Measures

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

Here:	21.4%
Texas:	20.4%

Percent of long-stay high-risk residents with pressure ulcers

Here:	2.2%
Texas:	7.2%

Percent of long-stay residents who lose too much weight

Here:	4.1%
State:	6.7%

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

Here:	3.3%
State:	3.9%

Percent of long-stay residents with a urinary tract infection

This Nursing Home:	4.1%
Texas:	8.3%

Percent of long-stay residents who have depressive symptoms

Here:	4.8%
Texas:	9.3%

Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine

Here:	100.0%
Texas:	91.6%

Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine

Here:	100.0%
State:	91.1%

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine

Here:	100.0%
State:	76.2%

Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine

This Nursing Home:	95.0%
State:	74.3%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	31.4%
Texas:	28.5%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	0.320
Texas:	0.469

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

This Nursing Home:	0.750
Texas:	0.894

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	1.070
State:	1.350

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	0.070
State:	0.067

Number Therapy Hours Per Resident Per Day

This Nursing Home:	0.070
Texas:	0.074

Complaint Deficiency

Approved construction type or materials: Some (Immediate jeopardy to resident health or safety)

Make 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: Some (Minimal harm or potential for actual harm)

A two-hour-resistant firewall in common walls: Some (Minimal harm or potential for actual harm)

Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death: Some (Immediate jeopardy to resident health or safety)

Exits that are accessible at all times: Some (Minimal harm or potential for actual harm)

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores: Some (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)

Have a program that investigates, controls and keeps infection from spreading: Some (Minimal harm or potential for actual harm)

Record of quarterly fire drills for each shift under varying conditions: Many (Minimal harm or potential for actual harm)

An approved installation, maintenance and testing program for fire alarm systems: Many (Potential for minimal harm)

Automatic sprinkler systems that have been maintained in working order: Many (Potential for minimal harm)

Properly protected cooking facilities: Many (Potential for minimal 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)

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)

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards: 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)

Construction that can resist fire for one hour or an approved fire extinguishing system: Some (Potential for minimal harm)

Exits that are accessible at all times: Many (Potential for minimal harm)

Properly installed electrical wiring and equipment: Many (Potential for minimal 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: Some (Minimal harm or potential for actual harm)

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests: Many (Minimal harm or potential for actual harm)

Construction that can resist fire for one hour or an approved fire extinguishing system: Many (Potential for minimal 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)

Keep all essential equipment working safely: Many (Minimal harm or potential for actual harm)

Other nearby nursing homes

COLUMBIA MEDICAL CENTER AT LANCASTER (0.44 miles)
LANCASTER DIALYSIS (0.27 miles)
LIBERTY DIALYSIS LANCASTER (0.92 miles)
METRO HOME HEALTH INC (DESOTO, 1.39 miles)
WINDSOR GARDENS (0.38 miles)
MULTI CARE HOME HEALTH SERVICES LLC (0.83 miles)
NEW VISION HOME HEALTH SERVICES INC (0.44 miles)

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