PARK MANOR OF CYFAIR - HOUSTON, TX
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Address 11001 CRESCENT MOON DRPhone (make sure to verify first before calling): (281) 477-8877 Number of Certified Beds: 120 Total Number of Residents: 103 Percent of Occupied Beds: 86% 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: 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: 2 Stars Nurse Staffing Star Rating: 1 Star Quality Measures Star Rating: 5 Stars RN Only Star Rating: 1 Star Employment Full-Time EquivalentAdministrative Staff - Full Time: 7.04Certified Nurse Aides - Full Time: 30.63 Certified Nurse Aides - Part Time: 4.91 Dietitians - Under Contract: 0.23 Housekeeping Personnel - Full Time: 8.51 Licensed Practical/ Vocational Nurses - Full Time: 14.80 Licensed Practical/ Vocational Nurses - Part Time: 2.66 Medical Directors - Under Contract: 0.11 Mental Health Services Personnel - Under Contract: 0.11 Nurses With Administrative Duties - Full Time: 5.66 Persons Not Included In Any Other Categories - Full Time: 5.03 Physical Therapists - Under Contract: 2.01 Social Workers - Full Time: 1.14 Activities Professionals - Full Time: 1.80 Dentists - Under Contract: 0.09 Occupational Therapists - Under Contract: 1.06 Pharmacists - Under Contract: 0.43 Podiatrists - Under Contract: 0.11 Speech Pathologists - Under Contract: 0.56 Registered Nurses - Part Time: 0.87 Occupational Therapy Assistants - Under Contract: 0.83 Certified Nurse Aides - Under Contract: 3.44 Medication Aides/ Technicians - Full Time: 5.69 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 have depressive symptoms
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 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 DeficiencyDevelop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property: Some (Minimal harm or potential for actual harm)Proper medical gas storage and administration areas: Some (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) 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) Exits that are free from obstructions and can be used at all times: Some (Minimal harm or potential for actual harm) 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: Few (Minimal harm or potential for actual harm) Exits that are accessible at all times: Few (Minimal harm or potential for actual harm) Exits that are accessible at all times: Few (Minimal harm or potential for actual harm) Immediately tell the resident, the resident's doctor and a family member of the resident of situations (injury/decline/room, etc.) that affect the resident: Many (Potential for minimal harm) Keep accurate, complete and organized clinical records on each resident that meet professional standards: Some (Minimal harm or potential for actual harm) Completely assess the resident at least every twelve months: 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) Resident room doors of proper design and width: 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: Many (Minimal harm or potential for actual harm) An approved automatic sprinkler system connected to the fire alarm system: Many (Potential for minimal harm) Properly working alarms on sprinkler valves: Many (Minimal harm or potential for actual harm) Properly protected cooking facilities: Many (Potential for minimal harm) Weekly inspections and monthly testing of generators: Many (Minimal harm or potential for actual harm) Properly installed electrical wiring and equipment: Many (Minimal harm or potential for actual harm) Keep each resident's personal and medical records private and confidential: Some (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) 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) Have a program that investigates, controls and keeps infection from spreading: 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 residents with reduced range of motion get proper treatment and services to increase range of motion: 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: Few (Minimal harm or potential for actual harm) Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards: 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 all essential equipment working safely: Some (Minimal harm or potential for actual harm) Corridor and hallway doors that block smoke: Many (Potential for minimal harm) Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour: Few (Minimal harm or potential for actual harm) Posted No-smoking signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed: Many (Potential for minimal harm) Properly installed electrical wiring and equipment: Many (Potential for minimal 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: 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) Assist those residents who need total help with eating/drinking, grooming and personal and oral hygiene: Some (Minimal harm or potential for actual harm) Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature: Some (Minimal harm or potential for actual harm) Store, cook, and serve food in a safe and clean way: Many (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) Have a program that investigates, controls and keeps infection from spreading: 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: Some (Minimal harm or potential for actual harm) Quickly tell the resident's doctor the results of lab tests: Some (Minimal harm or potential for actual harm) Keep accurate, complete and organized clinical records on each resident that meet 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: Few (Minimal harm or potential for actual harm) Exits that are accessible at all times: Few (Minimal harm or potential for actual harm) Automatic sprinkler systems that have been maintained in working order: Many (Potential for minimal harm) Weekly inspections and monthly testing of generators: Many (Potential for minimal harm) Other nearby hospitals and nursing homes
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