PARK MANOR OF THE WOODLANDS (THE WOODLANDS, TX) Detailed Nursing Home Profile

Complaint Deficiency

Portable fire extinguishers
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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
- Harm: Potential for minimal harm
- Scope: Many
Make sure that each resident gets a nutritional and well balanced diet, unless it is not possible to do so
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide medically-related social services to help each resident achieve the highest possible quality of life
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Assess the resident when the resident enters the nursing home, in a timely manner
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Automatic sprinkler systems that have been maintained in working order
- Harm: Potential for minimal harm
- Scope: Many
Exits that are free from obstructions and can be used at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Proper medical gas storage and administration areas
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Properly installed hallway dispensers for alcohol-based hand rub
- Harm: Minimal harm or potential for actual harm
- Scope: Some

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	0.570
Texas:	0.469

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

This Nursing Home:	0.820
Texas:	0.894

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.390
Texas:	1.350

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

Here:	0.100
Texas:	0.067

Number Therapy Hours Per Resident Per Day

Here:	0.100
Texas:	0.074

Quality Measures

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

Here:	18.6%
State:	20.4%

Percent of long-stay residents who self-report moderate to severe pain

Here:	2.0%
Texas:	11.4%

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

Here:	8.9%
State:	7.2%

Percent of long-stay residents who lose too much weight

This Nursing Home:	1.2%
State:	6.7%

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

This Nursing Home:	42.1%
State:	46.0%

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

This Nursing Home:	6.6%
Texas:	3.9%

Percent of long-stay residents with a urinary tract infection

Here:	14.8%
Texas:	8.3%

Percent of long-stay residents who have depressive symptoms

Here:	3.8%
State:	9.3%

Percent of long-stay residents experiencing one or more falls with major injury

Here:	9.5%
State:	3.5%

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

This Nursing Home:	98.8%
State:	91.1%

Percent of short-stay residents with Pressure ulcers that are new or worsened

Here:	0.6%
Texas:	1.4%

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

Here:	100.0%
Texas:	76.2%

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

This Nursing Home:	98.5%
Texas:	74.3%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	8.1%
State:	28.5%

PARK MANOR OF THE WOODLANDS - THE WOODLANDS, TX

Complaint Deficiency

Staff Information

Quality Measures

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