PLEASANT MANOR HEALTH AND REHABILITATION CENTER - WAXAHACHIE, TX

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Address

3650 S IH 35 E
WAXAHACHIE, TX, 75165

Phone (make sure to verify first before calling): (972) 937-7320

Number of Certified Beds: 132
Total Number of Residents: 112
Percent of Occupied Beds: 85%
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: 3 Stars
Health Inspections Star Rating: 4 Stars
Nurse Staffing Star Rating: 1 Star
Quality Measures Star Rating: 4 Stars
RN Only Star Rating: 2 Stars

Employment Full-Time Equivalent

Administrative Staff - Full Time: 4.90
Certified Nurse Aides - Full Time: 40.69
Dietitians - Under Contract: 0.23
Food Service Personnel - Full Time: 9.37
Housekeeping Personnel - Full Time: 9.40
Licensed Practical/ Vocational Nurses - Full Time: 15.76
Medical Directors - Under Contract: 1.14
Mental Health Services Personnel - Under Contract: 0.11
Nurses With Administrative Duties - Full Time: 4.97
Persons Not Included In Any Other Categories - Full Time: 3.24
Physical Therapists - Under Contract: 1.27
Registered Nurses - Full Time: 1.20
Rn Director Of Nursing - Full Time: 1.24
Social Workers - Full Time: 1.23
Activities Professionals - Full Time: 1.20
Occupational Therapists - Under Contract: 1.19
Speech Pathologists - Under Contract: 0.89
Physician Extenders - Under Contract: 0.14
Registered Nurses - Part Time: 0.57
Occupational Therapy Assistants - Under Contract: 1.11
Physical Therapy Aide - Under Contract: 0.56
Occupational Therapy Aides - Under Contract: 0.54
Medication Aides/ Technicians - Full Time: 6.29

Provided Services

Activities Services Are Provided Onsite To Residents
Clinical Laboratory Services Are Provided Onsite 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 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:	0.580
State:	0.469

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

Here:	0.700
State:	0.894

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.280
Texas:	1.350

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	0.100
Texas:	0.067

Number Therapy Hours Per Resident Per Day

This Nursing Home:	0.100
State:	0.074

Quality Measures

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

This Nursing Home:	8.0%
Texas:	20.4%

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

This Nursing Home:	9.5%
State:	11.4%

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

Here:	4.3%
Texas:	7.2%

Percent of long-stay residents who lose too much weight

Here:	1.1%
State:	6.7%

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

Here:	64.3%
Texas:	46.0%

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

This Nursing Home:	1.2%
Texas:	3.9%

Percent of long-stay residents with a urinary tract infection

This Nursing Home:	7.6%
State:	8.3%

Percent of long-stay residents who have depressive symptoms

This Nursing Home:	6.9%
State:	9.3%

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

This Nursing Home:	7.5%
Texas:	3.5%

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

Here:	100.0%
State:	91.6%

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

This Nursing Home:	100.0%
State:	91.1%

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

Here:	10.4%
State:	20.2%

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

This Nursing Home:	96.5%
State:	76.2%

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

This Nursing Home:	98.3%
State:	74.3%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	23.9%
Texas:	28.5%

Complaint Deficiency

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)

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)

Smoke barrier doors that can resist smoke for at least 20 minutes: Some (Minimal harm or potential for actual harm)

Construction that can resist fire for one hour or an approved fire extinguishing system: Some (Minimal harm or potential for actual harm)

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

Emergency lighting that can last at least 1 1/2 hours: Many (Minimal harm or potential for actual harm)

Properly working alarms on sprinkler valves: Many (Potential for minimal harm)

Provide necessary care and services to maintain the highest well being of each resident : Some (Minimal harm or potential for actual harm)

Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents: Some (Minimal harm or potential for actual harm)

Develop policies and procedures for influenza and pneumococcal immunizations: Some (Minimal harm or potential for actual harm)

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms: Some (Potential for minimal 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: Many (Potential for minimal harm)

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

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

Exits that are free from obstructions and can be used at all times: Some (Minimal harm or potential for actual harm)

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms: Some (Potential for minimal harm)

Corridor and hallway doors that block smoke: Some (Minimal harm or potential for actual harm)

Construction that can resist fire for one hour or an approved fire extinguishing system: Many (Minimal harm or potential for actual harm)

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

Properly protected cooking facilities: Many (Potential for minimal harm)

Proper medical gas storage and administration areas: Many (Potential for minimal harm)

Proper fire barriers, ventilation and signs for the transport of oxygen: Many (Potential for minimal harm)

1) Hire only people with 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: Some (Minimal harm or potential for actual harm)

Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property: Some (Minimal harm or potential for actual harm)

Provide activities to meet the interests and needs of each resident: Some (Minimal harm or potential for actual harm)

Ensure the activities program is directed by a qualified professional: Some (Minimal harm or potential for actual harm)

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms: Some (Potential for minimal harm)

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