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TERRACE WEST NURSING AND REHABILITATION LP - MIDLAND, TX

 



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Address
2800 MIDLAND DR
MIDLAND, TX, 79707
Phone (make sure to verify first before calling): (432) 697-3108

Number of Certified Beds: 133
Total Number of Residents: 109
Percent of Occupied Beds: 82%
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: Resident
Continuing Care Retirement Community?: No
Quality Indicator Survey?: No
Special Focus Facility?: No
Type: Skilled Nursing Facilities


Overall Star Rating: 1 Star
Health Inspections Star Rating: 2 Stars
Nurse Staffing Star Rating: 1 Star
Quality Measures Star Rating: 3 Stars
RN Only Star Rating: 1 Star

Employment Full-Time Equivalent

Administrative Staff - Full Time: 1.24
Certified Nurse Aides - Full Time: 33.00
Food Service Personnel - Full Time: 9.03
Housekeeping Personnel - Full Time: 6.91
Licensed Practical/ Vocational Nurses - Full Time: 13.33
Medical Directors - Under Contract: 0.20
Nurses With Administrative Duties - Full Time: 0.90
Rn Director Of Nursing - Full Time: 1.24
Social Workers - Full Time: 1.14
Activities Professionals - Full Time: 0.20
Dietitians - Part Time: 0.09
Pharmacists - Under Contract: 0.23
Mental Health Services Personnel - Full Time: 6.37
Podiatrists - Under Contract: 0.06
Nurse Aides In Training - Full Time: 0.06
Sppech Pathologists - Full Time: 0.57
Occupational Therapists - Full Time: 1.14
Physical Therapists - Full Time: 1.14
Physical Therapy Aide - Full Time: 1.19
Medication Aides/ Technicians - Full Time: 6.74

Provided Services

  • Activities Services Are Provided Onsite To Residents
  • Clinical Laboratory Services Are Provided Offsite To Residents
  • Dental Services Are Provided Offsite To Residents
  • Diagnostic Xray Services Are Provided Offsite 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 Offsite 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 Offsite To Residents
  • Physical Therapy Services Are Provided Onsite To Residents
  • Physician Extender Services Are Provided Offsite To Residents
  • Physician Services Are Provided Offsite To Residents
  • Podiatry Services Are Provided Offsite To Residents
  • Social Work Services Are Provided Onsite To Residents
  • Speech/Language Pathology Services Are Provided Onsite To Residents

Quality Measures

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

24.2%
State:

20.4%
Percent of long-stay residents who self-report moderate to severe pain
This Nursing Home:

24.1%
State:

11.4%
Percent of long-stay high-risk residents with pressure ulcers
This Nursing Home:

4.7%
State:

7.2%
Percent of long-stay residents who lose too much weight
This Nursing Home:

2.7%
State:

6.7%
Percent of long-stay low-risk residents who lose control of their bowels or bladder
Here:

56.0%
Texas:

46.0%
Percent of long-stay residents who have had a catheter inserted and left in their bladder
This Nursing Home:

2.6%
State:

3.9%
Percent of long-stay residents who have depressive symptoms
Here:

5.4%
State:

9.3%
Percent of long-stay residents experiencing one or more falls with major injury
This Nursing Home:

1.8%
Texas:

3.5%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
This Nursing Home:

90.3%
Texas:

91.6%
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine
Here:

92.1%
State:

91.1%
Percent of long-stay residents who received an antipsychotic medication
This Nursing Home:

41.3%
Texas:

28.5%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day
This Nursing Home:

0.280
Texas:

0.469
Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day
This Nursing Home:

0.680
State:

0.894
Total Number of Licensed Staff Hours Per Resident Per Day
This Nursing Home:

0.960
State:

1.350
Number of ,Certified Nurse Assistant Hours Per Resident Per Day
This Nursing Home:

0.050
State:

0.067
Number Therapy Hours Per Resident Per Day
This Nursing Home:

0.050
State:

0.074

Complaint Deficiency

Properly installed electrical wiring and equipment: Few (Actual harm)

Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death: Few (Actual harm)

Exits that are accessible at all times: Some (Immediate jeopardy to resident health or safety)

Signs that state that exit doors are to be kept closed: Some (Minimal harm or potential for actual harm)

Automatic sprinkler systems that have been maintained in working order: Some (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 (Actual harm)

Restrictions on the use of flammable curtains: Some (Minimal harm or potential for actual harm)

Restrictions on the use of portable space heaters: Some (Minimal harm or potential for actual harm)

Reasonably accommodate the needs and preferences of each resident: Some (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)

Heating and ventilation systems that have been properly installed according to the manufacturer's instructions: 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)

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

A separate and independent backup electrical power source: Some (Minimal harm or potential for actual harm)

Properly constructed linen or trash chutes: Few (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)

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

Weekly inspections and monthly testing of generators: Few (Minimal harm or potential for actual harm)

Properly installed electrical wiring and equipment: Many (Potential for minimal 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)

Reasonably accommodate the needs and preferences of each resident: Some (Minimal harm or potential for actual harm)

Provide clean bed and bath linens that are in good condition: Some (Potential for minimal 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)

Give or get quality lab services/tests in a timely manner to meet the needs of residents: Some (Minimal harm or potential for actual 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: Few (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)

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)

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: Some (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)

Quickly tell the resident's doctor the results of lab tests: Few (Minimal harm or potential for actual harm)

Corridor and hallway doors that block smoke: Some (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)

Automatic sprinkler systems that have been maintained in working order: Some (Minimal harm or potential for actual harm)

Keep each resident free from physical restraints, unless needed for medical treatment: Few (Minimal harm or potential for actual harm)

Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property: 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)

Store, cook, and serve food in a safe and clean way: 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 that nurse aides show they have the skills and techniques to be able to care for residents' needs: 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)

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

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

An approved installation, maintenance and testing program for fire alarm systems: Few (Minimal harm or potential for actual harm)

An approved automatic sprinkler system connected to the fire alarm system: 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)

Weekly inspections and monthly testing of generators: Few (Minimal harm or potential for actual harm)

Properly installed electrical wiring and equipment: Few (Minimal harm or potential for actual harm)

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