THE TERRACE AT DENISON - DENISON, TX

Submitted by:

ESTHER HANCOCK, Director of Business Development

TAKE OFF THE FOLLOWING: DIETARY SERVICES ARE PROVIDED ONSITE TO NON-RESIDENTS;OCCUPATIONAL SERVICES ARE PROVIDED ONSITE TO NON-RESIDENTS; FIELD 1 - INDICATES OTHER ACTIVITY SERVICES PROVIDED BY STAFF ONSITE TO RESIDENTS; FIELD 1 - INDICATES SERVICES PROVIDED BY SOCIAL SERVICES STAFF ONSITE TO RESIDENTSPHYSICAL THERAPY SERVICES ARE PROVIDED ON SITE TO NON RESIDENTS; SPEECH/LANGUAGE PATHOLOGY SERVICES ARE PROVIDED ONSITE TO NON-RESIDENTS. CHANGE THE FOLLOWING: BEDS - 103; LPN/LVN - 13; RN - 2; PRIOR CHANGE OF OWNERSHIP COUNTER - NOV 2007; ACTIVITY PROFESSIONAL - 1; ADMINISTRATOR - 1; BEDS MEDICARE SNF/NF - 103; CERTIFIED NURSE AIDES - FULLTIME - ; DENTISTS - 2; DIETICIANS - 1; FOOD SERVICE EMPLOYEES - 8; HOUSEKEEPING - CONTRACTED OUT; MEDICAL DIRECTOR - 2; MEDICATION AIDES - 0; MENTAL HEALTH SERVICES - 2; MULTI-FACILITY ORGANZATION - FUNDAMENTAL; NURSE AIDES IN TRAINING - 0; NURSES WITH ADMIN DUTIES - FULL TIME - 7; TAKE OFF THE FOLLOWING: OTHER ACTIVITIES STAFF FULL TIME; RN DIRECTOR; ADD THE FOLLOWING - CURRENT SURVEY DATE - APRIL 2010

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Address

1300 MEMORIAL DR
DENISON, TX, 75020

Phone (make sure to verify first before calling): (903) 465-7442

Number of Certified Beds: 136
Total Number of Residents: 74
Percent of Occupied Beds: 54%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: For profit - Corporation
Located Within a Hospital?: No
Multi Nursing Home Ownership?: No
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: 1 Star

Employment Full-Time Equivalent

Administrative Staff - Full Time: 4.51
Certified Nurse Aides - Full Time: 32.74
Dietitians - Under Contract: 0.23
Food Service Personnel - Full Time: 9.67
Housekeeping Personnel - Full Time: 8.60
Licensed Practical/ Vocational Nurses - Full Time: 15.03
Nurses With Administrative Duties - Full Time: 5.74
Persons Not Included In Any Other Categories - Full Time: 5.29
Registered Nurses - Full Time: 1.81
Rn Director Of Nursing - Full Time: 1.14
Social Workers - Full Time: 1.14
Activities Professionals - Full Time: 1.07
Dentists - Under Contract: 0.11
Pharmacists - Under Contract: 0.23
Nurse Aides In Training - Full Time: 0.87
Sppech Pathologists - Full Time: 0.21
Occupational Therapists - Full Time: 1.20
Physical Therapists - Full Time: 0.60

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:	0.400
State:	0.469

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

Here:	0.870
Texas:	0.894

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.270
State:	1.350

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

Here:	0.020
Texas:	0.067

Number Therapy Hours Per Resident Per Day

Here:	0.020
Texas:	0.074

Quality Measures

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

Here:	20.0%
Texas:	20.4%

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

Here:	25.6%
Texas:	11.4%

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

This Nursing Home:	7.0%
State:	7.2%

Percent of long-stay residents who lose too much weight

Here:	5.9%
State:	6.7%

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

Here:	32.4%
Texas:	46.0%

Percent of long-stay residents with a urinary tract infection

This Nursing Home:	10.3%
State:	8.3%

Percent of long-stay residents who have depressive symptoms

Here:	67.2%
State:	9.3%

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

Here:	98.6%
Texas:	91.1%

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

Here:	44.0%
Texas:	20.2%

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

Here:	78.1%
State:	74.3%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	36.1%
Texas:	28.5%

Complaint Deficiency

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

Did not have a written emergency evacuation plan: Many (Potential for minimal harm)

Store, cook, and serve food in a safe and clean way: Many (Minimal harm or potential for actual harm)

Corridor and hallway doors that block smoke: 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)

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

Emergency lighting that can last at least 1 1/2 hours: Some (Potential for minimal harm)

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

Heating and ventilation systems that have been properly installed according to the manufacturer's instructions: Many (Potential for minimal harm)

An externally vented heating system: Some (Minimal harm or potential for actual harm)

No-smoking signs where oxygen is used: Many (Potential for minimal harm)

Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature: Few (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)

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

Corridor and hallway doors that block smoke: Few (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: Many (Potential for minimal harm)

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

Heating and ventilation systems that have been properly installed according to the manufacturer's instructions: Many (Potential for minimal harm)

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

Give each resident a notice of rights, rules, services and charges. Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for: 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)

Use a registered nurse at least 8 hours a day, 7 days a week: Many (Potential for minimal harm)

Post nurse staffing information/data on a daily basis: Many (Potential for minimal harm)

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public: Many (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)

Other nearby hospitals and nursing homes

ALTERNATE LIVNG FACILITY I I I (0.50 miles)
CANTEX HEALTHCARE CENTERS DENISON (0.51 miles)
DAVITA - DENISON DIALYSIS CENTER (0.10 miles)
MKT RAILROAD EMPLOYEES HOSP (0.30 miles)
ROYAL CREST HOSPICE (0.03 miles)
SENIOR SELECT HOME HEALTH SERVICES LLC (MCKINNEY, 0.37 miles)
TEXOMA MEDICAL CENTER HOME HEALTH SERVICES (0.38 miles)

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