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THE WESTBURY PLACE - HOUSTON, TX

 



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Address
5201 S WILLOW DR
HOUSTON, TX, 77035
Phone (make sure to verify first before calling): (713) 721-0297

Number of Certified Beds: 148
Total Number of Residents: 119
Percent of Occupied Beds: 80%
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: Both
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: 1 Star
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: 10.07
Certified Nurse Aides - Full Time: 33.66
Certified Nurse Aides - Part Time: 10.89
Food Service Personnel - Full Time: 8.63
Food Service Personnel - Part Time: 1.69
Housekeeping Personnel - Full Time: 5.56
Licensed Practical/ Vocational Nurses - Full Time: 21.77
Licensed Practical/ Vocational Nurses - Part Time: 3.86
Medical Directors - Under Contract: 0.23
Mental Health Services Personnel - Under Contract: 0.11
Nurses With Administrative Duties - Full Time: 3.07
Persons Not Included In Any Other Categories - Full Time: 6.36
Registered Nurses - Full Time: 0.91
Rn Director Of Nursing - Full Time: 0.46
Social Workers - Full Time: 1.03
Activities Professionals - Full Time: 1.01
Dentists - Under Contract: 0.11
Nurses With Administrative Duties - Part Time: 0.47
Occupational Therapists - Part Time: 0.73
Pharmacists - Under Contract: 0.11
Podiatrists - Under Contract: 0.11
Physician Extenders - Under Contract: 0.23
Dietitians - Full Time: 0.11
Sppech Pathologists - Full Time: 0.89
Registered Nurses - Part Time: 0.20
Housekeeping Personnel - Part Time: 0.80
Occupational Therapists - Full Time: 0.93
Physical Therapists - Full Time: 0.60
Occupational Therapy Assistants - Full Time: 0.77
Speech Pathologists - Part Time: 0.24
Medication Aides/ Technicians - Part Time: 0.41
Medication Aides/ Technicians - Full Time: 3.77

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

Quality Measures

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

14.6%
State:

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

7.5%
Texas:

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

10.3%
State:

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

4.9%
Texas:

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

61.4%
State:

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

5.1%
State:

3.9%
Percent of long-stay residents with a urinary tract infection
This Nursing Home:

5.9%
Texas:

8.3%
Percent of long-stay residents who have depressive symptoms
This Nursing Home:

2.1%
Texas:

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

1.9%
Texas:

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

61.0%
State:

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

58.1%
Texas:

91.1%
Percent of short-stay residents who self-report moderate to severe pain
This Nursing Home:

8.4%
State:

20.2%
Percent of short-stay residents with Pressure ulcers that are new or worsened
This Nursing Home:

2.0%
Texas:

1.4%
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
This Nursing Home:

41.7%
State:

76.2%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
This Nursing Home:

41.0%
State:

74.3%
Percent of short-stay residents who newly received an antipsychotic medication
Here:

4.3%
Texas:

3.6%
Percent of long-stay residents who received an antipsychotic medication
Here:

33.0%
Texas:

28.5%

Staff Information

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

0.320
State:

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

1.140
Texas:

0.894
Total Number of Licensed Staff Hours Per Resident Per Day
Here:

1.460
State:

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

0.110
Texas:

0.067
Number Therapy Hours Per Resident Per Day
Here:

0.110
State:

0.074

Complaint Deficiency

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

Allow the resident the right to participate in the planning or revision of the resident's care plan: Few (Minimal harm or potential for actual harm)

Properly hold, secure and manage each resident's personal money which is deposited with the nursing home: Few (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: Few (Minimal harm or potential for actual harm)

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

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

Proper backup exit lighting: Few (Immediate jeopardy to resident health or safety)

Conduct initial and periodic assessments of each resident's functional capacity: Some (Minimal harm or potential for actual harm)

Properly working alarms on sprinkler valves: Few (Immediate jeopardy to resident health or safety)

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)

Heating and ventilation systems that have been properly installed according to the manufacturer's instructions: Many (Minimal harm or potential for actual harm)

Proper construction of ducts through walls designed to prevent smoke passage: Some (Minimal harm or potential for actual harm)

Proper backup exit lighting: Some (Minimal harm or potential for actual harm)

Properly hold, secure and manage each resident's personal money which is deposited with the nursing home: Some (Minimal harm or potential for actual harm)

Proper backup exit lighting: Few (Minimal harm or potential for actual harm)

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

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

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

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

An approved automatic sprinkler system connected to the fire alarm system: Some (Minimal harm or potential for actual harm)

Portable fire extinguishers: Many (Potential for minimal harm)

Properly installed electrical wiring and equipment: Many (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)

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)

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)

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)

Make sure that each resident gets a nutritional and well balanced diet, unless it is not possible to do so: Some (Minimal harm or potential for actual harm)

Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses: Few (Minimal harm or potential for actual harm)

1) Make sure that each resident's drug regimen is free from unnecessary drugs; 2) Each resident's entire drug/medication is managed and monitored to achieve highest well being: Some (Minimal harm or potential for actual harm)

Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%: Many (Minimal harm or potential for actual harm)

Make sure that residents are safe from serious medication errors: Many (Minimal harm or potential for actual harm)

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

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)

Be administered in an acceptable way that maintains the well-being of each resident : Many (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: Few (Minimal harm or potential for actual harm)

Give or get quality lab services/tests in a timely manner to meet the needs of residents: Few (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)

Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action: Many (Minimal harm or potential for actual harm)

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

Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detectors: Few (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)

Proper backup exit lighting: Few (Minimal harm or potential for actual harm)

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

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

Portable fire extinguishers: Few (Minimal harm or potential for actual harm)

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

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

Properly installed hallway dispensers for alcohol-based hand rub: Few (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: Few (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 care by qualified persons according to each resident's written plan of care: Few (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)

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores: Few (Immediate jeopardy to resident health or safety)

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)

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)

Give each resident enough fluids to keep them healthy and prevent dehydration: Few (Immediate jeopardy to resident health or safety)

Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses: Few (Minimal harm or potential for actual harm)

Have enough nurses to care for every resident in a way that maximizes the resident's well being: 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)

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)

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

Try to resolve each resident's complaints quickly: Some (Minimal harm or potential for actual harm)

Determine if it is safe for the resident to self-administer drugs: Few (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)

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: Few (Minimal harm or potential for actual harm)

Provide doctors orders for the resident's immediate care, at the time the resident was admitted: Few (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: Few (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)

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: 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: 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)

Make sure that each resident gets a nutritional and well balanced diet, unless it is not possible to do so: Some (Minimal harm or potential for actual harm)

Give each resident enough fluids to keep them healthy and prevent dehydration: Few (Minimal harm or potential for actual harm)

Develop policies and procedures for influenza and pneumococcal immunizations: 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)

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)

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)

1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews: Few (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: Few (Minimal harm or potential for actual harm)

Employ or obtain outside professional resources providing services in the nursing home that meet professional standards: Few (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)

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

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

Properly working sprinkler alarm system: Few (Minimal harm or potential for actual harm)

Portable fire extinguishers: Few (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)

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