TRINITY MISSION HEALTH AND REHAB OF BURLESON - BURLESON, TX

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Address

600 MAPLE ST
BURLESON, TX, 76028

Phone (make sure to verify first before calling): (817) 295-8118

Number of Certified Beds: 120
Total Number of Residents: 107
Percent of Occupied Beds: 89%
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: Both
Continuing Care Retirement Community?: No
Quality Indicator Survey?: No
Special Focus Facility?: No
Type: Skilled Nursing Facilities

Overall Star Rating: 2 Stars
Health Inspections Star Rating: 2 Stars
Nurse Staffing Star Rating: 3 Stars
Quality Measures Star Rating: 4 Stars
RN Only Star Rating: 2 Stars

Employment Full-Time Equivalent

Administrative Staff - Full Time: 1.14
Certified Nurse Aides - Full Time: 48.64
Certified Nurse Aides - Part Time: 7.69
Food Service Personnel - Full Time: 10.37
Housekeeping Personnel - Full Time: 5.57
Licensed Practical/ Vocational Nurses - Full Time: 11.77
Licensed Practical/ Vocational Nurses - Part Time: 1.46
Medical Directors - Under Contract: 0.23
Mental Health Services Personnel - Under Contract: 0.91
Nurses With Administrative Duties - Full Time: 4.31
Persons Not Included In Any Other Categories - Full Time: 8.87
Registered Nurses - Full Time: 1.14
Rn Director Of Nursing - Full Time: 1.14
Social Workers - Full Time: 1.14
Activities Professionals - Full Time: 1.14
Dentists - Under Contract: 0.07
Nurses With Administrative Duties - Part Time: 0.09
Physical Therapists - Part Time: 0.03
Podiatrists - Under Contract: 0.07
Physician Extenders - Under Contract: 0.46
Dietitians - Full Time: 0.91
Sppech Pathologists - Full Time: 1.11
Persons Not Included In Any Other Categories - Part Time: 2.94
Registered Nurses - Part Time: 1.16
Housekeeping Personnel - Part Time: 1.53
Occupational Therapists - Full Time: 1.10
Physical Therapy Aide - Full Time: 1.17
Licensed Practical/ Vocational Nurses - Under Contract: 2.74
Occupational Therapy Assistants - Part Time: 0.51

Provided Services

Activities Services Are Provided Onsite To Residents
Clinical Laboratory Services Are Provided Onsite To Residents
Dental 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 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 Offsite To Residents
Physician Services Are Provided Onsite 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:	17.5%
Texas:	20.4%

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

Here:	13.5%
State:	11.4%

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

This Nursing Home:	7.1%
Texas:	7.2%

Percent of long-stay residents who lose too much weight

This Nursing Home:	6.3%
State:	6.7%

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

This Nursing Home:	41.5%
State:	46.0%

Percent of long-stay residents with a urinary tract infection

This Nursing Home:	18.8%
Texas:	8.3%

Percent of long-stay residents who have depressive symptoms

This Nursing Home:	16.9%
State:	9.3%

Percent of long-stay residents who were physically restrained

This Nursing Home:	1.0%
State:	1.6%

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

This Nursing Home:	3.1%
Texas:	3.5%

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

This Nursing Home:	92.4%
State:	91.6%

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

Here:	100.0%
State:	91.1%

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

This Nursing Home:	15.0%
State:	20.2%

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

This Nursing Home:	2.6%
State:	1.4%

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

This Nursing Home:	87.0%
State:	76.2%

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

This Nursing Home:	83.7%
Texas:	74.3%

Percent of short-stay residents who newly received an antipsychotic medication

This Nursing Home:	4.3%
Texas:	3.6%

Percent of long-stay residents who received an antipsychotic medication

Here:	25.3%
Texas:	28.5%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	0.420
Texas:	0.469

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

This Nursing Home:	0.900
State:	0.894

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	1.320
State:	1.350

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	0.030
State:	0.067

Number Therapy Hours Per Resident Per Day

This Nursing Home:	0.030
Texas:	0.074

Complaint Deficiency

Keep each resident's personal and medical records private and confidential: 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: Some (Minimal harm or potential for actual harm)

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

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

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: Some (Potential for minimal harm)

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

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

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

Portable fire extinguishers: Some (Potential for minimal harm)

Posted No-smoking signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed: Many (Potential for minimal harm)

An externally vented heating system: Many (Potential for minimal harm)

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

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

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

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

A fire alarm system that can be heard throughout the facility: Many (Potential for minimal harm)

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

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)

Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%: Some (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)

Corridor and hallway doors that block smoke: 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: 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: 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 protected cooking facilities: Many (Minimal harm or potential for actual harm)

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

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

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

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

Other nearby hospitals and nursing homes

ACCOLADE HOSPICE (1.14 miles)
BURLESON NURSING CENTER (0.84 miles)
COLONY HEALTH CARE (1.35 miles)
EMERALD POINT (2.57 miles)
GOLDEN RULE HOME CARE (CROWLEY, 3.43 miles)
HUGULEY NURSING AND REHAB CENTER (3.53 miles)
REPUBLIC HOME HEALTH (1.42 miles)

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