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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)

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