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UPSHUR MANOR NURSING HOME - GILMER, TX

 



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Address
623 HWY 155N
GILMER, TX, 75644
Phone (make sure to verify first before calling): (903) 797-2143

Number of Certified Beds: 112
Total Number of Residents: 74
Percent of Occupied Beds: 66%
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: 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: 3 Stars
Nurse Staffing Star Rating: 2 Stars
Quality Measures Star Rating: 4 Stars
RN Only Star Rating: 1 Star

Provided Services

  • Activities Services Are Provided Onsite To Residents
  • Clinical Laboratory Services Are Provided Offsite 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 Offsite 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 Offsite To Residents
  • Nursing Services Are Provided Onsite To Residents
  • Occupational Therapy Services Are Provided Offsite To Residents
  • Occupational Therapy Services Are Provided Onsite To Non Residents
  • Occupational Therapy Services Are Provided Onsite To Residents
  • Pharmacy Services Are Provided Onsite To Residents
  • Physical Therapy Services Are Provided Offsite To Residents
  • Physical Therapy Services Are Provided Onsite To Non Residents
  • Physical Therapy 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
  • Podiatry Services Are Provided Onsite To Residents
  • Social Work Services Are Provided Onsite To Residents
  • Speech/Language Pathology Services Are Provided Offsite To Residents
  • Speech/Language Pathology Services Are Provided Onsite To Non Residents
  • Speech/Language Pathology Services Are Provided Onsite To Residents

Employment Full-Time Equivalent

Administrative Staff - Full Time: 6.86
Certified Nurse Aides - Full Time: 27.00
Food Service Personnel - Full Time: 9.00
Housekeeping Personnel - Full Time: 6.40
Licensed Practical/ Vocational Nurses - Full Time: 16.00
Mental Health Services Personnel - Under Contract: 0.06
Nurses With Administrative Duties - Full Time: 2.29
Persons Not Included In Any Other Categories - Full Time: 3.20
Rn Director Of Nursing - Full Time: 1.14
Social Workers - Full Time: 1.14
Activities Professionals - Full Time: 1.14
Pharmacists - Under Contract: 0.21
Dietitians - Full Time: 0.14
Sppech Pathologists - Full Time: 0.71
Registered Nurses - Part Time: 0.46
Occupational Therapists - Full Time: 0.14
Physical Therapists - Full Time: 0.14
Occupational Therapy Assistants - Full Time: 1.14

Staff Information

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

0.390
Texas:

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

1.100
Texas:

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

1.490
Texas:

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

0.080
Texas:

0.067
Number Therapy Hours Per Resident Per Day
Here:

0.080
State:

0.074

Quality Measures

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

16.4%
Texas:

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

11.0%
State:

11.4%
Percent of long-stay high-risk residents with pressure ulcers
Here:

4.5%
Texas:

7.2%
Percent of long-stay residents who lose too much weight
Here:

7.8%
Texas:

6.7%
Percent of long-stay residents who have had a catheter inserted and left in their bladder
Here:

1.2%
State:

3.9%
Percent of long-stay residents with a urinary tract infection
Here:

7.8%
State:

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

3.3%
Texas:

9.3%
Percent of long-stay residents who were physically restrained
This Nursing Home:

1.5%
Texas:

1.6%
Percent of long-stay residents experiencing one or more falls with major injury
Here:

6.0%
State:

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

65.7%
Texas:

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:

11.4%
State:

20.2%
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
This Nursing Home:

21.6%
State:

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

100.0%
Texas:

74.3%
Percent of short-stay residents who newly received an antipsychotic medication
This Nursing Home:

4.1%
State:

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

28.4%
State:

28.5%

Complaint Deficiency

Signs that state that exit doors are to be kept closed: Few (Immediate jeopardy to resident health or safety)

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

Provide proper discharge planning and communication, of the resident's health status and summary of the resident's stay: 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)

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

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

Immediately tell the resident, the resident's doctor and a family member of the resident of situations (injury/decline/room, etc.) that affect the resident: 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)

Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses: 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)

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards: Many (Potential for minimal harm)

Train all employees on what to do in an emergency, and carry out announced staff drills: Some (Minimal harm or potential for actual harm)

Corridors that are separated from common areas by walls constructed to limit the passage of smoke: Many (Minimal harm or potential for actual harm)

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

Properly working alarms on sprinkler valves: Many (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)

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)

Have a program that investigates, controls and keeps infection from spreading: Some (Minimal harm or potential for actual harm)

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

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

Properly protected cooking facilities: Many (Minimal harm or potential for actual harm)

Proper medical gas storage and administration areas: Some (Minimal harm or potential for actual harm)

A separate and independent backup electrical power source: Many (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)

Store, cook, and serve food in a safe and clean way: 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)

Keep accurate, complete and organized clinical records on each resident that meet professional standards: Many (Minimal harm or potential for actual harm)

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