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VILLAGE CREEK REHABILITATION AND NURSING CENTER - LUMBERTON, TX

 



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Address
705 N MAIN
LUMBERTON, TX, 77657
Phone (make sure to verify first before calling): (409) 755-0100

Number of Certified Beds: 120
Total Number of Residents: 75
Percent of Occupied Beds: 63%
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: 1 Star
Health Inspections Star Rating: 1 Star
Nurse Staffing Star Rating: 1 Star
Quality Measures Star Rating: 3 Stars
RN Only Star Rating: 1 Star

Provided Services

  • Activities Services Are Provided Offsite To Residents
  • Activities Services Are Provided Onsite To Nonresidents
  • Activities Services Are Provided Onsite To Residents
  • Administration And Storage Of Blood Services Are Provided Offsite To Residents
  • Clinical Laboratory Services Are Provided Offsite To Residents
  • Clinical Laboratory Services Are Provided Onsite To Non Residents
  • Clinical Laboratory Services Are Provided Onsite To Residents
  • Dental Services Are Provided Offsite To Residents
  • Dental Services Are Provided Onsite To Residents
  • Diagnostic Xray Services Are Provided Offsite To Residents
  • Diagnostic Xray Services Are Provided Onsite To Non Residents
  • Diagnostic Xray Services Are Provided Onsite To Residents
  • Dietary Services Are Provided Offsite To Residents
  • Dietary Services Are Provided Onsite To Non Residents
  • Dietary Services Are Provided Onsite To Residents
  • Housekeeping Services Are Provided Onsite To Non Residents
  • Housekeeping Services Are Provided Onsite To Residents
  • Mental Health Services Are Provided Offsite To Residents
  • Mental Health Services Are Provided Onsite To Non Residents
  • Mental Health Services Are Provided Onsite To Residents
  • Nursing Services Are Provided Offsite To Residents
  • Nursing Services Are Provided Onsite To Non 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 Offsite To Residents
  • Pharmacy Services Are Provided Onsite To Non Residents
  • Pharmacy Services Are Provided Onsite To Residents
  • Physical Therapy Services Are Provided Onsite To Non Residents
  • Physical Therapy Services Are Provided Onsite To Residents
  • Physician Extender Services Are Provided Offsite To Residents
  • Physician Extender Services Are Provided Onsite To Non Residents
  • Physician Extender Services Are Provided Onsite To Residents
  • Physician Services Are Provided Offsite To Residents
  • Physician Services Are Provided Onsite To Non 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 Offsite To Residents
  • Social Work Services Are Provided Onsite To Non 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
  • Therapeutic Recrecation Specialist Services Are Provided Offsite To Residents
  • Vocational Services Are Provided Offsite To Residents

Employment Full-Time Equivalent

Administrative Staff - Full Time: 4.56
Certified Nurse Aides - Full Time: 25.89
Certified Nurse Aides - Part Time: 4.40
Food Service Personnel - Full Time: 8.16
Housekeeping Personnel - Full Time: 7.80
Licensed Practical/ Vocational Nurses - Full Time: 10.90
Licensed Practical/ Vocational Nurses - Part Time: 0.39
Medical Directors - Under Contract: 0.03
Mental Health Services Personnel - Under Contract: 0.17
Nurses With Administrative Duties - Full Time: 3.41
Persons Not Included In Any Other Categories - Full Time: 1.17
Physical Therapists - Under Contract: 0.11
Registered Nurses - Full Time: 1.17
Rn Director Of Nursing - Full Time: 1.14
Social Workers - Full Time: 1.14
Activities Professionals - Full Time: 1.14
Occupational Therapists - Under Contract: 0.83
Podiatrists - Under Contract: 0.09
Speech Pathologists - Under Contract: 0.94
Registered Nurses - Part Time: 0.11
Occupational Therapy Assistants - Under Contract: 0.07
Housekeeping Personnel - Part Time: 1.24
Occupational Therapy Aides - Under Contract: 0.56
Medication Aides/ Technicians - Part Time: 0.94
Medication Aides/ Technicians - Full Time: 2.29

Quality Measures

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

31.7%
State:

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

10.4%
State:

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

6.7%
State:

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

2.6%
Texas:

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

22.2%
Texas:

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

3.4%
Texas:

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

3.9%
State:

8.3%
Percent of long-stay residents experiencing one or more falls with major injury
Here:

2.6%
Texas:

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

76.0%
Texas:

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

84.6%
Texas:

91.1%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
Here:

71.4%
State:

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

21.6%
State:

28.5%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day
Here:

0.310
Texas:

0.469
Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day
Here:

0.780
Texas:

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

1.090
State:

1.350
Number of ,Certified Nurse Assistant Hours Per Resident Per Day
Here:

0.080
State:

0.067
Number Therapy Hours Per Resident Per Day
Here:

0.080
State:

0.074

Complaint Deficiency

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

Properly installed electrical wiring and equipment: 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)

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)

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)

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

Provide care by qualified persons according to each resident's written plan of care: Few (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 (Immediate jeopardy to resident health or safety)

Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion: 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 (Actual harm)

Make sure that each resident gets a nutritional and well balanced diet, unless it is not possible to do so: Some (Immediate jeopardy to resident health or safety)

Hire a qualified dietician: Many (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: Many (Minimal harm or potential for actual harm)

1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day: Many (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)

Safely provide drugs and other similar products available, which are needed every day and in emergencies, by a licensed pharmacist: Many (Minimal harm or potential for actual harm)

Keep all essential equipment working safely: Some (Actual harm)

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

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

Rooms that can be unlocked from inside without a key: Few (Minimal harm or potential for actual harm)

Automatic sprinkler systems that have been maintained in working order: Many (Potential for minimal harm)

Proper medical gas storage and administration areas: Many (Potential for minimal harm)

A separate and independent backup electrical power source: Many (Minimal harm or potential for actual harm)

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

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

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