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WESTERN HILLS HEALTHCARE RESIDENCE LTD - COMANCHE, TX

 



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Address
400 OLD SIDNEY RD
COMANCHE, TX, 76442
Phone (make sure to verify first before calling): (325) 356-2571

Number of Certified Beds: 157
Total Number of Residents: 90
Percent of Occupied Beds: 57%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: For profit - Corporation
Located Within a Hospital?: No
Multi Nursing Home Ownership?: No
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: 1 Star
Health Inspections Star Rating: 1 Star
Nurse Staffing Star Rating: 2 Stars
Quality Measures Star Rating: 3 Stars
RN Only Star Rating: 1 Star

Provided Services

  • Activities Services Are Provided Onsite To Residents
  • Clinical Laboratory Services Are Provided Offsite To Residents
  • Dental Services Are Provided Offsite To Residents
  • Dental Services Are Provided Onsite To Residents
  • Diagnostic Xray 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 Onsite To Residents
  • Occupational Therapy Services Are Provided Offsite To 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 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 Residents

Employment Full-Time Equivalent

Administrative Staff - Full Time: 3.43
Certified Nurse Aides - Full Time: 25.70
Dietitians - Under Contract: 0.23
Food Service Personnel - Full Time: 10.51
Housekeeping Personnel - Full Time: 8.84
Licensed Practical/ Vocational Nurses - Full Time: 18.50
Persons Not Included In Any Other Categories - Full Time: 5.97
Physical Therapists - Under Contract: 1.40
Registered Nurses - Full Time: 0.21
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
Pharmacists - Under Contract: 0.11
Speech Pathologists - Under Contract: 0.17
Nurse Aides In Training - Full Time: 7.66
Medication Aides/ Technicians - Full Time: 2.81

Staff Information

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

0.130
Texas:

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

1.400
Texas:

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

1.530
Texas:

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

0.010
Texas:

0.067
Number Therapy Hours Per Resident Per Day
Here:

0.010
State:

0.074

Quality Measures

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

16.7%
State:

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

11.2%
Texas:

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

6.0%
State:

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

14.5%
State:

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

42.6%
State:

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

5.6%
Texas:

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

9.6%
Texas:

8.3%
Percent of long-stay residents who have depressive symptoms
Here:

33.7%
State:

9.3%
Percent of long-stay residents who were physically restrained
Here:

18.4%
State:

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

2.3%
Texas:

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

100.0%
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 assessed and given, appropriately, the seasonal influenza vaccine
This Nursing Home:

95.8%
State:

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

95.8%
State:

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

16.5%
State:

28.5%

Complaint Deficiency

Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death: Some (Minimal harm or potential for actual harm)

Properly working alarms on sprinkler valves: Some (Minimal harm or potential for actual harm)

Construction that can resist fire for one hour or an approved fire extinguishing system: Some (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)

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

Conduct initial and periodic assessments of each resident's functional capacity: 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)

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

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

Signs that state that exit doors are to be kept closed: Some (Actual harm)

Approved construction type or materials: Some (Actual harm)

A two-hour-resistant firewall in common walls: Some (Actual harm)

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

Provide proof that all residents' personal money which is deposited with the nursing home, is secure: Some (Actual harm)

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

An approved automatic sprinkler system connected to the fire alarm system: Many (Potential for minimal harm)

Posted No-smoking signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed: 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)

Conduct initial and periodic assessments of each resident's functional capacity: 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 (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: 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: Many (Potential for minimal harm)

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

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

Properly maintained smoke detectors: Many (Potential for minimal harm)

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

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

Weekly inspections and monthly testing of generators: Many (Potential for minimal harm)

Try to resolve each resident's complaints quickly: Some (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)

Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature: Many (Minimal harm or potential for actual harm)

Have a program that investigates, controls and keeps infection from spreading: 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)

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)

Provide necessary care and services to maintain the highest well being of each resident : Few (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 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)

Use a registered nurse at least 8 hours a day, 7 days a week: Many (Minimal harm or potential for actual harm)

Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature: 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)

Make sure that doctors visit residents regularly, as required: Few (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: 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)

Train all employees on what to do in an emergency, and carry out announced staff drills: Many (Potential for minimal 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: 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)

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

Properly located and lighted Exit signs: Few (Minimal harm or potential for actual harm)

Did not have a written emergency evacuation plan: Many (Minimal harm or potential for actual harm)

A fire alarm system that can be heard throughout the facility: 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)

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

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

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