WILLIS NURSING AND REHABILITATION LP - WILLIS, TX

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Address

3000 N DANVILLE ST
WILLIS, TX, 77378

Phone (make sure to verify first before calling): (936) 856-4312

Number of Certified Beds: 114
Total Number of Residents: 77
Percent of Occupied Beds: 68%
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: 2 Stars
Health Inspections Star Rating: 4 Stars
Nurse Staffing Star Rating: 1 Star
Quality Measures Star Rating: 1 Star
RN Only Star Rating: 1 Star

Employment Full-Time Equivalent

Administrative Staff - Full Time: 3.51
Certified Nurse Aides - Full Time: 18.20
Food Service Personnel - Full Time: 4.80
Housekeeping Personnel - Full Time: 3.26
Licensed Practical/ Vocational Nurses - Full Time: 10.74
Medical Directors - Under Contract: 0.06
Nurses With Administrative Duties - Full Time: 2.29
Persons Not Included In Any Other Categories - Full Time: 4.51
Rn Director Of Nursing - Full Time: 1.24
Activities Professionals - Full Time: 1.14
Dietitians - Part Time: 0.23
Occupational Therapists - Part Time: 0.71
Pharmacists - Under Contract: 0.23
Physical Therapists - Part Time: 0.11
Other Physicians - Under Contract: 0.06
Registered Nurses - Part Time: 0.46
Social Workers - Part Time: 0.69
Speech Pathologists - Part Time: 0.57
Mental Health Services Personnel - Part Time: 0.69
Podiatrists - Part Time: 0.11
Medication Aides/ Technicians - Full Time: 3.00

Provided Services

Activities Services Are Provided Onsite To Residents
Clinical Laboratory Services Are Provided Onsite To Residents
Dental Services Are Provided Onsite 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 Services Are Provided Onsite To Residents
Podiatry Services Are Provided Onsite 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

This Nursing Home:	14.0%
State:	20.4%

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

Here:	25.6%
State:	11.4%

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

Here:	12.2%
Texas:	7.2%

Percent of long-stay residents who lose too much weight

This Nursing Home:	1.4%
State:	6.7%

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

Here:	3.6%
State:	3.9%

Percent of long-stay residents with a urinary tract infection

Here:	1.4%
State:	8.3%

Percent of long-stay residents who have depressive symptoms

This Nursing Home:	5.1%
Texas:	9.3%

Percent of long-stay residents who were physically restrained

This Nursing Home:	6.9%
Texas:	1.6%

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

This Nursing Home:	6.8%
Texas:	3.5%

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

This Nursing Home:	98.6%
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 pneumococcal vaccine

This Nursing Home:	97.1%
Texas:	74.3%

Percent of long-stay residents who received an antipsychotic medication

Here:	26.1%
State:	28.5%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	0.280
Texas:	0.469

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

Here:	1.010
State:	0.894

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	1.290
Texas:	1.350

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

Here:	0.030
State:	0.067

Number Therapy Hours Per Resident Per Day

Here:	0.030
State:	0.074

Complaint Deficiency

Conduct initial and periodic assessments of each resident's functional capacity: Few (Minimal harm or potential for actual harm)

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

Provide routine and 24-hour emergency dental care for each resident: Some (Minimal harm or potential for actual harm)

An approved automatic sprinkler system connected to the fire alarm system: Few (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)

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

Keep each resident's personal and medical records private and confidential: Few (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)

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

Portable fire extinguishers: Few (Minimal harm or potential for actual harm)

A fire alarm system that can be heard throughout the facility: Few (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: Few (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: Few (Minimal harm or potential for actual harm)

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

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

Properly located and lighted Exit signs: Few (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)

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

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

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

Restrictions on the use of flammable curtains: Few (Minimal harm or potential for actual harm)

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

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

Provide housekeeping and maintenance services: Some (Minimal harm or potential for actual harm)

Provide a tasty and well-balanced diet that meets the nutritional needs of each resident: 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)

Provide housekeeping and maintenance services: Few (Minimal harm or potential for actual harm)

Corridor and hallway doors that block smoke: Many (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)

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

An approved automatic sprinkler system connected to the fire alarm system: Many (Minimal harm or potential for actual harm)

Portable fire extinguishers: 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)

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)

No-smoking signs where oxygen is used: Some (Minimal harm or potential for actual harm)

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

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

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

Portable fire extinguishers: 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)

Restrictions on the use of flammable curtains: Many (Minimal harm or potential for actual harm)

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

1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents: Few (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)

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

Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs: Some (Minimal harm or potential for actual harm)

Other nearby hospitals and nursing homes

CONROE HEALTH CARE CENTER (CONROE, 7.12 miles)
DOCTORS HOSPITAL CONROE (CONROE, 7.82 miles)
DOCTORS HOSPITAL (CONROE, 7.82 miles)
NORTH THOMPSON HOUSE (CONROE, 6.79 miles)
PARK MANOR OF CONROE (CONROE, 5.10 miles)
RIVER PARK DIALYSIS (CONROE, 7.57 miles)
CONROE CONVALESCENT CENTER (CONROE, 7.12 miles)

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