WINDCREST NURSING AND REHABILITATION CENTER - FREDERICKSBURG, TX

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Address

210 WEST WINDCREST ST
FREDERICKSBURG, TX, 78624

Phone (make sure to verify first before calling): (830) 997-7422

Number of Certified Beds: 120
Total Number of Residents: 86
Percent of Occupied Beds: 72%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: For profit - Partnership
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: 2 Stars
Nurse Staffing Star Rating: 1 Star
Quality Measures Star Rating: 4 Stars
RN Only Star Rating: 1 Star

Employment Full-Time Equivalent

Administrative Staff - Full Time: 7.33
Certified Nurse Aides - Full Time: 29.59
Dietitians - Under Contract: 0.26
Food Service Personnel - Full Time: 11.13
Licensed Practical/ Vocational Nurses - Full Time: 13.83
Medical Directors - Under Contract: 0.07
Nurses With Administrative Duties - Full Time: 5.73
Persons Not Included In Any Other Categories - Full Time: 14.99
Physical Therapists - Under Contract: 0.34
Registered Nurses - Full Time: 3.39
Rn Director Of Nursing - Full Time: 1.24
Social Workers - Full Time: 1.24
Activities Professionals - Full Time: 1.29
Occupational Therapists - Under Contract: 1.14
Pharmacists - Under Contract: 0.17
Speech Pathologists - Under Contract: 0.49
Nurse Aides In Training - Full Time: 17.89
Occupational Therapy Assistants - Under Contract: 3.14
Medication Aides/ Technicians - Full Time: 8.19

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 Non Residents
Occupational Therapy Services Are Provided Onsite To 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 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 Non Residents
Speech/Language Pathology Services Are Provided Onsite To Residents

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	0.360
Texas:	0.469

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

Here:	0.840
State:	0.894

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.200
State:	1.350

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

Here:	0.070
State:	0.067

Number Therapy Hours Per Resident Per Day

This Nursing Home:	0.070
State:	0.074

Quality Measures

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

This Nursing Home:	17.9%
Texas:	20.4%

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

Here:	9.1%
Texas:	11.4%

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

This Nursing Home:	11.8%
Texas:	7.2%

Percent of long-stay residents who lose too much weight

This Nursing Home:	5.6%
Texas:	6.7%

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

Here:	4.9%
State:	3.9%

Percent of long-stay residents with a urinary tract infection

Here:	7.0%
Texas:	8.3%

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

This Nursing Home:	5.5%
State:	3.5%

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

Here:	100.0%
Texas:	91.6%

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

Here:	100.0%
Texas:	91.1%

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

Here:	16.8%
Texas:	20.2%

Percent of short-stay residents with Pressure ulcers that are new or worsened

This Nursing Home:	1.0%
State:	1.4%

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

Here:	96.5%
State:	76.2%

Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine

Here:	97.4%
Texas:	74.3%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	25.7%
Texas:	28.5%

Complaint Deficiency

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

Smoke barrier doors that can resist smoke for at least 20 minutes: Many (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)

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

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

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

Weekly inspections and monthly testing of generators: Many (Minimal harm or potential for actual harm)

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

Provide housekeeping and maintenance services: Some (Potential for minimal harm)

Make sure each resident receives an accurate assessment by a qualified health professional: 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)

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)

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: Some (Minimal harm or potential for actual harm)

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

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public: Some (Potential for minimal harm)

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

Approved construction type or materials: 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)

Provide food in a way that meets a resident's needs: Some (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: Some (Minimal harm or potential for actual harm)

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public: Few (Minimal harm or potential for actual harm)

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

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

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

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

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

Give or get specialized rehabilitative services per the patient's assessment or plan of care: 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)

Other nearby hospitals and nursing homes

FREDERICKSBURG HOME HEALTH CARE (1.11 miles)
FREDERICKSBURG NURSING AND REHABILITATION LP (0.28 miles)
FREDERICKSBURG NURSING HOME (0.28 miles)
HILL COUNTRY MEMORIAL HOSPITAL INC (0.09 miles)
KNOPP NURSING AND REHAB CENTER INC (0.56 miles)
LIVE OAK CARE CENTER (0.45 miles)
TRISTAR CARE CENTER INC (0.45 miles)

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