Legend Oaks Healthcare And Rehabilitation Center

15880 WALLISVILLE ROAD
Houston, TX 77049
(281) 457-6462
General
Ratings
Deficiencies
Resident Stats
Staff Stats
Certified Beds: 125
Number of Residents: 111
Percent of Occupied Beds: 89%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: For profit - Partnership
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
Overall: 3 Star Overall Rating
Health Inspection: 4 Star Health Inspection Rating
Nurse Staffing: 1 Star Nurse Staffing Rating
Quality Measures: 3 Star Quality Measures Rating
RN Only: 1 Star RN Only Rating
Date Type Category Deficiency Scope Level of Harm Date of Correction
20071030 Health Nutrition and Dietary Deficiencies Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Pattern Minimal harm or potential for actual harm 20071130
20071030 Health Nutrition and Dietary Deficiencies Store, cook, and give out food in a safe and clean way. Widespread Minimal harm or potential for actual harm 20071130
20071207 Health Administration Deficiencies Hire a qualified activities director. Pattern Minimal harm or potential for actual harm 20080107
  Value Notes
Percent of long-stay residents given influenza vaccination during the flu season: 100
Percent of long-stay residents who were assessed and given pneumococcal vaccination: 100
Percent of long-stay residents whose need for help with daily activities has increased: 14
Percent of long-stay residents who have moderate to severe pain: 8
Percent of high-risk long-stay residents who have pressure sores: 17
Percent of low-risk long-stay residents who have pressure sores: 3
Percent of long-stay residents who were physically restrained: 0
Percent of long-stay residents who are more depressed or anxious: 5
Percent of low-risk long-stay residents who lose control of their bowels or bladder: 30
Percent of long-stay residents who have/had a catheter inserted and left in their bladder: 8
Percent of long-stay residents who spend most of their time in bed or in a chair: 10
Percent of long-stay residents whose ability to move about in and around their room got worse: 10
Percent of long-stay residents who had a urinary tract infection: 9
Percent of long-stay residents who lose too much weight: 4
Percent of short-stay residents given influenza vaccination during the flu season: 99
Percent of short-stay residents who were assessed and given pneumococcal vaccination: 88
Percent of short-stay residents who have delirium: 0
Percent of short-stay residents who had moderate to severe pain: 26
Percent of short-stay residents who have pressure sores: 14
# of Residents: 111
# RN Hours per Resident: 0.34
# LPN Hours per Resident: Unknown
# CNA Hours per Resident: 2.77
Total Staff Hours per Resident: 0.34