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Westchase Health And Rehabilitation Center
8820 TOWN PARK DR
Houston, TX 77036
(713) 777-7241
General
Ratings
Deficiencies
Resident Stats
Staff Stats
| Certified Beds: | 180 |
| Number of Residents: | 144 |
| Percent of Occupied Beds: | 80% |
| 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 |
| Overall: |  |
| Health Inspection: |  |
| Nurse Staffing: |  |
| Quality Measures: |  |
| RN Only: | |
| Date | Type | Category | Deficiency | Scope | Level of Harm | Date of Correction |
| 20071022 | Health | Mistreatment Deficiencies | Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | Pattern | Minimal harm or potential for actual harm | 20071023 |
| 20071022 | Health | Resident Rights Deficiencies | Provide services to meet the needs and preferences of each resident. | Isolated | Minimal harm or potential for actual harm | 20071108 |
| 20071022 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Pattern | Minimal harm or potential for actual harm | 20071107 |
| 20071022 | Health | Quality Care Deficiencies | Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Isolated | Minimal harm or potential for actual harm | 20071107 |
| 20071022 | Health | Pharmacy Service Deficiencies | Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Isolated | Minimal harm or potential for actual harm | 20071108 |
| 20071022 | Health | Quality Care Deficiencies | Develop/implement required procedures for the administration of immunizations. | Isolated | Minimal harm or potential for actual harm | 20071105 |
| 20071022 | Health | Environmental Deficiencies | Have a program to keep infection from spreading. | Isolated | Minimal harm or potential for actual harm | 20071105 |
| 20071022 | Health | Environmental Deficiencies | Make sure that the nursing home area is safe, easy to use, clean and comfortable. | Pattern | Minimal harm or potential for actual harm | 20071023 |
| 20071022 | Health | Administration Deficiencies | Keep accurate and appropriate medical records. | Isolated | Minimal harm or potential for actual harm | 20071108 |
| 20080501 | Health | Administration Deficiencies | Get services outside the nursing home that meet professional standards. | Isolated | Minimal harm or potential for actual harm | 20080604 |
| 20080501 | Health | Environmental Deficiencies | Have a program to keep infection from spreading. | Isolated | Minimal harm or potential for actual harm | 20080502 |
| 20080501 | Health | Mistreatment Deficiencies | 1) Hire only people who have 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. | Isolated | Minimal harm or potential for actual harm | 20080502 |
| 20080924 | Health | Resident Assessment Deficiencies | Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. | Isolated | Minimal harm or potential for actual harm | 20081017 |
| 20080924 | Health | Pharmacy Service Deficiencies | Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. | Isolated | Minimal harm or potential for actual harm | 20080930 |
| 20080924 | Health | Administration Deficiencies | Keep accurate and appropriate medical records. | Isolated | Minimal harm or potential for actual harm | 20081017 |
| 20090507 | Health | Pharmacy Service Deficiencies | Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. | Pattern | Minimal harm or potential for actual harm | 20090612 |
| Value | Notes | |
| Percent of long-stay residents given influenza vaccination during the flu season: | 56 | |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination: | 40 | |
| Percent of long-stay residents whose need for help with daily activities has increased: | 7 | |
| Percent of long-stay residents who have moderate to severe pain: | 1 | |
| Percent of high-risk long-stay residents who have pressure sores: | 17 | |
| Percent of low-risk long-stay residents who have pressure sores: | 6 | |
| Percent of long-stay residents who were physically restrained: | 1 | |
| Percent of long-stay residents who are more depressed or anxious: | 16 | |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder: | 60 | |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder: | 3 | |
| Percent of long-stay residents who spend most of their time in bed or in a chair: | 11 | |
| 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: | 6 | |
| Percent of long-stay residents who lose too much weight: | 7 | |
| Percent of short-stay residents given influenza vaccination during the flu season: | 39 | |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination: | 18 | |
| Percent of short-stay residents who have delirium: | 0 | |
| Percent of short-stay residents who had moderate to severe pain: | 2 | |
| Percent of short-stay residents who have pressure sores: | 17 | |
| # of Residents: | 144 |
| # RN Hours per Resident: | 0.46 |
| # LPN Hours per Resident: | 0.74 |
| # CNA Hours per Resident: | 2.06 |
| Total Staff Hours per Resident: | 1.2 |
