Woodwind Lakes Health And Rehabilitation Center

7215 WINDFERN RD
Houston, TX 77040
(713) 466-8933
General
Ratings
Deficiencies
Resident Stats
Staff Stats
Certified Beds: 180
Number of Residents: 160
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? Yes
Resident and Family Councils? Both
Continuing Care Retirement Community? No
Quality Indicator Survey? No
Special Focus Facility? No
Overall: 2 Star Overall Rating
Health Inspection: 2 Star Health Inspection Rating
Nurse Staffing: 2 Star Nurse Staffing Rating
Quality Measures: 4 Star Quality Measures Rating
RN Only: 2 Star RN Only Rating
Date Type Category Deficiency Scope Level of Harm Date of Correction
20080207 Health Administration Deficiencies Quickly tell the resident's doctor the results of lab tests. Isolated Minimal harm or potential for actual harm 20080314
20080222 Health Resident Rights Deficiencies Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. Pattern Minimal harm or potential for actual harm
20080222 Health Environmental Deficiencies Provide needed housekeeping and maintenance. Pattern Minimal harm or potential for actual harm
20080222 Health Quality Care Deficiencies Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. Pattern Minimal harm or potential for actual harm
20090915 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 20091013
20090915 Health Resident Rights Deficiencies Provide care in a way that keeps or builds each resident's dignity and self respect. Isolated Minimal harm or potential for actual harm 20091013
20091008 Health Nutrition and Dietary Deficiencies Store, cook, and give out food in a safe and clean way. Pattern Minimal harm or potential for actual harm 20091014
20100701 Health Mistreatment Deficiencies Protect residents from mistreatment, neglect, and/or theft of personal property. Isolated Actual harm 20100729
20100701 Health Mistreatment Deficiencies Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. Isolated Actual harm 20100729
20100701 Health Pharmacy Service Deficiencies 1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects. Pattern Minimal harm or potential for actual harm 20100729
20100701 Health Resident Assessment Deficiencies Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. Pattern Minimal harm or potential for actual harm 20100729
20100701 Health Resident Rights Deficiencies Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. Isolated Minimal harm or potential for actual harm 20100729
  Value Notes
Percent of long-stay residents given influenza vaccination during the flu season: 86
Percent of long-stay residents who were assessed and given pneumococcal vaccination: 98
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: 2
Percent of high-risk long-stay residents who have pressure sores: 6
Percent of low-risk long-stay residents who have pressure sores: 0
Percent of long-stay residents who were physically restrained: 3
Percent of long-stay residents who are more depressed or anxious: 18
Percent of low-risk long-stay residents who lose control of their bowels or bladder: 84
Percent of long-stay residents who have/had a catheter inserted and left in their bladder: 4
Percent of long-stay residents who spend most of their time in bed or in a chair: 4
Percent of long-stay residents whose ability to move about in and around their room got worse: 12
Percent of long-stay residents who had a urinary tract infection: 12
Percent of long-stay residents who lose too much weight: 5
Percent of short-stay residents given influenza vaccination during the flu season: 73
Percent of short-stay residents who were assessed and given pneumococcal vaccination: 98
Percent of short-stay residents who have delirium: 0
Percent of short-stay residents who had moderate to severe pain: 1
Percent of short-stay residents who have pressure sores: 11
# of Residents: 160
# RN Hours per Resident: 0.52
# LPN Hours per Resident: 0.89
# CNA Hours per Resident: 2.03
Total Staff Hours per Resident: 1.41