Countryside Nursing And Rehabilitation Lp

1700 N WASHINGTON
Pilot Point, TX 76258
(940) 686-5556
General
Ratings
Deficiencies
Resident Stats
Staff Stats
Certified Beds: 120
Number of Residents: 67
Percent of Occupied Beds: 56%
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
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
20090803 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. Pattern Minimal harm or potential for actual harm 20090828
20090803 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 20090828
20090803 Health Quality Care Deficiencies Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Pattern Actual harm 20090831
20090803 Health Pharmacy Service Deficiencies Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Pattern Minimal harm or potential for actual harm 20090831
20090803 Health Pharmacy Service Deficiencies Make sure that residents are safe from serious medication errors. Pattern Actual harm 20090831
20090803 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 Actual harm 20090831
20090930 Health Nutrition and Dietary Deficiencies Store, cook, and give out food in a safe and clean way. Widespread Potential for minimal harm 20091019
20100528 Health Quality Care Deficiencies Give or get special rehabilitation if in the patient's plan of care. Pattern Minimal harm or potential for actual harm 20100614
20100528 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 20100614
  Value Notes
Percent of long-stay residents given influenza vaccination during the flu season: 91
Percent of long-stay residents who were assessed and given pneumococcal vaccination: 80
Percent of long-stay residents whose need for help with daily activities has increased: 33
Percent of long-stay residents who have moderate to severe pain: 1
Percent of high-risk long-stay residents who have pressure sores: 5
Percent of low-risk long-stay residents who have pressure sores: 0
Percent of long-stay residents who were physically restrained: 0
Percent of long-stay residents who are more depressed or anxious: 17
Percent of low-risk long-stay residents who lose control of their bowels or bladder: 40
Percent of long-stay residents who have/had a catheter inserted and left in their bladder: 2
Percent of long-stay residents who spend most of their time in bed or in a chair: 3
Percent of long-stay residents whose ability to move about in and around their room got worse: 8
Percent of long-stay residents who had a urinary tract infection: 6
Percent of long-stay residents who lose too much weight: 5
Percent of short-stay residents given influenza vaccination during the flu season: 87
Percent of short-stay residents who were assessed and given pneumococcal vaccination: 74
Percent of short-stay residents who have delirium: 1
Percent of short-stay residents who had moderate to severe pain: 26
Percent of short-stay residents who have pressure sores: 2
# of Residents: 67
# RN Hours per Resident: 0.4
# LPN Hours per Resident: 1.01
# CNA Hours per Resident: 1.93
Total Staff Hours per Resident: 1.41