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Cypresswood Health And Rehabilitation Center
10851 CRESCENT MOON DR
Houston, TX 77064
(281) 955-4100
General
Ratings
Deficiencies
Resident Stats
Staff Stats
| Certified Beds: | 202 |
| Number of Residents: | 149 |
| Percent of Occupied Beds: | 74% |
| 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? | Resident |
| 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 |
| 20080108 | 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 | 20080203 |
| 20080108 | 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 | 20080208 |
| 20080108 | Health | Resident Rights Deficiencies | Provide services to meet the needs and preferences of each resident. | Pattern | Minimal harm or potential for actual harm | 20080203 |
| 20080108 | Health | Environmental Deficiencies | Keep temperature levels comfortable and safe. | Isolated | Minimal harm or potential for actual harm | 20080128 |
| 20080108 | Health | Resident Assessment Deficiencies | Provide a final summary of the resident's health status and a summary of the resident's stay, when the resident is ready to leave the nursing home. | Pattern | Potential for minimal harm | 20080128 |
| 20080108 | Health | Quality Care Deficiencies | Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Isolated | Minimal harm or potential for actual harm | 20080203 |
| 20080108 | 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 | 20080203 |
| 20080108 | 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 | 20080203 |
| 20080108 | Health | Quality Care Deficiencies | Give professional services that follow each resident's written care plan. | Isolated | Minimal harm or potential for actual harm | 20080203 |
| 20081231 | Health | Mistreatment Deficiencies | Protect residents from mistreatment, neglect, and/or theft of personal property. | Isolated | Actual harm | 20090210 |
| 20090611 | Health | Resident Rights Deficiencies | Provide enough notice before discharging or transferring a resident. | Pattern | Minimal harm or potential for actual harm | 20090630 |
| 20100505 | Health | Quality Care Deficiencies | Give professional services that follow each resident's written care plan. | Isolated | Minimal harm or potential for actual harm | 20100529 |
| 20100505 | Health | Administration Deficiencies | Keep accurate and appropriate medical records. | Pattern | Minimal harm or potential for actual harm | 20100529 |
| 20100820 | Health | Quality Care Deficiencies | Give or get dental care for each resident. | Isolated | Minimal harm or potential for actual harm | 20100928 |
| 20100820 | 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. | Isolated | Minimal harm or potential for actual harm | 20100828 |
| Value | Notes | |
| Percent of long-stay residents given influenza vaccination during the flu season: | 73 | |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination: | 76 | |
| Percent of long-stay residents whose need for help with daily activities has increased: | 34 | |
| Percent of long-stay residents who have moderate to severe pain: | 1 | |
| Percent of high-risk long-stay residents who have pressure sores: | 14 | |
| Percent of low-risk long-stay residents who have pressure sores: | 3 | |
| Percent of long-stay residents who were physically restrained: | 3 | |
| Percent of long-stay residents who are more depressed or anxious: | 9 | |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder: | 75 | |
| 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: | 7 | |
| Percent of long-stay residents whose ability to move about in and around their room got worse: | 27 | |
| Percent of long-stay residents who had a urinary tract infection: | 10 | |
| Percent of long-stay residents who lose too much weight: | 8 | |
| Percent of short-stay residents given influenza vaccination during the flu season: | 63 | |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination: | 61 | |
| Percent of short-stay residents who have delirium: | 0 | |
| Percent of short-stay residents who had moderate to severe pain: | 4 | |
| Percent of short-stay residents who have pressure sores: | 10 | |
| # of Residents: | 149 |
| # RN Hours per Resident: | 0.44 |
| # LPN Hours per Resident: | 0.79 |
| # CNA Hours per Resident: | 1.95 |
| Total Staff Hours per Resident: | 1.23 |
