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Westridge Nursing And Rehabilitation Lp
1241 WESTRIDGE AVE
Lancaster, TX 75146
(972) 227-5110
General
Ratings
Deficiencies
Resident Stats
Staff Stats
| Certified Beds: | 120 |
| Number of Residents: | 61 |
| Percent of Occupied Beds: | 51% |
| 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: |  |
| Health Inspection: |  |
| Nurse Staffing: | |
| Quality Measures: |  |
| RN Only: | |
| Date | Type | Category | Deficiency | Scope | Level of Harm | Date of Correction |
| 20080321 | Health | Resident Rights Deficiencies | Send and promptly deliver unopened mail to residents. | Widespread | Potential for minimal harm | 20080421 |
| 20080321 | Health | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | Pattern | Immediate jeopardy to resident health or safety | 20080421 |
| 20080321 | Health | Administration Deficiencies | Be administered in a way that leads to the highest possible level of well being for each resident. | Pattern | Immediate jeopardy to resident health or safety | 20080421 |
| 20080321 | Health | Administration Deficiencies | Give or get lab tests to meet the needs of residents. | Pattern | Immediate jeopardy to resident health or safety | 20080421 |
| 20080321 | Health | Administration Deficiencies | Keep complete, dated lab records in the resident's file. | Pattern | Minimal harm or potential for actual harm | 20080421 |
| 20080718 | 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 | |
| 20080905 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Pattern | Immediate jeopardy to resident health or safety | 20080915 |
| 20080905 | 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 | 20080915 |
| 20080905 | 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 | 20080915 |
| 20080905 | Health | Administration Deficiencies | Be administered in a way that leads to the highest possible level of well being for each resident. | Widespread | Immediate jeopardy to resident health or safety | 20080915 |
| 20080905 | 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 | 20080915 |
| 20080905 | Health | Quality Care Deficiencies | Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Pattern | Immediate jeopardy to resident health or safety | 20080915 |
| 20080905 | 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 | 20080915 |
| 20080905 | 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 | 20080915 |
| 20080905 | Health | Environmental Deficiencies | Provide needed housekeeping and maintenance. | Widespread | Minimal harm or potential for actual harm | 20080922 |
| 20080905 | Health | Environmental Deficiencies | Make sure there is a program to prevent/deal with mice, insects, or other pests. | Widespread | Immediate jeopardy to resident health or safety | 20080910 |
| 20081009 | Health | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | Pattern | Actual harm | 20080908 |
| 20081009 | Health | Resident Rights Deficiencies | Protect the resident from a transfer or discharge that is not wanted or needed. | Pattern | Minimal harm or potential for actual harm | 20081010 |
| 20081009 | Health | Resident Rights Deficiencies | Provide written records when a resident is transferred or discharged. | Pattern | Minimal harm or potential for actual harm | 20081010 |
| 20090701 | Health | Environmental Deficiencies | Make sure there is a program to prevent/deal with mice, insects, or other pests. | Pattern | Minimal harm or potential for actual harm | 20090717 |
| 20100702 | Health | Environmental Deficiencies | Make sure there is a program to prevent/deal with mice, insects, or other pests. | Pattern | Minimal harm or potential for actual harm | 20100703 |
| 20100702 | Health | Resident Rights Deficiencies | Help and prepare each resident for a safe and easy discharge and transfer from the nursing home. | Pattern | Minimal harm or potential for actual harm | 20100703 |
| Value | Notes | |
| Percent of long-stay residents given influenza vaccination during the flu season: | 46 | |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination: | 24 | |
| Percent of long-stay residents whose need for help with daily activities has increased: | 11 | |
| Percent of long-stay residents who have moderate to severe pain: | 2 | |
| Percent of high-risk long-stay residents who have pressure sores: | 18 | |
| Percent of low-risk long-stay residents who have pressure sores: | 4 | |
| Percent of long-stay residents who were physically restrained: | 0 | |
| 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: | 24 | |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder: | 1 | |
| Percent of long-stay residents who spend most of their time in bed or in a chair: | 1 | |
| Percent of long-stay residents whose ability to move about in and around their room got worse: | 2 | |
| Percent of long-stay residents who had a urinary tract infection: | 3 | |
| Percent of long-stay residents who lose too much weight: | 7 | |
| Percent of short-stay residents given influenza vaccination during the flu season: | 38 | |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination: | 22 | |
| Percent of short-stay residents who have delirium: | 22 | |
| Percent of short-stay residents who had moderate to severe pain: | 8 | |
| Percent of short-stay residents who have pressure sores: | 8 | |
| # of Residents: | 61 |
| # RN Hours per Resident: | 0.37 |
| # LPN Hours per Resident: | 0.95 |
| # CNA Hours per Resident: | 1.72 |
| Total Staff Hours per Resident: | 1.32 |
