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Victoria Nursing And Rehabilitation Center
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114 Medical Dr
Victoria, TX 77904
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0 Recommendations
Details
| Type of Ownership | Non profit - Corporation |
| Participates in Medicare? | Yes |
| Participates in Medicaid? | Yes |
| Certified Beds | 122 |
| Continuing Care? | No |
| Resident Council? | Yes |
| Family Council? | No |
| Multi-Home Chain? | No |
| Located in a Hospital? | No |
| Special Focus Facility? | No |
View: Health Inspections | Quality Measures | Staffing | Fire Inspections
Health Inspections
Most Recent Inspection: 10/28/2011
| Date of last standard health inspection: | 10/28/2011 |
| Quality Indicator Survey | No |
| Dates of Complaint Investigations: | 04/01/2011 - 03/31/2012 |
| Total number of Health Deficiencies for this nursing home: | 0 |
| Average number of Health Deficiencies in TX: | 3 |
| Average number of Health Deficiencies in US: | 3 |
| Range of Health Deficiencies in TX: | 0 - 19 |
Inspection, 01/04/2012
Administration Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | 01/04/2012 | 02/05/2001 | 2 | Many |
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Maintain comfortable sound levels. | 01/04/2012 | 02/05/2001 | 2 | Some |
Pharmacy Service Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | 01/04/2012 | 02/05/2001 | 2 | Some |
Quality Care Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | 01/04/2012 | 02/05/2001 | 2 | Some |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | 01/04/2012 | 02/05/2001 | 2 | Some |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | 01/04/2012 | 02/05/2001 | 2 | Few |
Resident Rights Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | 01/04/2012 | 02/05/2001 | 2 | Some |
Inspection, 02/08/2010
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Maintain comfortable sound levels. | 02/08/2010 | 02/05/2011 | 2 | Some |
| Dispose of garbage and refuse properly. | 02/08/2010 | 02/05/2011 | 1 | Many |
| Keep all essential equipment working safely. | 02/08/2010 | 02/05/2011 | 2 | Many |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | 02/08/2010 | 02/05/2011 | 1 | Some |
Nutrition and Dietary Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Store, cook, and serve food in a safe and clean way. | 02/08/2010 | 02/05/2011 | 2 | Many |
Pharmacy Service Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | 02/08/2010 | 02/05/2011 | 2 | Some |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | 02/08/2010 | 02/05/2011 | 2 | Some |
Quality Care Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide necessary care and services to maintain or improve the highest well being of each resident. | 02/08/2010 | 02/05/2011 | 2 | Few |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | 02/08/2010 | 02/05/2011 | 2 | Few |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | 02/08/2010 | 02/05/2011 | 2 | Few |
Resident Rights Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Try to resolve each resident's complaints quickly. | 02/08/2010 | 02/03/2011 | 2 | Some |
Inspection, 00/08/2010
Administration Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Post nurse staffing information/data on a daily basis. | 00/08/2010 | 02/05/2010 | 1 | Some |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | 00/08/2010 | 00/05/2011 | 2 | Some |
Environmental Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | 00/08/2010 | 02/05/2010 | 2 | Few |
| Have a program that investigates, controls and keeps infection from spreading. | 00/08/2010 | 00/05/2011 | 2 | Some |
Nutrition and Dietary Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. | 00/08/2010 | 02/09/2010 | 2 | Some |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | 00/08/2010 | 02/09/2010 | 2 | Some |
| Store, cook, and serve food in a safe and clean way. | 00/08/2010 | 00/05/2011 | 2 | Many |
Pharmacy Service Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | 00/08/2010 | 00/05/2011 | 2 | Few |
Resident Rights Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | 00/08/2010 | 00/05/2011 | 1 | Some |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | 00/08/2010 | 00/05/2011 | 2 | Some |
| Upon the death of a resident, convey the resident | 00/08/2010 | 00/05/2011 | 1 | Some |
| Provide timely notification to the resident before transfer or discharge. | 00/08/2010 | 00/09/2010 | 2 | Few |
| Upon the death of a resident, convey the resident | 00/08/2010 | 00/05/2011 | 1 | Some |
| Provide timely notification to the resident before transfer or discharge. | 00/08/2010 | 00/09/2010 | 2 | Few |
Inspection, 01/02/2004
Environmental Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | 01/02/2004 | 01/02/2005 | 2 | Some |
Resident Rights Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Reasonably accommodate the needs and preferences of each resident. | 01/02/2004 | 01/02/2005 | 2 | Few |
Nursing Home Staffing
Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.
| National Average | Average in TX | Golden Living Center, Asheville | |
| RN Staff Only1 | N/A | N/A | 1 out of 5 stars |
| Total Number of Residents | 85 | 72 | 89 |
|
Total, Licensed Nurse Staff Hours per Resident per Day |
15 hours 26 minutes | 32 hours 41 minutes | 1 hour 16 minutes |
|
RN Hours per Resident per Day |
14 hours 37 minutes | 31 hours 51 minutes | 13 minutes |
|
LPN/LVN Hours per Resident per Day |
14 hours 52 minutes | 32 hours 41 minutes | 1 hour 2 minutes |
|
CNA Hours per Resident per Day |
16 hours 21 minutes | 33 hours 41 minutes | 1 hour 44 minutes |
1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.
Quality Measures
Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.
Long-Term Residents
Short-Term Residents
Fire Safety Inspections
Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.
Most Recent Inspection: 10/25/2011
| Automatic Sprinkler Systems in all required areas | Yes |
| Date of last standard fire safety inspection: | 10/25/2011 |
| Dates of Complaint Investigations: | 04/01/2011 - 03/31/2012 |
| Total number of Fire Safety Deficiencies for this nursing home: | 0 |
| Average number of Fire Safety Deficiencies in TX: | 1 |
| Average number of Fire Safety Deficiencies in US: | 2 |
| Range of Fire Safety Deficiencies in TX: | 0 - 1 |
Inspection, 01/03/2012
Automatic Sprinkler Systems Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Automatic sprinkler systems that have been maintained in working order. | 01/03/2012 | 02/05/2001 | 1 | Many |
Building Service Equipment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Properly protected cooking facilities. | 01/03/2012 | 02/05/2001 | 1 | Many |
Corridor Walls and Doors Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Corridor and hallway doors that block smoke. | 01/03/2012 | 02/05/2001 | 2 | Some |
Electrical Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| A separate and independent backup electrical power source. | 01/03/2012 | 02/05/2001 | 2 | Many |
| Properly installed electrical wiring and equipment. | 01/03/2012 | 02/05/2001 | 1 | Many |
Fire Alarm Systems Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| A fire alarm system that can be heard throughout the facility. | 01/03/2012 | 02/05/2001 | 2 | Many |
Inspection, 02/05/2010
Automatic Sprinkler Systems Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Automatic sprinkler systems that have been maintained in working order. | 02/05/2010 | 02/05/2011 | 1 | Some |
Electrical Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Weekly inspections and monthly testing of generators. | 02/05/2010 | 02/08/2010 | 1 | Many |
| Properly installed electrical wiring and equipment. | 02/05/2010 | 02/06/2010 | 2 | Few |
Fire Alarm Systems Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| A fire alarm system that can be heard throughout the facility. | 02/05/2010 | 02/05/2011 | 2 | Some |
Furnishings and Decorations Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Exits that are free from obstructions and can be used at all times. | 02/05/2010 | 03/01/2010 | 2 | Some |
Medical Gases and Anesthetizing Areas Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Proper medical gas storage and administration areas. | 02/05/2010 | 02/08/2010 | 2 | Many |
| No-smoking signs where oxygen is used. | 02/05/2010 | 02/08/2010 | 1 | Some |
Smoke Compartmentation and Control Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | 02/05/2010 | 02/08/2010 | 2 | Many |
Smoking Regulations Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Posted No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed." | 02/05/2010 | 02/05/2011 | 1 | Some |
Inspection, 00/07/2010
Automatic Sprinkler Systems Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Automatic sprinkler systems that have been maintained in working order. | 00/07/2010 | 01/06/2010 | 2 | Few |
Electrical Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Properly installed electrical wiring and equipment. | 00/07/2010 | 00/08/2010 | 2 | Many |
Medical Gases and Anesthetizing Areas Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Proper medical gas storage and administration areas. | 00/07/2010 | 02/07/2010 | 1 | Some |
