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Sulphur Springs Health And Rehabilitation

Details

Type of Ownership For profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 128
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: 07/20/2011

Date of last standard health inspection: 07/20/2011
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 2
Average number of Health Deficiencies in TX: 3
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in TX: 0 - 19
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. 01/01/2012 00/04/2001 2 Some
Ensure that each resident who enters the nursing home without a catheter is not given a catheter 01/01/2012 00/04/2001 and that incontinent patients receive proper servi unless medically necessary

Inspection, 00/05/2011

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure services provided by the nursing facility meet professional standards of quality. 00/05/2011 00/03/2012 2 Some
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/05/2011 00/03/2012 3 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident 00/05/2011 00/03/2012 and a family member of situations (injury/decline/ the resident's doctor

Inspection, 00/05/2010

Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with no legal history of abusing 00/05/2010 03/00/2010 neglect or mistreatment of residents. neglecting or mistreating residents; or 2) report
Develop and implement policies for 1) screening and training employees; and the 2) prevention 00/05/2010 03/00/2010 investigation identification

Inspection, 00/05/2008

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure the activities program is directed by a qualified professional. 00/05/2008 01/07/2009 1 Many
Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. 00/05/2008 01/07/2009 2 Many
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. 00/05/2008 01/07/2009 2 Some
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 00/05/2008 01/07/2009 2 Many
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide activities to meet the interests and needs of each resident. 00/05/2008 01/07/2009 2 Some

Inspection, 00/01/2008

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. 00/01/2008 03/01/2008 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. 00/01/2008 03/01/2008 2 Some
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. 00/01/2008 03/01/2008 2 Many
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide medically-related social services to help each resident achieve the highest possible quality of life. 00/01/2008 03/01/2008 2 Some
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 00/01/2008 03/01/2008 2 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep residents' personal and medical records private and confidential. 00/01/2008 03/01/2008 2 Some

Inspection, 02/00/2007

Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. 02/00/2007 01/09/2008 2 Many
Store, cook, and serve food in a safe and clean way. 02/00/2007 01/09/2008 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. 02/00/2007 01/09/2008 2 Many
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Maintain 15 months of resident assessments in the resident's active clinical record. 02/00/2007 01/09/2008 1 Many
Resident Rights Deficiencies
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. 02/00/2007 01/09/2008 2 Some

Inspection, 02/09/2004

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident. 02/09/2004 01/00/2006 3 Some
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Protect each resident from mistreatment 02/09/2004 01/00/2006 Some neglect and misappropriation of personal property.
Develop and implement policies for 1) screening and training employees; and the 2) prevention 02/09/2004 01/00/2006 investigation identification
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that residents are safe from serious medication errors. 02/09/2004 01/00/2006 3 Some
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 02/09/2004 01/00/2006 3 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. 02/09/2004 01/00/2006 3 Some
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. 02/09/2004 01/00/2006 2 Some

Inspection, 01/00/2002

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. 01/00/2002 01/01/2002 2 Some
Ensure that each resident who enters the nursing home without a catheter is not given a catheter 01/00/2002 01/01/2002 and that incontinent patients receive proper servi unless medically necessary
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Honor a residents' rights as a residents of the nursing home 01/00/2002 01/01/2002 and as citizens or residents of the United States. free of coercion and reprisal

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 2 out of 5 stars
Total Number of Residents 86 72 61
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 29 hours 19 minutes 1 hour 24 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 28 hours 29 minutes 34 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 29 hours 31 minutes 50 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 30 hours 19 minutes 2 hours 12 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: 07/20/2011

Automatic Sprinkler Systems in all required areas No
Date of last standard fire safety inspection: 07/20/2011
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, 00/03/2008

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved automatic sprinkler system connected to the fire alarm system. 00/03/2008 01/07/2009 1 Many
Furnishings and Decorations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are free from obstructions and can be used at all times. 00/03/2008 01/07/2009 2 Some

Inspection, 03/00/2007

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. 03/00/2007 03/01/2008 1 Many
An approved installation, maintenance and testing program for fire alarm systems. 03/00/2007 03/01/2008 1 Many
 

411 Airport Rd
Sulphur Springs, TX 75482

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