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Afton Oaks Nursing Center

Details

Type of Ownership For profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 169
Continuing Care? No
Resident Council? Yes
Family Council? Yes
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: 11/19/2011

Date of last standard health inspection: 11/19/2011
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 1
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
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 00/03/2012 03/01/2012 2 Some

Inspection, 00/03/2012

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. 00/03/2012 03/01/2012 2 Some
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store, cook, and serve food in a safe and clean way. 00/03/2012 03/01/2012 2 Many
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. 00/03/2012 03/01/2012 2 Few
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 00/03/2012 03/01/2012 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 00/03/2012 03/01/2012 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Try to resolve each resident's complaints quickly. 00/03/2012 03/01/2012 2 Few
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 00/03/2012 03/01/2012 2 Few

Inspection, 02/09/2011

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. 02/09/2011 00/09/2012 2 Few
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with no legal history of abusing 02/09/2011 00/09/2012 neglect or mistreatment of residents. neglecting or mistreating residents; or 2) report

Inspection, 01/09/2011

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. 01/09/2011 02/00/2001 2 Some
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 01/09/2011 02/00/2001 2 Few
Keep accurate 01/09/2011 02/00/2001 Few complete and organized clinical records on each re
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 01/09/2011 02/00/2001 1 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/09/2011 02/00/2001 3 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/09/2011 02/00/2001 3 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. 01/09/2011 02/00/2001 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 01/09/2011 02/00/2001 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure each resident receives an accurate assessment by a qualified health professional. 01/09/2011 02/00/2001 2 Few
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 01/09/2011 02/00/2001 2 Few
Develop a complete care plan that meets all the resident's needs 01/09/2011 02/00/2001 Few with timetables and actions that can be measured.
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. 01/09/2011 02/00/2001 2 Few
Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. 01/09/2011 02/00/2001 2 Few
Reasonably accommodate the needs and preferences of each resident. 01/09/2011 02/00/2001 2 Few

Inspection, 00/08/2011

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. 00/08/2011 00/09/2012 2 Some
Quickly tell the resident's doctor the results of laboratory tests. 00/08/2011 00/09/2012 2 Few
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 00/08/2011 00/09/2012 2 Few
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates, controls and keeps infection from spreading. 00/08/2011 00/09/2012 2 Few
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store, cook, and serve food in a safe and clean way. 00/08/2011 00/09/2012 2 Few
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. 00/08/2011 00/09/2012 2 Some
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 00/08/2011 00/09/2012 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide care by qualified persons according to each resident's written plan of care. 00/08/2011 00/09/2012 2 Some
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. 00/08/2011 00/09/2012 2 Few
Provide care by qualified persons according to each resident's written plan of care. 00/08/2011 00/09/2012 2 Some
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Encode each resident 00/08/2011 00/09/2012 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give residents a notice of rights, rules, services and charges. 00/08/2011 00/09/2012 2 Few
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. 00/08/2011 00/09/2012 2 Few
Permit residents to remain in the facility and not be transferred or discharged without adequate reason. 00/08/2011 00/09/2012 2 Few
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 00/08/2011 00/09/2012 2 Few

Inspection, 01/09/2010

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide care by qualified persons according to each resident's written plan of care. 01/09/2010 00/03/2011 2 Some

Inspection, 00/04/2010

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. 00/04/2010 01/09/2010 2 Few
Keep all essential equipment working safely. 00/04/2010 01/09/2010 2 Few
Make sure that the nursing home area is safe 00/04/2010 01/09/2010 clean and comfortable for residents easy to use
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with no legal history of abusing 00/04/2010 01/09/2010 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 00/04/2010 01/09/2010 investigation identification
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. 00/04/2010 01/09/2010 2 Few
Provide care by qualified persons according to each resident's written plan of care. 00/04/2010 01/09/2010 2 Few
Assist those residents who need help with eating/drinking 00/04/2010 01/09/2010 Some grooming and personal and oral hygiene.
Have enough nurses to care for every resident in a way that maximizes the resident's well being. 00/04/2010 01/09/2010 2 Some
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop a complete care plan that meets all the resident's needs 00/04/2010 01/09/2010 Few with timetables and actions that can be measured.

Inspection, 00/01/2010

Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop and implement policies for 1) screening and training employees; and the 2) prevention 00/01/2010 02/00/2010 investigation identification

Inspection, 01/07/2008

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide care by qualified persons according to each resident's written plan of care. 01/07/2008 02/08/2009 2 Few

Inspection, 01/04/2003

Pharmacy Service Deficiencies
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. 01/04/2003 02/06/2004 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 2 out of 5 stars
Total Number of Residents 86 72 120
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 29 hours 19 minutes 1 hour 40 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 28 hours 29 minutes 31 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 29 hours 31 minutes 1 hour 9 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 30 hours 19 minutes 2 hours 27 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: 11/16/2011

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 11/16/2011
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, 00/07/2012

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. 00/07/2012 01/00/2001 2 Few
Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. 00/07/2012 01/00/2001 1 Some
Properly protected cooking facilities. 00/07/2012 01/00/2001 2 Few
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 00/07/2012 01/00/2001 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. 00/07/2012 01/00/2001 2 Many
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 00/07/2012 01/00/2001 2 Few
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Walls that prevent smoke from passing through and would resist fire for at least one hour. 00/07/2012 01/00/2001 2 Few
Vertical Openings Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. 00/07/2012 01/00/2001 2 Many

Inspection, 01/06/2011

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 01/06/2011 01/09/2001 2 Many
Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. 01/06/2011 01/09/2001 1 Many
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 01/06/2011 01/09/2001 2 Many
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 01/06/2011 01/09/2001 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. 01/06/2011 01/09/2001 1 Many
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed hallway dispensers for alcohol-based hand rub. 01/06/2011 01/07/2011 2 Few
Illumination and Emergency Power Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly located and lighted Exit" signs." 01/06/2011 01/09/2001 2 Few
Miscellaneous Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Other fire safety features required by fire safety codes. 01/06/2011 01/09/2001 2 Many
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Walls that prevent smoke from passing through and would resist fire for at least one hour. 01/06/2011 01/09/2001 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." 01/06/2011 01/09/2001 1 Many
Vertical Openings Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. 01/06/2011 01/09/2001 2 Many

Inspection, 00/07/2011

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 00/07/2011 00/05/2012 2 Few
Portable fire extinguishers. 00/07/2011 00/05/2012 1 Many
Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly protected cooking facilities. 00/07/2011 00/05/2012 2 Some
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. 00/07/2011 00/05/2012 2 Some
An approved installation, maintenance and testing program for fire alarm systems. 00/07/2011 00/05/2012 1 Many
Illumination and Emergency Power Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Emergency lighting that can last at least 1 1/2 hours. 00/07/2011 00/05/2012 2 Many
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Walls that prevent smoke from passing through and would resist fire for at least one hour. 00/07/2011 00/05/2012 2 Some
 

7514 Kingsley St
Houston, TX 77087

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