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Cypresswood Health And Rehabilitation Center

Details

Type of Ownership For profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 202
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: 03/29/2012

Date of last standard health inspection: 03/29/2012
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 17
Average number of Health Deficiencies in TX: 3
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in TX: 0 - 19
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Prepare food that is nutritional 02/00/2012 02/03/2001 tasty appetizing
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. 02/00/2012 02/03/2001 2 Few
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. 02/00/2012 02/03/2001 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/00/2012 02/03/2001 2 Few
Assist those residents who need help with eating/drinking 02/00/2012 02/03/2001 Few grooming and personal and oral hygiene.
Ensure that each resident who enters the nursing home without a catheter is not given a catheter 02/00/2012 02/03/2001 and that incontinent patients receive proper servi unless medically necessary
Ensure residents maintain acceptable nutritional status. 02/00/2012 02/03/2001 2 Few
Give each resident enough fluids to keep them healthy and prevent dehydration. 02/00/2012 02/03/2001 1 Some
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 00/05/2012 00/01/2001 2 Few
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 00/05/2012 00/01/2001 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. 00/05/2012 01/00/2012 2 Some
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 00/05/2012 00/01/2001 2 Few
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. 00/05/2012 00/01/2001 2 Some
Assist those residents who need help with eating/drinking 00/05/2012 00/01/2001 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. 00/05/2012 00/01/2001 2 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident 00/05/2012 00/01/2001 and a family member of situations (injury/decline/ the resident's doctor
Try to resolve each resident's complaints quickly. 00/05/2012 00/01/2001 2 Few

Inspection, 02/01/2010

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 02/01/2010 02/09/2011 investigation identification
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. 02/01/2010 02/09/2011 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have enough nurses to care for every resident in a way that maximizes the resident's well being. 02/01/2010 02/09/2011 2 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Try to resolve each resident's complaints quickly. 02/01/2010 02/09/2011 2 Few
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 02/01/2010 02/09/2011 2 Some

Inspection, 02/00/2008

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide routine and 24-hour emergency dental care for each resident. 02/00/2008 02/08/2009 2 Few
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 02/00/2008 02/08/2008 Few with timetables and actions that can be measured.

Inspection, 01/07/2008

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. 01/07/2008 01/05/2009 2 Few
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 01/07/2008 01/05/2009 Few with timetables and actions that can be measured.

Inspection, 03/01/2007

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. 03/01/2007 01/05/2008 2 Few

Inspection, 02/05/2007

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. 02/05/2007 01/01/2008 2 Some

Inspection, 00/05/2005

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate 00/05/2005 02/09/2005 Some complete and organized clinical records on each re
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. 00/05/2005 02/09/2005 2 Few

Inspection, 02/09/2003

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 02/09/2003 02/00/2004 2 Some
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates, controls and keeps infection from spreading. 02/09/2003 02/00/2004 2 Some
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 02/09/2003 03/00/2003 2 Few
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. 02/09/2003 02/00/2004 2 Few
Store, cook, and serve food in a safe and clean way. 02/09/2003 02/00/2004 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. 02/09/2003 00/06/2004 2 Some
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. 02/09/2003 02/00/2004 2 Few
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. 02/09/2003 02/00/2004 2 Some
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 02/09/2003 02/00/2004 2 Some
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 02/09/2003 00/06/2004 2 Some
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. 02/09/2003 02/00/2004 2 Few
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, with timetables and actions that can be measured. 02/09/2003 01/03/2004 2 Some
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. 02/09/2003 02/00/2004 2 Few

Inspection, 02/08/2003

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Quickly tell the resident's doctor the results of laboratory tests. 02/08/2003 01/01/2005 2 Few
Quickly tell the resident's doctor the results of laboratory tests. 02/08/2003 01/01/2005 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. 02/08/2003 01/01/2005 2 Some
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 02/08/2003 01/01/2005 2 Many
Have a program that investigates 02/08/2003 01/01/2005 Some controls and keeps infection from spreading.
Make sure that the nursing home area is safe 02/08/2003 01/01/2005 clean and comfortable for residents easy to use
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. 02/08/2003 01/01/2005 2 Some
Store, cook, and serve food in a safe and clean way. 02/08/2003 01/01/2005 2 Some
Prepare food that is nutritional 02/08/2003 01/01/2005 tasty appetizing
Store 02/08/2003 01/01/2005 and serve food in a safe and clean way. cook
Pharmacy Service Deficiencies
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%. 02/08/2003 01/01/2005 2 Many
Ensure that residents are safe from serious medication errors. 02/08/2003 01/01/2005 2 Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 02/08/2003 01/01/2005 2 Many
Keep the rate of medication errors (wrong drug 02/08/2003 01/01/2005 wrong time) to less than 5%. wrong dose
Ensure that residents are safe from serious medication errors. 02/08/2003 01/01/2005 2 Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 02/08/2003 01/01/2005 2 Many
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. 02/08/2003 01/01/2005 2 Some
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 02/08/2003 01/01/2005 2 Some
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 02/08/2003 01/01/2005 2 Few
Provide care by qualified persons according to each resident's written plan of care. 02/08/2003 01/01/2005 2 Some
Assist those residents who need help with eating/drinking 02/08/2003 01/01/2005 Some grooming and personal and oral hygiene.
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 02/08/2003 01/01/2005 2 Few
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. 02/08/2003 01/01/2005 2 Few
Make sure that a doctor approves a resident's admission in writing and that each resident remains under the care of a doctor. 02/08/2003 01/01/2005 2 Some
Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. 02/08/2003 01/01/2005 2 Few
Make sure that a doctor approves a resident's admission in writing and that each resident remains under the care of a doctor. 02/08/2003 01/01/2005 2 Some
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. 02/08/2003 01/01/2005 2 Some
Reasonably accommodate the needs and preferences of each resident. 02/08/2003 01/01/2005 2 Some
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 02/08/2003 01/01/2005 2 Some
Reasonably accommodate the needs and preferences of each resident. 02/08/2003 01/01/2005 2 Some

Inspection, 01/08/2003

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Quickly tell the resident's doctor the results of laboratory tests. 01/08/2003 01/09/2003 2 Few
Train all employees on what to do in an emergency, and carry out unannounced staff drills. 01/08/2003 02/08/2003 2 Some
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates, controls and keeps infection from spreading. 01/08/2003 01/05/2004 2 Some
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 01/08/2003 01/09/2003 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. 01/08/2003 01/05/2004 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. 01/08/2003 01/05/2004 2 Some
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 01/08/2003 01/05/2004 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide activities to meet the interests and needs of each resident. 01/08/2003 01/05/2004 2 Some
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. 01/08/2003 01/09/2003 2 Some
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. 01/08/2003 02/01/2003 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. 01/08/2003 03/00/2004 1 Some
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 01/08/2003 03/00/2004 2 Some

Inspection, 00/08/2002

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. 00/08/2002 00/00/0000 1 Some

Inspection, 02/05/2001

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Assist those residents who need help with eating/drinking 02/05/2001 02/04/2002 Some grooming and personal and oral hygiene.
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 02/05/2001 02/04/2002 2 Some

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 86 72 141
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 29 hours 19 minutes 1 hour 18 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 28 hours 29 minutes 25 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 29 hours 31 minutes 53 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 30 hours 19 minutes 1 hour 58 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: 03/28/2012

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 03/28/2012
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, 02/08/2003

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 02/08/2003 02/09/2003 2 Many
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 02/08/2003 02/09/2003 2 Few
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 02/08/2003 02/09/2003 2 Few
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved installation, maintenance and testing program for fire alarm systems. 02/08/2003 02/09/2003 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. 02/08/2003 02/09/2003 2 Some

Inspection, 02/07/2003

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 02/07/2003 01/01/2005 2 Few
Portable fire extinguishers. 02/07/2003 01/01/2005 2 Few
Emergency Plans and Fire Drills Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Record of quarterly fire drills for each shift under varying conditions. 02/07/2003 01/01/2005 2 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. 02/07/2003 01/01/2005 2 Many
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed hallway dispensers for alcohol-based hand rub. 02/07/2003 01/01/2005 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. 02/07/2003 01/01/2005 2 Few

Inspection, 01/07/2003

Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 01/07/2003 01/01/2004 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. 01/07/2003 01/08/2003 2 Few
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed hallway dispensers for alcohol-based hand rub. 01/07/2003 01/08/2003 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. 01/07/2003 01/08/2003 2 Some
 

10851 Crescent Moon Dr
Houston, TX 77064

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