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Decatur Nursing And Rehabilitation Lp

Details

Type of Ownership For profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 60
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: 12/20/2011

Date of last standard health inspection: 12/20/2011
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 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, 02/00/2012

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure the activities program is directed by a qualified professional. 02/00/2012 01/06/2001 1 Many
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Protect each resident from mistreatment, neglect and misappropriation of personal property. 02/00/2012 01/06/2001 3 Few
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. 02/00/2012 01/06/2001 3 Few
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 01/06/2001 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. 02/00/2012 01/06/2001 1 Many
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/00/2012 01/06/2001 3 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. 02/00/2012 01/06/2001 3 Some
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. 02/00/2012 01/06/2001 3 Few
Reasonably accommodate the needs and preferences of each resident. 02/00/2012 01/06/2001 2 Some

Inspection, 02/00/2009

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. 02/00/2009 02/01/2009 4 Many
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Protect each resident from all abuse 02/00/2009 02/01/2009 and involuntary separation from others. physical punishment
1) Hire only people with no legal history of abusing 02/00/2009 02/01/2009 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 02/00/2009 02/01/2009 investigation identification

Inspection, 02/00/2008

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep all essential equipment working safely. 02/00/2008 01/07/2009 1 Some

Inspection, 01/09/2007

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. 01/09/2007 01/00/2008 2 Some

Inspection, 01/03/2006

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates 01/03/2006 01/05/2007 Many controls and keeps infection from spreading.
Make sure there is a pest control program to prevent/deal with mice 01/03/2006 01/05/2007 or other pests. insects
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. 01/03/2006 01/05/2007 4 Many

Inspection, 01/01/2003

Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Protect each resident from all abuse 01/01/2003 00/08/2004 and involuntary separation from others. physical punishment

Inspection, 02/05/2001

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep all essential equipment working safely. 02/05/2001 01/05/2002 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 4 out of 5 stars
Total Number of Residents 86 72 25
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 29 hours 19 minutes 1 hour 54 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 28 hours 29 minutes 57 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 29 hours 31 minutes 57 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 30 hours 19 minutes 2 hours 3 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: 11/30/2011

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 11/30/2011
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, 03/00/2011

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 03/00/2011 02/00/2001 1 Many
Portable fire extinguishers. 03/00/2011 02/00/2001 1 Many
Building Construction Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Approved construction type or materials. 03/00/2011 02/00/2001 2 Some
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. 03/00/2011 00/00/0000 1 Many
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 03/00/2011 02/00/2001 2 Some
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 03/00/2011 02/00/2001 2 Some
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. 03/00/2011 02/00/2001 2 Some
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. 03/00/2011 02/00/2001 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. 03/00/2011 02/00/2001 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." 03/00/2011 02/00/2001 2 Many

Inspection, 01/08/2007

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. 01/08/2007 01/07/2008 1 Many
Building Construction Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Approved construction type or materials. 01/08/2007 03/01/2008 1 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. 01/08/2007 00/00/0000 1 Many
An externally vented heating system. 01/08/2007 01/07/2008 1 Many
Properly protected cooking facilities. 01/08/2007 03/01/2008 1 Many
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 01/08/2007 01/07/2008 1 Many
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 01/08/2007 01/00/2008 1 Many
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 01/08/2007 03/01/2008 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. 01/08/2007 03/01/2008 1 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. 01/08/2007 01/07/2008 1 Many
Illumination and Emergency Power Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper backup exit lighting. 01/08/2007 01/07/2008 1 Many
Emergency lighting that can last at least 1 1/2 hours. 01/08/2007 01/07/2008 1 Many

Inspection, 02/04/2001

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. 02/04/2001 00/00/0000 1 Many
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 02/04/2001 00/01/2002 2 Few
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 02/04/2001 00/01/2002 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. 02/04/2001 00/01/2002 2 Few
 

605 W Mulberry
Decatur, TX 76234

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