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Winterhaven Healthcare Center

Details

Type of Ownership For profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 160
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: 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: 4
Average number of Health Deficiencies in TX: 3
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in TX: 0 - 19
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates 02/09/2012 01/04/2001 Few controls and keeps infection from spreading.
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Assist those residents who need help with eating/drinking 02/09/2012 01/04/2001 Some grooming and personal and oral hygiene.
Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate 01/09/2012 03/00/2012 Some complete and organized clinical records on each re
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. 01/09/2012 03/00/2012 3 Few

Inspection, 02/09/2011

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. 02/09/2011 02/06/2012 2 Few
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that special or therapeutic diets are ordered by the attending doctor. 02/09/2011 02/06/2012 2 Few
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. 02/09/2011 02/06/2012 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident 02/09/2011 02/06/2012 and a family member of situations (injury/decline/ the resident's doctor

Inspection, 02/08/2010

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. 02/08/2010 01/01/2011 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. 02/08/2010 01/01/2011 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 01/01/2011 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. 02/08/2010 01/01/2011 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. 02/08/2010 01/01/2011 2 Few
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 02/08/2010 01/01/2011 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. 02/08/2010 01/01/2011 2 Few

Inspection, 01/05/2010

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Post nurse staffing information/data on a daily basis. 01/05/2010 01/05/2011 1 Many
Ensure laboratory services, blood blanks and transfusion services provided on site meet requirements for certified laboratories; or have an agreement to obtain services from an offsite laboratory, that meets the same requirements. 01/05/2010 01/05/2011 1 Many
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 01/05/2010 01/05/2011 2 Some
Post nurse staffing information/data on a daily basis. 01/05/2010 01/05/2011 1 Many
Ensure laboratory services 01/05/2010 01/05/2011 that meets the same requirements. blood blanks and transfusion services provided on
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates, controls and keeps infection from spreading. 01/05/2010 01/05/2011 2 Some
Have a program that investigates 01/05/2010 01/05/2011 Some controls and keeps infection from spreading.
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that special or therapeutic diets are ordered by the attending doctor. 01/05/2010 01/05/2011 1 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. 01/05/2010 01/05/2011 2 Some
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 01/05/2010 01/05/2011 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
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. 01/05/2010 01/05/2011 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. 01/05/2010 01/05/2011 2 Few
Ensure residents maintain acceptable nutritional status. 01/05/2010 01/05/2011 2 Some
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. 01/05/2010 01/05/2011 2 Few
Ensure residents maintain acceptable nutritional status. 01/05/2010 01/05/2011 2 Some

Inspection, 01/01/2010

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. 01/01/2010 02/02/2010 2 Some
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 01/01/2010 02/02/2010 2 Few
Keep accurate 01/01/2010 02/02/2010 Few complete and organized clinical records on each re
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates, controls and keeps infection from spreading. 01/01/2010 02/02/2010 2 Some
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 01/01/2010 02/02/2010 2 Some
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. 01/01/2010 02/02/2010 2 Few
Have a program that investigates 01/01/2010 02/02/2010 Some controls and keeps infection from spreading.
Make sure that the nursing home area is safe 01/01/2010 02/02/2010 clean and comfortable for residents easy to use
Make sure there is a pest control program to prevent/deal with mice 01/01/2010 02/02/2010 or other pests. insects
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%. 01/01/2010 02/02/2010 2 Some
Ensure that residents are safe from serious medication errors. 01/01/2010 02/02/2010 2 Some
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 01/01/2010 02/02/2010 2 Some
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 01/01/2010 02/02/2010 2 Some
Keep the rate of medication errors (wrong drug 01/01/2010 02/02/2010 wrong time) to less than 5%. wrong dose
Ensure that residents are safe from serious medication errors. 01/01/2010 02/02/2010 2 Some
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 01/01/2010 02/02/2010 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
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. 01/01/2010 02/02/2010 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep residents' personal and medical records private and confidential. 01/01/2010 02/02/2010 2 Some

Inspection, 02/01/2009

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that a working call system is available in each resident's room or bathroom and bathing area. 02/01/2009 02/04/2009 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. 02/01/2009 02/08/2009 2 Few

Inspection, 01/00/2009

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates 01/00/2009 00/01/2010 Some controls and keeps infection from spreading.
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with no legal history of abusing 01/00/2009 00/01/2010 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 01/00/2009 00/01/2010 investigation identification

Inspection, 00/03/2008

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. 00/03/2008 02/04/2008 2 Few

Inspection, 01/04/2007

Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with no legal history of abusing 01/04/2007 00/06/2008 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 01/04/2007 00/06/2008 investigation identification
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Assist those residents who need help with eating/drinking 01/04/2007 00/06/2008 Few grooming and personal and oral hygiene.

Inspection, 00/02/2007

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate 00/02/2007 02/07/2007 Some complete and organized clinical records on each re
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. 00/02/2007 02/07/2007 2 Some

Inspection, 01/06/2006

Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep each resident free from physical restraints 01/06/2006 01/06/2007 Few unless needed for medical treatment.
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that special or therapeutic diets are ordered by the attending doctor. 01/06/2006 01/06/2007 2 Few
Store 01/06/2006 01/06/2007 and serve food in a safe and clean way. cook
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. 01/06/2006 01/06/2007 2 Some

Inspection, 00/04/2005

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 00/04/2005 02/03/2005 investigation identification

Inspection, 02/07/2004

Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Let each resident or the resident's legal representative access or purchase copies of all the resident's records. 02/07/2004 00/00/0000 2 Few

Inspection, 02/00/2004

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate 02/00/2004 01/04/2005 Some complete and organized clinical records on each re
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that the nursing home area is safe 02/00/2004 01/04/2005 clean and comfortable for residents easy to use
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. 02/00/2004 01/04/2005 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Reasonably accommodate the needs and preferences of each resident. 02/00/2004 01/04/2005 2 Few

Inspection, 01/05/2002

Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Let each resident or the resident's legal representative access or purchase copies of all the resident's records. 01/05/2002 02/00/2002 2 Few

Inspection, 00/02/2001

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. 00/02/2001 00/07/2001 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 2 out of 5 stars
Total Number of Residents 86 72 101
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 29 hours 19 minutes 1 hour 15 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 28 hours 29 minutes 28 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 29 hours 31 minutes 46 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 30 hours 19 minutes 1 hour 57 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: 10/26/2011

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 10/26/2011
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, 02/06/2010

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 02/06/2010 03/01/2010 2 Many
Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly protected cooking facilities. 02/06/2010 01/09/2011 2 Few
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 02/06/2010 03/01/2010 2 Few
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. 02/06/2010 02/08/2010 2 Few
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. 02/06/2010 03/01/2010 2 Some
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. 02/06/2010 03/01/2010 2 Few

Inspection, 01/03/2010

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
A complete sprinkler system with alarm system connection. 01/03/2010 02/08/2010 2 Many
Automatic sprinkler systems that have been maintained in working order. 01/03/2010 01/03/2010 1 Many
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 01/03/2010 00/05/2011 2 Few
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 01/03/2010 00/04/2011 1 Many
Properly installed electrical wiring and equipment. 01/03/2010 00/05/2011 2 Some
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. 01/03/2010 00/05/2011 2 Few

Inspection, 01/00/2010

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
A complete sprinkler system with alarm system connection. 01/00/2010 03/01/2010 2 Many
Automatic sprinkler systems that have been maintained in working order. 01/00/2010 03/01/2010 2 Many
An adequate water supply for the sprinkler system. 01/00/2010 03/01/2010 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. 01/00/2010 01/02/2010 2 Some
Properly protected cooking facilities. 01/00/2010 01/02/2010 2 Few
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 01/00/2010 02/04/2010 2 Many
Properly installed electrical wiring and equipment. 01/00/2010 03/01/2010 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. 01/00/2010 03/01/2010 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. 01/00/2010 01/02/2010 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. 01/00/2010 03/01/2010 2 Some
 

6534 Stuebner Airline Rd
Houston, TX 77091

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