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The Oaks At Brookshire

Details

Type of Ownership Non profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 134
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: 10/27/2011

Date of last standard health inspection: 10/27/2011
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, 02/07/2010

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. 02/07/2010 02/05/2011 1 Some
Keep accurate 02/07/2010 02/05/2011 Some 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. 02/07/2010 02/05/2011 2 Some
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 02/07/2010 02/05/2011 2 Many
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. 02/07/2010 02/05/2011 2 Many
Have a program that investigates 02/07/2010 02/05/2011 Some controls and keeps infection from spreading.
Make sure that the nursing home area is safe 02/07/2010 02/05/2011 clean and comfortable for residents easy to use
Make sure there is a pest control program to prevent/deal with mice 02/07/2010 02/05/2011 or other pests. insects
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. 02/07/2010 02/05/2011 2 Some
Store 02/07/2010 02/05/2011 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. 02/07/2010 02/05/2011 2 Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 02/07/2010 02/05/2011 2 Some
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 02/07/2010 02/05/2011 2 Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 02/07/2010 02/05/2011 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. 02/07/2010 02/05/2011 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/07/2010 02/05/2011 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. 02/07/2010 02/05/2011 2 Few
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 02/07/2010 02/05/2011 2 Some
Ensure each resident receives an accurate assessment by a qualified health professional. 02/07/2010 02/05/2011 2 Few
Develop a complete care plan that meets all the resident's needs 02/07/2010 02/05/2011 Some with timetables and actions that can be measured.
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Try to resolve each resident's complaints quickly. 02/07/2010 02/05/2011 2 Some
Try to resolve each resident's complaints quickly. 02/07/2010 02/05/2011 2 Some

Inspection, 00/07/2010

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. 00/07/2010 00/05/2011 2 Few
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 00/07/2010 00/05/2011 2 Some
Dispose of garbage and refuse properly. 00/07/2010 00/08/2010 2 Some
Have a program that investigates, controls and keeps infection from spreading. 00/07/2010 00/05/2011 2 Some
Have enough backup water supply for essential areas of the nursing home. 00/07/2010 02/05/2010 2 Some
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, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. 00/07/2010 00/08/2010 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. 00/07/2010 02/06/2010 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. 00/07/2010 00/05/2011 2 Some
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 00/07/2010 00/05/2011 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. 00/07/2010 00/05/2011 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. 00/07/2010 00/05/2011 2 Some

Inspection, 01/03/2009

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. 01/03/2009 01/05/2010 2 Many
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 01/03/2009 01/05/2010 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. 01/03/2009 01/05/2010 2 Some
Have a program that investigates, controls and keeps infection from spreading. 01/03/2009 01/05/2010 2 Many
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 01/03/2009 01/07/2009 2 Many
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. 01/03/2009 01/07/2009 2 Many
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, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. 01/03/2009 01/05/2010 1 Some
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. 01/03/2009 00/01/2010 2 Few
Store, cook, and serve food in a safe and clean way. 01/03/2009 00/01/2010 2 Many
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%. 01/03/2009 01/05/2010 2 Some
Ensure that residents are safe from serious medication errors. 01/03/2009 01/05/2010 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. 01/03/2009 01/05/2010 2 Some
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/03/2009 01/05/2010 2 Some
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 01/03/2009 01/05/2010 2 Some
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 01/03/2009 01/01/2010 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. 01/03/2009 01/05/2010 2 Some
Have enough nurses to care for every resident in a way that maximizes the resident's well being. 01/03/2009 01/05/2010 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, with timetables and actions that can be measured. 01/03/2009 01/05/2010 2 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Allow residents to easily view the results of the nursing home's most recent inspection. 01/03/2009 01/05/2010 1 Some

Inspection, 03/00/2008

Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. 03/00/2008 00/01/2009 2 Some

Inspection, 00/06/2008

Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Protect each resident from mistreatment 00/06/2008 01/00/2008 Few neglect and misappropriation of personal property.

Inspection, 01/08/2005

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate 01/08/2005 03/01/2005 Few 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. 01/08/2005 03/01/2005 2 Few

Inspection, 03/01/2001

Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with no legal history of abusing 03/01/2001 02/05/2002 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 03/01/2001 02/05/2002 investigation identification

Inspection, 02/04/2001

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Assist those residents who need help with eating/drinking 02/04/2001 01/02/2002 Few grooming and personal and oral hygiene.

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 98
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 29 hours 19 minutes 53 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 28 hours 29 minutes 19 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 29 hours 31 minutes 34 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: 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 00/01/2012 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. 02/06/2010 01/08/2011 1 Many
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 02/06/2010 00/04/2011 1 Many
Miscellaneous Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Other fire safety features required by fire safety codes. 02/06/2010 01/08/2011 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. 02/06/2010 02/07/2010 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." 02/06/2010 01/08/2011 1 Many

Inspection, 00/06/2010

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. 00/06/2010 00/02/2011 2 Many
A complete sprinkler system with alarm system connection. 00/06/2010 01/05/2010 2 Many
Automatic sprinkler systems that have been maintained in working order. 00/06/2010 02/02/2010 2 Few
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 00/06/2010 00/05/2011 1 Many
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. 00/06/2010 02/08/2010 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. 00/06/2010 00/07/2010 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. 00/06/2010 02/05/2010 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. 00/06/2010 00/07/2010 2 Few

Inspection, 01/02/2009

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 01/02/2009 02/08/2010 1 Many
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 01/02/2009 02/08/2010 2 Many
Properly installed electrical wiring and equipment. 01/02/2009 01/07/2010 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. 01/02/2009 02/08/2010 2 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. 01/02/2009 02/08/2010 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. 01/02/2009 03/01/2001 2 Many
 

710 Hwy 359 S
Brookshire, TX 77423

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