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East Texas Ltc The Waterton At Shiloh Llc

Details

Type of Ownership For profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 92
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: 09/28/2011

Date of last standard health inspection: 09/28/2011
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 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, 03/00/2010

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. 03/00/2010 03/00/2011 2 Some
Have a program that investigates, controls and keeps infection from spreading. 03/00/2010 03/00/2011 2 Some
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. 03/00/2010 03/00/2011 2 Some
Store, cook, and serve food in a safe and clean way. 03/00/2010 03/00/2011 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. 03/00/2010 03/00/2011 2 Some

Inspection, 01/04/2010

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. 01/04/2010 02/08/2011 2 Some
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide clean bed and bath linens that are in good condition. 01/04/2010 02/08/2011 1 Many
Have a program that investigates, controls and keeps infection from spreading. 01/04/2010 02/08/2011 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. 01/04/2010 02/08/2011 2 Some
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. 01/04/2010 02/08/2011 2 Some
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. 01/04/2010 02/08/2011 2 Some
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 01/04/2010 02/08/2011 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. 01/04/2010 02/08/2011 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. 01/04/2010 02/08/2011 2 Some
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/04/2010 02/08/2011 2 Some
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 01/04/2010 02/08/2011 2 Some
Give or get specialized rehabilitative services per the patient's assessment or plan of care. 01/04/2010 02/08/2011 2 Some
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. 01/04/2010 02/08/2011 2 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. 01/04/2010 02/08/2011 1 Many

Inspection, 02/08/2009

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. 02/08/2009 00/02/2011 2 Some
Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. 02/08/2009 00/02/2011 2 Some
Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. 02/08/2009 00/02/2011 2 Some
Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. 02/08/2009 00/02/2011 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. 02/08/2009 01/01/2011 2 Many
Have a program that investigates 02/08/2009 01/01/2011 Many controls and keeps infection from spreading.
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%. 02/08/2009 00/02/2011 2 Some
Ensure that residents are safe from serious medication errors. 02/08/2009 00/02/2011 2 Some
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 02/08/2009 00/02/2011 2 Many
Keep the rate of medication errors (wrong drug 02/08/2009 00/02/2011 wrong time) to less than 5%. wrong dose
Ensure that residents are safe from serious medication errors. 02/08/2009 00/02/2011 2 Some
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 02/08/2009 00/02/2011 2 Many
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. 02/08/2009 00/02/2011 2 Some
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 02/08/2009 00/02/2011 2 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide proof that residents' personal money that is deposited with the nursing home is secure. 02/08/2009 00/02/2011 1 Many
Provide proof that residents' personal money that is deposited with the nursing home is secure. 02/08/2009 00/02/2011 1 Many

Inspection, 02/07/2007

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. 02/07/2007 01/05/2008 3 Some
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 02/07/2007 01/05/2008 3 Few
Ensure that each resident who enters the nursing home without a catheter is not given a catheter 02/07/2007 01/05/2008 and that incontinent patients receive proper servi unless medically necessary
Give or get specialized rehabilitative services per the patient's assessment or plan of care. 02/07/2007 01/05/2008 2 Some

Inspection, 02/07/2004

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. 02/07/2004 03/00/2004 2 Some

Inspection, 02/04/2001

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. 02/04/2001 01/01/2002 1 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 43
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 29 hours 19 minutes 1 hour 39 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 28 hours 29 minutes 23 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 29 hours 31 minutes 1 hour 15 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: 09/28/2011

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 09/28/2011
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, 03/00/2010

Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 03/00/2010 03/00/2011 2 Many

Inspection, 01/04/2010

Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridors that are separated from use areas by walls constructed to limit the passage of smoke. 01/04/2010 02/08/2011 2 Many
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 01/04/2010 02/08/2011 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. 01/04/2010 02/08/2011 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. 01/04/2010 02/08/2011 2 Many
Vertical Openings Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper stairway enclosures and vertical shafts. 01/04/2010 02/08/2011 2 Many

Inspection, 02/08/2009

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 02/08/2009 01/01/2011 2 Many
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
The appropriate emergency electrical system. 02/08/2009 01/01/2011 2 Many
Properly installed electrical wiring and equipment. 02/08/2009 01/01/2011 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. 02/08/2009 01/01/2011 2 Many
 

2875 Shiloh Road
Tyler, TX 75703

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