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Quick Facts |
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| Address | 2001 E 29TH ST, BRYAN, TX 77802 | |
| Phone | (979) 822-6611 |
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| Beds | 140 | |
| Residents | 126 | |
| Occupancy | 90% | |
| Category | Participating in Medicare and Medicaid | |
| Ownership | For profit - Corporation | |
| Within a Hospital? | No | |
| Resident or Family Councils | Both | |
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Staffing Comparison |
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| Number of Residents |
This Facility: 126 State Average: 90.94 National Average: 89.94 |
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| Number of Registered Nurses hours per residents per day |
This Facility: 0.21 State Average: 0.64 National Average: 0.64 |
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| Number of Licensed Practical/Vocational Nurses hours per residents per day |
This Facility: 0.68 State Average: 0.79 National Average: 0.79 |
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| Number of Licensed Staff hours per residents per day |
This Facility: 0.89 State Average: 1.43 National Average :1.43 |
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| Number of Certified Nursing Assistants hours per residents per day |
This Facility: 2.32 State Average: 2.35 National Average: 2.34 |
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Latest Inspection Results |
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Survey Date Correction Date |
Scope | Level of Harm | Deficiency Type | Deficiency Category | Deficiency | |
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09/15/2006
10/15/2006 |
Pattern | Minimal harm or potential for actual harm | Health | Nutrition and Dietary Deficiencies | 1) Provide 3 meals daily at regular times; or 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day. | |
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09/15/2006
10/15/2006 |
Widespread | Minimal harm or potential for actual harm | Health | Nutrition and Dietary Deficiencies | Store, cook, and give out food in a safe and clean way. | |
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09/15/2006
10/15/2006 |
Widespread | Potential for minimal harm | Health | Environmental Deficiencies | Get rid of garbage properly. | |
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09/15/2006
10/15/2006 |
Isolated | Minimal harm or potential for actual harm | Health | Pharmacy Service Deficiencies | Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. | |
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09/15/2006
10/01/2006 |
Pattern | Minimal harm or potential for actual harm | Health | Pharmacy Service Deficiencies | At least once a month, have a licensed pharmacist check the drugs that each resident takes. | |
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09/15/2006
10/15/2006 |
Pattern | Minimal harm or potential for actual harm | Health | Environmental Deficiencies | Have a program to keep infection from spreading. | |
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09/15/2006
10/15/2006 |
Pattern | Minimal harm or potential for actual harm | Health | Administration Deficiencies | 1) Review the work of each nurse aide every year; or 2) give regular training for the nurse aides. | |
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09/15/2006
10/15/2006 |
Pattern | Minimal harm or potential for actual harm | Health | Administration Deficiencies | Make sure that nurse aides show they have the skills to be able to care for residents. | |
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09/15/2006
10/15/2006 |
Pattern | Minimal harm or potential for actual harm | Health | Administration Deficiencies | Train all employees on what to do in an emergency. | |
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09/15/2006
10/15/2006 |
Isolated | Minimal harm or potential for actual harm | Health | Pharmacy Service Deficiencies | Make sure that residents are safe from serious medication errors. | |
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09/15/2006
10/15/2006 |
Pattern | Potential for minimal harm | Health | Resident Rights Deficiencies | Allow residents to easily see the results of the nursing home's most recent survey. | |
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09/15/2006
10/15/2006 |
Isolated | Actual harm | Health | Administration Deficiencies | Give or get lab tests to meet the needs of residents. | |
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09/12/2006
10/15/2006 |
Widespread | Minimal harm or potential for actual harm | Fire Safety | Exits and Egress Deficiencies | exits that are accessible at all times. | |
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09/15/2006
10/15/2006 |
Isolated | Actual harm | Health | Quality Care Deficiencies | Make sure that each resident's nutritional needs were met. | |
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09/15/2006
10/15/2006 |
Isolated | Minimal harm or potential for actual harm | Health | Quality Care Deficiencies | 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. | |
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09/15/2006
10/15/2006 |
Isolated | Minimal harm or potential for actual harm | Health | Quality Care Deficiencies | Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | |
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09/15/2006
10/15/2006 |
Isolated | Minimal harm or potential for actual harm | Health | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | |
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09/15/2006
10/15/2006 |
Isolated | Minimal harm or potential for actual harm | Health | Quality Care Deficiencies | Give professional services that meet a professional standard of quality. | |
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09/12/2006
10/15/2006 |
Widespread | Minimal harm or potential for actual harm | Fire Safety | Smoke Compartmentation and Control Deficiencies | smoke barrier doors that can resist smoke for at least 20 minutes. | |
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09/15/2006
10/15/2006 |
Isolated | Minimal harm or potential for actual harm | Health | Resident Rights Deficiencies | Provide services to meet the needs and preferences of each resident. | |
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09/15/2006
10/15/2006 |
Isolated | Minimal harm or potential for actual harm | Health | Resident Rights Deficiencies | Try to resolve each resident's complaints quickly. | |
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09/12/2006
10/15/2006 |
Isolated | Minimal harm or potential for actual harm | Fire Safety | Electrical Deficiencies | a separate and independent backup electrical power source. | |
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09/15/2006
10/15/2006 |
Pattern | Minimal harm or potential for actual harm | Health | Pharmacy Service Deficiencies | Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | |
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09/15/2006
10/15/2006 |
Pattern | Minimal harm or potential for actual harm | Health | Environmental Deficiencies | Provide needed housekeeping and maintenance. | |
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Latest Complaints |
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Survey Date Correction Date |
Scope | Level of Harm | Deficiency Type | Deficiency Category | Deficiency | |
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01/31/2007
03/02/2007 |
Isolated | Minimal harm or potential for actual harm | Health | Pharmacy Service Deficiencies | Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | |
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08/10/2007
09/07/2007 |
Isolated | Minimal harm or potential for actual harm | Health | Administration Deficiencies | Make sure that nurse aides show they have the skills to be able to care for residents. | |
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01/31/2007
03/02/2007 |
Isolated | Minimal harm or potential for actual harm | Health | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | |
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01/31/2007
02/21/2007 |
Isolated | Minimal harm or potential for actual harm | Health | Mistreatment Deficiencies | 1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | |
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01/31/2007
03/02/2007 |
Pattern | Minimal harm or potential for actual harm | Health | Administration Deficiencies | Keep accurate and appropriate medical records. | |
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08/23/2006
09/14/2006 |
Isolated | Minimal harm or potential for actual harm | Health | Mistreatment Deficiencies | 1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | |
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01/31/2007
03/07/2007 |
Isolated | Minimal harm or potential for actual harm | Health | Resident Rights Deficiencies | Provide enough notice before discharging or transferring a resident. | |
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01/31/2007
03/02/2007 |
Pattern | Minimal harm or potential for actual harm | Health | Resident Rights Deficiencies | Provide care in a way that keeps or builds each resident's dignity and self respect. | |
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Quality Measures |
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| Quality Measure | Score | |
| Percent of Long-Stay Residents Whose Need for Help With Daily Activities Has Increased |
This Facility: 25 State Average: 15.7 National Average: 16.06 |
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| Percent of Long-Stay Residents With a Urinary Tract Infection |
This Facility: 8 State Average: 7.21 National Average: 8.83 |
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| Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores |
This Facility: 2 State Average: 1.48 National Average: 2.33 |
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| Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder |
This Facility: 52 State Average: 48.37 National Average: 48.73 |
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| Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season |
This Facility: 57 State Average: 70.15 National Average: 71.44 |
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| Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
This Facility: 7 State Average: 16.81 National Average: 20.65 |
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| Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination |
This Facility: 90+ State Average: 68.24 National Average: 71.04 |
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| Percent of Short-Stay Residents With Delirium |
This Facility: 2 State Average: 2.29 National Average: 2.13 |
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| Percent of Short-Stay Residents With Pressure Sores |
This Facility: 15 State Average: 15.71 National Average: 17.47 |
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| Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season |
This Facility: 86 State Average: 82.44 National Average: 83.07 |
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| Percent of Long-Stay Residents Who Were Physically Restrained |
This Facility: 0 State Average: 5.51 National Average: 5.63 |
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| Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination |
This Facility: 90+ State Average: 76.81 National Average: 76.95 |
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| Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair |
This Facility: 20 State Average: 6.69 National Average: 4.38 |
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| Percent of Long-Stay Residents Who Lose Too Much Weight |
This Facility: 5 State Average: 7.63 National Average: 9.09 |
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| Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
This Facility: 6 State Average: 4.79 National Average: 5.88 |
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| Percent of Long-Stay Residents Who Have Moderate to Severe Pain |
This Facility: 0 State Average: 3.85 National Average: 4.52 |
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| Percent of Long-Stay Residents Who are More Depressed or Anxious |
This Facility: 7 State Average: 8.72 National Average: 14.43 |
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| Percent of High-Risk Long-Stay Residents Who Have Pressure Sores |
This Facility: 8 State Average: 12.32 National Average: 12.84 |
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| Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse |
This Facility: 12 State Average: 11.94 National Average: 13.02 |
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