General Information: SAN JUAN NURSING HOME INC
Nursing home name SAN JUAN NURSING HOME INC
Address300 N NEBRASKA
SAN JUAN, TX 78589
Phone number (956) 787-1771
Located within a hospital No
Type of ownership Non profit - Church related
Owner operates multiple homesNo
Accept Medicare or Medicaid Medicare and Medicaid
Continue Care Retirement CommunityNo
Resident and family councils Both
Certified number of beds 100
Total number of residents 100
Perc of occupied beds 100
Sprinkler status Partial
Number of Facility Reported Incidents0
Number of Substantiated Complaints0
Number of Fines0
Total Amount of Fines$0
Total Number of Penalties0
Total Number of Penalties0
Ratings Summary: SAN JUAN NURSING HOME INC
Overall rating 2
2
Nursing Home Staffing 4
4
Registered Nurses only 3
3
Health Inspections 1
1
Quality Measures 4
4
Nursing Home Staffing Info: SAN JUAN NURSING HOME INC
National AverageTexas AverageSAN JUAN NURSING HOME INC
Overall staff rating NA NA 4
4
Registered Nurses only rating NANA 3
3
Total Number of Residents NA NA 100
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 3.79 hours 4.84 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.49 hours 1.62 hours
Registered Nurses Hours per Residents per Day 0.81 hours 0.57 hours 0.61 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 0.92 hours 1.01 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.3 hours 3.23 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.08 hours 0.01 hours
Health Survey: SAN JUAN NURSING HOME INC
Heath Survey Summary on 2013-04-24
Total Number of Health Deficiencies 17
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Heath Survey Summary on 2012-04-12
Total Number of Health Deficiencies 4
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Heath Survey Summary on 2011-04-07
Total Number of Health Deficiencies 10
Scope and Severity of most Severe Health Deficiency Pattern/Actual harm
Health Survey Details: SAN JUAN NURSING HOME INC
Inspection Results: 04/24/2013
Corrected Deficiency Scope and Severity
05/18/2013 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Pattern/Minimal harm or potential for actual harm
05/21/2013 Keep each resident free from physical restraints, unless needed for medical treatment. Pattern/Minimal harm or potential for actual harm
05/28/2013 Keep each resident free from drugs that restrain them, unless needed for medical treatment. Pattern/Minimal harm or potential for actual harm
05/20/2013 1) Hire only people with 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. Pattern/Minimal harm or potential for actual harm
05/20/2013 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. Pattern/Minimal harm or potential for actual harm
05/24/2013 Provide activities to meet the interests and needs of each resident. Pattern/Minimal harm or potential for actual harm
05/18/2013 Conduct initial and periodic assessments of each resident's functional capacity. Widespread /Minimal harm or potential for actual harm
05/18/2013 Ensure each resident receives an accurate assessment by a qualified health professional. Widespread /Minimal harm or potential for actual harm
05/17/2013 Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Pattern/Minimal harm or potential for actual harm
05/20/2013 Provide care by qualified persons according to each resident's written plan of care. Pattern/Minimal harm or potential for actual harm
05/20/2013 Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern/Minimal harm or potential for actual harm
05/20/2013 Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Pattern/Minimal harm or potential for actual harm
05/20/2013 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern/Minimal harm or potential for actual harm
05/29/2013 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. Pattern/Minimal harm or potential for actual harm
05/18/2013 Keep accurate, complete and organized clinical records on each resident that meet professional standards. Pattern/Minimal harm or potential for actual harm
05/28/2013 Have a program that investigates, controls and keeps infection from spreading. Widespread /Minimal harm or potential for actual harm
05/20/2013 Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. Pattern/Minimal harm or potential for actual harm
Inspection Results: 04/12/2012
Corrected Deficiency Scope and Severity
05/04/2012 Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated/Minimal harm or potential for actual harm
05/16/2012 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. Isolated/Minimal harm or potential for actual harm
05/04/2012 Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Pattern/Minimal harm or potential for actual harm
05/04/2012 Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated/Minimal harm or potential for actual harm
Inspection Results: 04/07/2011
Corrected Deficiency Scope and Severity
05/02/2011 Provide care by qualified persons according to each resident's written plan of care. Pattern/Minimal harm or potential for actual harm
05/02/2011 Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Pattern/Minimal harm or potential for actual harm
05/02/2011 Keep residents' personal and medical records private and confidential. Widespread/Potential for minimal harm
05/02/2011 Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Pattern/Actual harm
05/02/2011 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. Pattern/Minimal harm or potential for actual harm
05/02/2011 Post nurse staffing information/data on a daily basis. Widespread/Potential for minimal harm
05/02/2011 Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Widespread /Minimal harm or potential for actual harm
05/02/2011 At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. Widespread /Minimal harm or potential for actual harm
05/02/2011 Have a program that investigates, controls and keeps infection from spreading. Widespread /Minimal harm or potential for actual harm
05/02/2011 Keep accurate, complete and organized clinical records on each resident that meet professional standards. Pattern/Minimal harm or potential for actual harm

Fire Safety Survey: SAN JUAN NURSING HOME INC
Fire Safety Survey Summary on 2013-04-24
Total Number of Fire SafetyDeficiencies 5
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2012-04-11
Total Number of Fire SafetyDeficiencies 5
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2011-04-07
Total Number of Fire SafetyDeficiencies 0
Scope and Severity of most Severe Health Deficiency
Fire Safety Survey: SAN JUAN NURSING HOME INC
Fire Safety Survey Results: 04/24/2013
Corrected Deficiency Severity
07/01/2013 Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Widespread /Minimal harm or potential for actual harm
07/01/2013 Walls that prevent smoke from passing through and would resist fire for at least one hour. Widespread /Minimal harm or potential for actual harm
07/01/2013 Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. Pattern/Minimal harm or potential for actual harm
07/01/2013 An approved installation, maintenance and testing program for fire alarm systems. Widespread /Minimal harm or potential for actual harm
07/01/2013 Weekly inspections and monthly testing of generators. Widespread /Minimal harm or potential for actual harm
Fire Safety Survey Results: 04/11/2012
Corrected Deficiency Severity
04/24/2012 Hallway or ground-level exits in all residents' rooms. Widespread /Minimal harm or potential for actual harm
05/04/2012 Properly located and lighted "Exit" signs. Pattern/Potential for minimal harm
05/04/2012 An approved installation, maintenance and testing program for fire alarm systems. Widespread/Potential for minimal harm
08/01/2012 An approved automatic sprinkler system connected to the fire alarm system. Widespread/Potential for minimal harm
05/04/2012 Automatic sprinkler systems that have been maintained in working order. Widespread/Potential for minimal harm

Resident Complaints: SAN JUAN NURSING HOME INC
Not available

Quality Measures: SAN JUAN NURSING HOME INC
Quality Measures National Average Texas Average SAN JUAN NURSING HOME INC
Overall quality rating NA NA 4
4
Long-Stay Residents
Percent of Long Stay Residents Whose Need for Help with ADLs has Increased 15.4% 19.2% 21.8%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 9.1% 2.7%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 6.8% 7.2%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 6.0% 3.4%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 43.2% 93.7%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 3.2% 1.5%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 7.2% 6.4%
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 8.1% 0.7%
Percent of Long Stay Residents Who Were Physically Restrained 1.4% 1.2% 3.0%
Percent of Long Stay Residents Experiencing One or More Falls with Major Injury 3.2% 3.5% 1.0%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 90.4% 87.6%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 89.7% 76.6%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 27.1% 29.6%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 18.8% 14.1%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 1.2% 3.0%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 74.3% 39.1%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 73.2% 13.7%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 3.6% 5.4%

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