General Information: BISHOP DAVIES NURSING CENTER
Nursing home name BISHOP DAVIES NURSING CENTER
Address2712 N HURSTVIEW
HURST, TX 76054
Phone number (817) 281-6707
Located within a hospital No
Type of ownership For profit - Corporation
Owner operates multiple homesNo
Accept Medicare or Medicaid Medicare and Medicaid
Continue Care Retirement CommunityNo
Resident and family councils Resident
Certified number of beds 161
Total number of residents 126
Perc of occupied beds 78
Sprinkler status Yes
Number of Facility Reported Incidents2
Number of Substantiated Complaints5
Number of Fines1
Total Amount of Fines$1625
Total Number of Penalties0
Total Number of Penalties1
Ratings Summary: BISHOP DAVIES NURSING CENTER
Overall rating 3
3
Nursing Home Staffing 2
2
Registered Nurses only 1
1
Health Inspections 3
3
Quality Measures 4
4
Nursing Home Staffing Info: BISHOP DAVIES NURSING CENTER
National AverageTexas AverageBISHOP DAVIES NURSING CENTER
Overall staff rating NA NA 2
2
Registered Nurses only rating NANA 1
1
Total Number of Residents NA NA 126
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 3.79 hours 4.03 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.49 hours 1.12 hours
Registered Nurses Hours per Residents per Day 0.81 hours 0.57 hours 0.29 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 0.92 hours 0.83 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.3 hours 2.91 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.08 hours 0.05 hours
Health Survey: BISHOP DAVIES NURSING CENTER
Heath Survey Summary on 2013-11-22
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 2012-11-09
Total Number of Health Deficiencies 3
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Heath Survey Summary on 2011-10-21
Total Number of Health Deficiencies 10
Scope and Severity of most Severe Health Deficiency Isolated/Actual harm
Health Survey Details: BISHOP DAVIES NURSING CENTER
Inspection Results: 11/22/2013
Corrected Deficiency Scope and Severity
12/22/2013 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. Pattern/Minimal harm or potential for actual harm
12/22/2013 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
12/22/2013 Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Pattern/Minimal harm or potential for actual harm
12/22/2013 Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Isolated/Minimal harm or potential for actual harm
Inspection Results: 11/09/2012
Corrected Deficiency Scope and Severity
12/06/2012 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. Pattern/Minimal harm or potential for actual harm
12/07/2012 Store, cook, and serve food in a safe and clean way. Widespread /Minimal harm or potential for actual harm
12/07/2012 Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. Isolated/Minimal harm or potential for actual harm
Inspection Results: 10/21/2011
Corrected Deficiency Scope and Severity
11/01/2011 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
11/01/2011 Reasonably accommodate the needs and preferences of each resident. Pattern/Minimal harm or potential for actual harm
11/01/2011 Keep residents' personal and medical records private and confidential. Widespread /Minimal harm or potential for actual harm
11/14/2011 Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated/Actual harm
11/14/2011 Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Pattern/Minimal harm or potential for actual harm
11/15/2011 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. Pattern/Minimal harm or potential for actual harm
11/14/2011 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
11/14/2011 Give each resident enough fluids to keep them healthy and prevent dehydration. Isolated/Minimal harm or potential for actual harm
11/14/2011 Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Pattern/Minimal harm or potential for actual harm
11/14/2011 Have a program that investigates, controls and keeps infection from spreading. Widespread /Minimal harm or potential for actual harm

Fire Safety Survey: BISHOP DAVIES NURSING CENTER
Fire Safety Survey Summary on 2013-11-20
Total Number of Fire SafetyDeficiencies 4
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2012-11-07
Total Number of Fire SafetyDeficiencies 8
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2011-10-20
Total Number of Fire SafetyDeficiencies 3
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey: BISHOP DAVIES NURSING CENTER
Fire Safety Survey Results: 11/20/2013
Corrected Deficiency Severity
11/23/2013 Exits that are accessible at all times. Widespread /Minimal harm or potential for actual harm
11/23/2013 Emergency lighting that can last at least 1 1/2 hours. Isolated/Minimal harm or potential for actual harm
11/23/2013 Portable fire extinguishers. Widespread /Minimal harm or potential for actual harm
12/30/2013 Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Widespread /Minimal harm or potential for actual harm
Fire Safety Survey Results: 11/07/2012
Corrected Deficiency Severity
12/07/2012 A fire alarm system that can be heard throughout the facility. Isolated/Minimal harm or potential for actual harm
12/07/2012 Portable fire extinguishers. Isolated/Minimal harm or potential for actual harm
12/07/2012 Automatic sprinkler systems that have been maintained in working order. Isolated/Minimal harm or potential for actual harm
Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Widespread/Potential for minimal harm
12/26/2012 Exits that are accessible at all times. Widespread /Minimal harm or potential for actual harm
12/07/2012 Properly installed electrical wiring and equipment. Isolated/Minimal harm or potential for actual harm
12/07/2012 Corridor and hallway doors that block smoke. Widespread /Minimal harm or potential for actual harm
12/07/2012 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
Fire Safety Survey Results: 10/20/2011
Corrected Deficiency Severity
11/01/2011 Record of quarterly fire drills for each shift under varying conditions. Widespread /Minimal harm or potential for actual harm
Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Widespread/Potential for minimal harm
11/25/2011 Properly installed electrical wiring and equipment. Widespread/Potential for minimal harm

Resident Complaints: BISHOP DAVIES NURSING CENTER
Date Complaint Substantiated: 07/06/2012
CorrectedCategoryDeficiencySeverity
07/28/2012Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. E
Date Complaint Substantiated: 01/26/2012
CorrectedCategoryDeficiencySeverity
01/27/2012Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. E
Date Complaint Substantiated: 10/11/2011
CorrectedCategoryDeficiencySeverity
10/13/2011Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. E
10/13/2011Keep accurate, complete and organized clinical records on each resident that meet professional standards. F

Quality Measures: BISHOP DAVIES NURSING CENTER
Quality Measures National Average Texas Average BISHOP DAVIES NURSING CENTER
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% 30.5%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 9.1% 13.2%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 6.8% 5.8%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 6.0% 7.3%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 43.2% 49.5%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 3.2% 1.2%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 7.2% 6.7%
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 8.1% 9.9%
Percent of Long Stay Residents Who Were Physically Restrained 1.4% 1.2% 0.6%
Percent of Long Stay Residents Experiencing One or More Falls with Major Injury 3.2% 3.5% 3.8%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 90.4% 65.1%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 89.7% 60.6%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 27.1% 27.9%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 18.8% 17.1%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 1.2% 2.0%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 74.3% 41.6%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 73.2% 56.4%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 3.6% 2.2%

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