General Information: INTERLOCHEN HEALTH AND REHABILITATION CENTER
Nursing home name INTERLOCHEN HEALTH AND REHABILITATION CENTER
Address2645 W RANDOL MILL RD
ARLINGTON, TX 76012
Phone number (817) 277-6789
Located within a hospital No
Type of ownership For profit - Corporation
Owner operates multiple homesYes
Accept Medicare or Medicaid Medicare and Medicaid
Continue Care Retirement CommunityNo
Resident and family councils Both
Certified number of beds 74
Total number of residents 74
Perc of occupied beds 100
Sprinkler status Yes
Number of Facility Reported Incidents3
Number of Substantiated Complaints0
Number of Fines1
Total Amount of Fines$2275
Total Number of Penalties0
Total Number of Penalties1
Ratings Summary: INTERLOCHEN HEALTH AND REHABILITATION CENTER
Overall rating 4
4
Nursing Home Staffing 1
1
Registered Nurses only 1
1
Health Inspections 4
4
Quality Measures 5
5
Nursing Home Staffing Info: INTERLOCHEN HEALTH AND REHABILITATION CENTER
National AverageTexas AverageINTERLOCHEN HEALTH AND REHABILITATION CENTER
Overall staff rating NA NA 1
1
Registered Nurses only rating NANA 1
1
Total Number of Residents NA NA 74
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 3.79 hours 2.99 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.49 hours 1.66 hours
Registered Nurses Hours per Residents per Day 0.81 hours 0.57 hours 0.4 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 0.92 hours 1.25 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.3 hours 1.34 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.08 hours 0.07 hours
Health Survey: INTERLOCHEN HEALTH AND REHABILITATION CENTER
Heath Survey Summary on 2013-11-15
Total Number of Health Deficiencies 3
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Heath Survey Summary on 2012-10-05
Total Number of Health Deficiencies 1
Scope and Severity of most Severe Health Deficiency Isolated/Minimal harm or potential for actual harm
Heath Survey Summary on 2011-09-30
Total Number of Health Deficiencies 12
Scope and Severity of most Severe Health Deficiency Pattern/Actual harm
Health Survey Details: INTERLOCHEN HEALTH AND REHABILITATION CENTER
Inspection Results: 11/15/2013
Corrected Deficiency Scope and Severity
Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern/Minimal harm or potential for actual harm
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
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
Inspection Results: 10/05/2012
Corrected Deficiency Scope and Severity
11/02/2012 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: 09/30/2011
Corrected Deficiency Scope and Severity
10/30/2011 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
10/30/2011 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
10/30/2011 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
10/30/2011 Ensure residents maintain acceptable nutritional status. Pattern/Minimal harm or potential for actual harm
10/30/2011 Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern/Actual harm
10/30/2011 Provide housekeeping and maintenance services. Pattern/Minimal harm or potential for actual harm
10/30/2011 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
10/30/2011 Keep residents' personal and medical records private and confidential. Pattern/Minimal harm or potential for actual harm
10/30/2011 Store, cook, and serve food in a safe and clean way. Pattern/Minimal harm or potential for actual harm
10/30/2011 Make sure that doctors visit residents regularly, as required. Widespread /Minimal harm or potential for actual harm
10/30/2011 Have a program that investigates, controls and keeps infection from spreading. Pattern/Minimal harm or potential for actual harm
10/30/2011 Keep accurate, complete and organized clinical records on each resident that meet professional standards. Widespread /Minimal harm or potential for actual harm

Fire Safety Survey: INTERLOCHEN HEALTH AND REHABILITATION CENTER
Fire Safety Survey Summary on 2013-11-14
Total Number of Fire SafetyDeficiencies 7
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2012-10-03
Total Number of Fire SafetyDeficiencies 11
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2011-09-28
Total Number of Fire SafetyDeficiencies 1
Scope and Severity of most Severe Health Deficiency Widespread/Potential for minimal harm
Fire Safety Survey: INTERLOCHEN HEALTH AND REHABILITATION CENTER
Fire Safety Survey Results: 11/14/2013
Corrected Deficiency Severity
12/29/2013 Signs that state that exit doors are to be kept closed. Pattern/Minimal harm or potential for actual harm
12/29/2013 Smoke barrier doors that can resist smoke for at least 20 minutes. Pattern/Minimal harm or potential for actual harm
12/29/2013 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
12/29/2013 Rooms that can be unlocked from inside without a key. Pattern/Minimal harm or potential for actual harm
12/29/2013 Automatic sprinkler systems that have been maintained in working order. Widespread /Minimal harm or potential for actual harm
12/29/2013 Portable fire extinguishers. Widespread /Minimal harm or potential for actual harm
12/29/2013 Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Widespread/Potential for minimal harm
Fire Safety Survey Results: 10/03/2012
Corrected Deficiency Severity
11/02/2012 Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. Widespread /Minimal harm or potential for actual harm
11/02/2012 Properly located and lighted "Exit" signs. Pattern/Minimal harm or potential for actual harm
11/02/2012 An approved installation, maintenance and testing program for fire alarm systems. Isolated/Minimal harm or potential for actual harm
11/02/2012 Walls that prevent smoke from passing through and would resist fire for at least one hour. Pattern/Minimal harm or potential for actual harm
11/02/2012 Corridor and hallway doors that block smoke. Widespread /Minimal harm or potential for actual harm
11/02/2012 Automatic sprinkler systems that have been maintained in working order. Pattern/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
11/02/2012 Restrictions on the use of flammable curtains. Isolated/Minimal harm or potential for actual harm
11/02/2012 Proper medical gas storage and administration areas. Widespread /Minimal harm or potential for actual harm
11/02/2012 Weekly inspections and monthly testing of generators. Widespread /Minimal harm or potential for actual harm
11/02/2012 Properly installed electrical wiring and equipment. Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Results: 09/28/2011
Corrected Deficiency Severity
Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Widespread/Potential for minimal harm

Resident Complaints: INTERLOCHEN HEALTH AND REHABILITATION CENTER
Not available

Quality Measures: INTERLOCHEN HEALTH AND REHABILITATION CENTER
Quality Measures National Average Texas Average INTERLOCHEN HEALTH AND REHABILITATION CENTER
Overall quality rating NA NA 5
5
Long-Stay Residents
Percent of Long Stay Residents Whose Need for Help with ADLs has Increased 15.4% 19.2% 17.2%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 9.1% 10.1%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 6.8% 8.2%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 6.0% 1.9%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 43.2% 69.0%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 3.2% 3.7%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 7.2% 0.6%
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% 0.0%
Percent of Long Stay Residents Experiencing One or More Falls with Major Injury 3.2% 3.5% 0.6%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 90.4% 45.0%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 89.7% 58.1%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 27.1% 37.3%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 18.8% 31.4%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 1.2% 0.0%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 74.3% 64.0%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 73.2% 69.3%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 3.6% 5.0%

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