General Information: MISSION CARE CENTERS-ALL SEASONS
Nursing home name MISSION CARE CENTERS-ALL SEASONS
Address6150 S LOOP EAST
HOUSTON, TX 77087
Phone number (713) 643-2628
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 120
Total number of residents 109
Perc of occupied beds 91
Sprinkler status Yes
Last health survey date 01/31/2013
Fire survey date: 01/31/2013
Ratings Summary: MISSION CARE CENTERS-ALL SEASONS
Overall rating 4
4
Nursing Home Staffing 2
2
Registered Nurses only 2
2
Health Inspections 3
3
Quality Measures 5
5
Nursing Home Staffing Info: MISSION CARE CENTERS-ALL SEASONS
National AverageMISSION CARE CENTERS-ALL SEASONS
Overall staff rating Not Available. 2
2
Registered Nurses only rating Not Available 2
2
Total Number of Residents 88.1 109.00
Total Number of Licensed Nurse Staff Hours per Resident per Day 29.8 hours 1.37 hours
Registered Nurses Hours per Residents per Day 29.0 hours .42 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 29.0 hours .95 hours
Certified Nursing Assistants Hours per Residents per Day 29.0 hours .42 hours
Health Inpections: MISSION CARE CENTERS-ALL SEASONS
Inspection Results: 01/31/2013
CorrectedCategoryDeficiencySeverity
02/10/2013Administration DeficienciesMake sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. E
03/31/2013Environmental DeficienciesMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. E
02/10/2013Nutrition and Dietary DeficienciesStore, cook, and serve food in a safe and clean way. E
02/10/2013Quality Care DeficienciesGive 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. D
02/11/2013Resident Assessment DeficienciesEnsure each resident receives an accurate assessment by a qualified health professional. E
Inspection Results: 02/09/2012
CorrectedCategoryDeficiencySeverity
03/12/2012Pharmacy Service DeficienciesKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. E
02/17/2012Environmental DeficienciesMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. D
03/23/2012Environmental DeficienciesProvide bedrooms that don't allow residents to see each other when privacy is needed. E
03/15/2012Environmental DeficienciesHave a program that investigates, controls and keeps infection from spreading. D
02/10/2012Administration DeficienciesEmploy or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. D
03/15/2012Resident Rights DeficienciesProvide written records when a resident is transferred or discharged. D
03/15/2012Resident Rights DeficienciesPermit residents to remain in the facility and not be transferred or discharged without adequate reason. D
Inspection Results: 01/07/2011
CorrectedCategoryDeficiencySeverity
02/11/2011Environmental DeficienciesMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. E
01/20/2011Pharmacy Service DeficienciesMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. F
02/07/2011Nutrition and Dietary DeficienciesStore, cook, and serve food in a safe and clean way. F
01/12/2011Pharmacy Service DeficienciesEnsure 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. D
02/07/2011Environmental DeficienciesEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. D
01/18/2011Quality Care DeficienciesProvide care by qualified persons according to each resident's written plan of care. D
02/10/2011Mistreatment DeficienciesDevelop 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. E

Fire Safety Inpections: MISSION CARE CENTERS-ALL SEASONS
Inspection Results: 01/31/2013
CorrectedCategoryDeficiencySeverity
03/05/2013Building Service Equipment DeficienciesProperly protected cooking facilities. F
02/19/2013Building Service Equipment DeficienciesHeating and ventilation systems that have been properly installed according to the manufacturer's instructions. C
02/16/2013Automatic Sprinkler Systems DeficienciesAutomatic sprinkler systems that have been maintained in working order. F
Inspection Results: 02/09/2012
CorrectedCategoryDeficiencySeverity
02/10/2012Smoke Compartmentation and Control DeficienciesWalls that prevent smoke from passing through and would resist fire for at least one hour. E
02/10/2012Building Service Equipment DeficienciesHeating and ventilation systems that have been properly installed according to the manufacturer's instructions. C
02/10/2012Automatic Sprinkler Systems DeficienciesAutomatic sprinkler systems that have been maintained in working order. D
02/10/2012Fire Alarm Systems DeficienciesA fire alarm system that can be heard throughout the facility. E
02/10/2012Illumination and Emergency Power DeficienciesEmergency lighting that can last at least 1 1/2 hours. C
02/10/2012Exits and Egress DeficienciesExits that are accessible at all times. E
02/10/2012Building Service Equipment DeficienciesProperly protected cooking facilities. E
Inspection Results: 01/06/2011
CorrectedCategoryDeficiencySeverity
01/27/2011Electrical DeficienciesWeekly inspections and monthly testing of generators. F
02/11/2011Electrical DeficienciesProperly installed electrical wiring and equipment. C
01/14/2011Furnishings and Decorations DeficienciesExits that are free from obstructions and can be used at all times. D
01/24/2011Automatic Sprinkler Systems DeficienciesPortable fire extinguishers. F
01/31/2011Automatic Sprinkler Systems DeficienciesAutomatic sprinkler systems that have been maintained in working order. F
01/28/2011Fire Alarm Systems DeficienciesAn approved installation, maintenance and testing program for fire alarm systems. C
01/13/2011Emergency Plans and Fire Drills DeficienciesRecord of quarterly fire drills for each shift under varying conditions. C
02/10/2011Hazardous Area DeficienciesSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. D
02/11/2011Smoke Compartmentation and Control DeficienciesWalls that prevent smoke from passing through and would resist fire for at least one hour. F

Resident Complaints: MISSION CARE CENTERS-ALL SEASONS
Date Complaint Substantiated: 11/10/2012
CorrectedCategoryDeficiencySeverity
11/16/2012Pharmacy Service DeficienciesProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. D
Date Complaint Substantiated: 02/09/2012
CorrectedCategoryDeficiencySeverity
02/17/2012Environmental DeficienciesMake sure that the nursing home area is safe D
Date Complaint Substantiated: 10/01/2010
CorrectedCategoryDeficiencySeverity
10/19/2010Administration DeficienciesQuickly tell the resident's doctor the results of laboratory tests. E
10/19/2010Environmental DeficienciesHave a program that investigates D
10/25/2010Quality Care DeficienciesProvide care by qualified persons according to each resident's written plan of care. E

Quality Measures: MISSION CARE CENTERS-ALL SEASONS
Quality MeasuresNational AverageMISSION CARE CENTERS-ALL SEASONS
Overall quality rating Not Available 5
5
Long-Stay Residents
Percent of long-stay residents experiencing one or more falls with major injury. 12% 0.90000000000000002%
Percent of long-stay residents who lose too much weight. 16% 6.5999999999999996%
Percent of long-stay residents who were physically restrained. 11% 1.8999999999999999%
Percent of long-stay residents whose need for help with daily activities has increased. 27% 16.5%
Percent of long-stay low-risk residents who lose control of their bowels or bladder 62% 74.5%
Percent of long-stay residents with a urinary tract infection. 16% 5%
Percent of long-stay residents who have/had a catheter inserted and left in their bladder. 13% 1.7%
Percent of long-stay residents who received an antipsychotic medication. 31% 41%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine. 97% 87.799999999999997%
Percent of long-stay high-risk residents with pressure ulcers. 19% 6.9000000000000004%
Percent of long-stay residents who have depressive symptoms. 16% 0%
Percent of long-stay residents who self-report moderate to severe pain. 22% 8.0999999999999996%
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine. 99% 98.099999999999994%
Short-Stay Residents
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine. 87% 77.900000000000006%
Percent of short-stay residents who self-report moderate to severe pain. 36% 22.899999999999999%
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine. 92% 77.700000000000003%
Percent of short-stay residents with Pressure ulcers that are new or worsened. 11% 1.3%
Percent of short-stay residents who newly received an antipsychotic medication. 27% 2.2000000000000002%
Severity Codes Explanation. Note: The higher the letter, the higher the severity.
AIsolated /Potential for minimal harm
BPattern /Potential for minimal harm
CWidespread /Potential for minimal harm
DIsolated /Minimal harm or potential for actual harm
EPattern /Minimal harm or potential for actual harm
FWidespread /Minimal harm or potential for actual harm
GIsolated /Actual harm
HPattern /Actual harm
IWidespread /Actual harm
JIsolated /Immediate jeopardy to resident health or safety
KPattern /Immediate jeopardy to resident health or safety
LWidespread /Immediate jeopardy to resident health or safety

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