General Information: DEERINGS NURSING AND REHABILITATION LP
Nursing home name DEERINGS NURSING AND REHABILITATION LP
Address1020 N COUNTY RD WEST
ODESSA, TX 79763
Phone number (432) 332-0371
Located within a hospital No
Type of ownership For profit - Partnership
Owner operates multiple homesYes
Accept Medicare or Medicaid Medicare and Medicaid
Continue Care Retirement CommunityNo
Resident and family councils Resident
Certified number of beds 111
Total number of residents 97
Perc of occupied beds 87
Sprinkler status Yes
Number of Facility Reported Incidents3
Number of Substantiated Complaints4
Number of Fines0
Total Amount of Fines$0
Total Number of Penalties0
Total Number of Penalties0
Ratings Summary: DEERINGS NURSING AND REHABILITATION LP
Overall rating 2
2
Nursing Home Staffing 2
2
Registered Nurses only 2
2
Health Inspections 2
2
Quality Measures 2
2
Nursing Home Staffing Info: DEERINGS NURSING AND REHABILITATION LP
National AverageTexas AverageDEERINGS NURSING AND REHABILITATION LP
Overall staff rating NA NA 2
2
Registered Nurses only rating NANA 2
2
Total Number of Residents NA NA 97
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 3.79 hours 3.57 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.49 hours 1.22 hours
Registered Nurses Hours per Residents per Day 0.81 hours 0.57 hours 0.49 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 0.92 hours 0.73 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.3 hours 2.35 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.08 hours 0.01 hours
Health Survey: DEERINGS NURSING AND REHABILITATION LP
Heath Survey Summary on 2013-08-23
Total Number of Health Deficiencies 6
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Heath Survey Summary on 2012-06-15
Total Number of Health Deficiencies 8
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Heath Survey Summary on 2011-05-06
Total Number of Health Deficiencies 8
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Health Survey Details: DEERINGS NURSING AND REHABILITATION LP
Inspection Results: 08/23/2013
Corrected Deficiency Scope and Severity
09/29/2013 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
09/29/2013 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
09/29/2013 Store, cook, and serve food in a safe and clean way. Pattern/Minimal harm or potential for actual harm
09/15/2013 Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern/Minimal harm or potential for actual harm
09/29/2013 Have a program that investigates, controls and keeps infection from spreading. Pattern/Minimal harm or potential for actual harm
09/29/2013 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: 06/15/2012
Corrected Deficiency Scope and Severity
08/10/2012 Provide bedrooms that don't allow residents to see each other when privacy is needed. Pattern/Minimal harm or potential for actual harm
07/14/2012 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
07/15/2012 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
07/03/2012 1) Receive registry verification that a nurse aide has met the required training and skills that the State requires; and 2) ensure nurse aides receive the required retraining after 24 months if nursing related services were not provided for monetary compe Pattern/Minimal harm or potential for actual harm
07/10/2012 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. Widespread/Potential for minimal harm
07/15/2012 Have a program that investigates, controls and keeps infection from spreading. Widespread /Minimal harm or potential for actual harm
08/10/2012 Store, cook, and serve food in a safe and clean way. Pattern/Minimal harm or potential for actual harm
07/15/2012 Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. Isolated/Minimal harm or potential for actual harm
Inspection Results: 05/06/2011
Corrected Deficiency Scope and Severity
06/07/2011 Give residents a notice of rights, rules, services and charges. Pattern/Potential for minimal harm
06/07/2011 Keep each resident free from physical restraints, unless needed for medical treatment. Pattern/Minimal harm or potential for actual harm
06/15/2011 Provide housekeeping and maintenance services. Pattern/Minimal harm or potential for actual harm
06/16/2011 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
05/29/2011 Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. Pattern/Minimal harm or potential for actual harm
06/07/2011 Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Pattern/Minimal harm or potential for actual harm
06/16/2011 Have a program that investigates, controls and keeps infection from spreading. Pattern/Minimal harm or potential for actual harm
06/16/2011 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

Fire Safety Survey: DEERINGS NURSING AND REHABILITATION LP
Fire Safety Survey Summary on 2013-08-22
Total Number of Fire SafetyDeficiencies 4
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2012-06-21
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 2011-05-11
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: DEERINGS NURSING AND REHABILITATION LP
Fire Safety Survey Results: 08/22/2013
Corrected Deficiency Severity
09/29/2013 Corridor and hallway doors that block smoke. Pattern/Minimal harm or potential for actual harm
09/29/2013 Walls that prevent smoke from passing through and would resist fire for at least one hour. Pattern/Minimal harm or potential for actual harm
09/29/2013 Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. Widespread/Potential for minimal harm
09/29/2013 Automatic sprinkler systems that have been maintained in working order. Widespread/Potential for minimal harm
Fire Safety Survey Results: 06/21/2012
Corrected Deficiency Severity
07/18/2012 Portable fire extinguishers. Widespread /Minimal harm or potential for actual harm
07/10/2012 Exits that are free from obstructions and can be used at all times. Pattern/Minimal harm or potential for actual harm
07/23/2012 Automatic sprinkler systems that have been maintained in working order. Pattern/Minimal harm or potential for actual harm
07/01/2012 An approved installation, maintenance and testing program for fire alarm systems. Widespread /Minimal harm or potential for actual harm
07/18/2012 Weekly inspections and monthly testing of generators. Widespread /Minimal harm or potential for actual harm
Fire Safety Survey Results: 05/11/2011
Corrected Deficiency Severity
05/12/2011 Walls that prevent smoke from passing through and would resist fire for at least one hour. Pattern/Minimal harm or potential for actual harm
05/25/2011 A fire alarm system that can be heard throughout the facility. Pattern/Minimal harm or potential for actual harm
05/20/2011 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

Resident Complaints: DEERINGS NURSING AND REHABILITATION LP
Date Complaint Substantiated: 11/20/2013
CorrectedCategoryDeficiencySeverity
12/15/2013Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. E
Date Complaint Substantiated: 11/07/2013
CorrectedCategoryDeficiencySeverity
11/30/2013Ensure services provided by the nursing facility meet professional standards of quality. E
11/30/2013Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. E
11/30/2013Keep accurate, complete and organized clinical records on each resident that meet professional standards. F
Date Complaint Substantiated: 04/18/2013
CorrectedCategoryDeficiencySeverity
06/01/2013Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. E
06/01/2013Try to resolve each resident's complaints quickly. E
05/07/2013Make sure that a working call system is available in each resident's room or bathroom and bathing area. E
06/15/2013Ensure 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. E
Date Complaint Substantiated: 03/28/2013
CorrectedCategoryDeficiencySeverity
06/01/2013Reasonably accommodate the needs and preferences of each resident. E
Date Complaint Substantiated: 12/20/2012
CorrectedCategoryDeficiencySeverity
01/30/2013Make sure that special or therapeutic diets are ordered by the attending doctor. E

Quality Measures: DEERINGS NURSING AND REHABILITATION LP
Quality Measures National Average Texas Average DEERINGS NURSING AND REHABILITATION LP
Overall quality rating NA NA 2
2
Long-Stay Residents
Percent of Long Stay Residents Whose Need for Help with ADLs has Increased 15.4% 19.2% 15.1%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 9.1% 12.5%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 6.8% 9.5%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 6.0% 4.3%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 43.2% 49.6%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 3.2% 4.5%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 7.2% 13.5%
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 8.1% 2.3%
Percent of Long Stay Residents Who Were Physically Restrained 1.4% 1.2% 3.5%
Percent of Long Stay Residents Experiencing One or More Falls with Major Injury 3.2% 3.5% 3.9%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 90.4% 97.8%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 89.7% 98.6%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 27.1% 19.2%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 18.8% 17.9%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 1.2% 1.9%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 74.3% 73.9%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 73.2% 76.9%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 3.6% 6.6%

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