General Information: DEERINGS NURSING AND REHABILITATION LP | |
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Nursing home name | DEERINGS NURSING AND REHABILITATION LP |
Address | 1020 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 homes | Yes |
Accept Medicare or Medicaid | Medicare and Medicaid |
Continue Care Retirement Community | No |
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 Incidents | 3 |
Number of Substantiated Complaints | 4 |
Number of Fines | 0 |
Total Amount of Fines | $0 |
Total Number of Penalties | 0 |
Total Number of Penalties | 0 |
Ratings Summary: DEERINGS NURSING AND REHABILITATION LP | |
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Overall rating |
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Nursing Home Staffing |
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Registered Nurses only |
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Health Inspections |
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Quality Measures |
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Nursing Home Staffing Info: DEERINGS NURSING AND REHABILITATION LP | |||
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National Average | Texas Average | DEERINGS NURSING AND REHABILITATION LP | |
Overall staff rating | NA | NA |
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Registered Nurses only rating | NA | NA |
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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 | |||
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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 | |||
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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 | |||
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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 | |||
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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 | |||
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Date Complaint Substantiated: 11/20/2013 | |||
Corrected | Category | Deficiency | Severity |
12/15/2013 | Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | E | |
Date Complaint Substantiated: 11/07/2013 | |||
Corrected | Category | Deficiency | Severity |
11/30/2013 | Ensure services provided by the nursing facility meet professional standards of quality. | E | |
11/30/2013 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | E | |
11/30/2013 | Keep accurate, complete and organized clinical records on each resident that meet professional standards. | F | |
Date Complaint Substantiated: 04/18/2013 | |||
Corrected | Category | Deficiency | Severity |
06/01/2013 | Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | E | |
06/01/2013 | Try to resolve each resident's complaints quickly. | E | |
05/07/2013 | Make sure that a working call system is available in each resident's room or bathroom and bathing area. | E | |
06/15/2013 | 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. | E | |
Date Complaint Substantiated: 03/28/2013 | |||
Corrected | Category | Deficiency | Severity |
06/01/2013 | Reasonably accommodate the needs and preferences of each resident. | E | |
Date Complaint Substantiated: 12/20/2012 | |||
Corrected | Category | Deficiency | Severity |
01/30/2013 | Make sure that special or therapeutic diets are ordered by the attending doctor. | E | |
Quality Measures: DEERINGS NURSING AND REHABILITATION LP | |||
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Quality Measures | National Average | Texas Average | DEERINGS NURSING AND REHABILITATION LP |
Overall quality rating | NA | NA |
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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% |