US Nursing Home Finder: SOUTH CONGRESS CARE & REHABILITATION AUSTIN TX

General Information: SOUTH CONGRESS CARE & REHABILITATION
Nursing home name	SOUTH CONGRESS CARE & REHABILITATION
Address	110 E LIVE OAK ST AUSTIN, TX 78704
Phone number	(512) 444-3511
Located within a hospital	No
Type of ownership	For profit - Corporation
Owner operates multiple homes	Yes
Accept Medicare or Medicaid	Medicare and Medicaid
Continue Care Retirement Community	No
Resident and family councils	BOTH
Certified number of beds	170
Total number of residents	124
Perc of occupied beds	73
Sprinkler status	fully sprinklered
Last health survey date	11/13/2009
Fire survey date:	11/16/2009

Ratings Summary: SOUTH CONGRESS CARE & REHABILITATION
Overall rating	2 out of 5 stars
Nursing Home Staffing	4 out of 5 stars
Registered Nurses only	2 out of 5 stars
Health Inspections	1 out of 5 stars
Quality Measures	4 out of 5 stars

Nursing Home Staffing Info: SOUTH CONGRESS CARE & REHABILITATION
	National Average	SOUTH CONGRESS CARE & REHABILITATION
Overall staff rating	Not Available.	4 out of 5 stars
Registered Nurses only rating	Not Available	2 out of 5 stars
Total Number of Residents	94.2	124
Total Number of Licensed Nurse Staff Hours per Resident per Day	1.4 hours	1.7 hours
Registered Nurses Hours per Residents per Day	0.6 hours	0.42 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day	0.8 hours	1.28 hours
Certified Nursing Assistants Hours per Residents per Day	0.6 hours	0.42 hours

Health Inpections: SOUTH CONGRESS CARE & REHABILITATION
Inspection Results: 11/13/2009
Corrected	Category	Deficiency	Severity
12/13/2009	Administration Deficiencies	Keep accurate and appropriate medical records.	E
12/13/2009	Administration Deficiencies	Make sure that nurse aides show they have the skills to be able to care for residents.	E
12/13/2009	Environmental Deficiencies	Make sure that a working call system is available in each resident's room or bathroom and bathing area.	E
12/13/2009	Environmental Deficiencies	Have a program to keep infection from spreading.	E
12/13/2009	Pharmacy Service Deficiencies	At least once a month, have a licensed pharmacist check the drugs that each resident takes.	E
12/13/2009	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	E
12/13/2009	Nutrition and Dietary Deficiencies	1) Provide 3 meals daily at regular times; or 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day.	E
12/13/2009	Nutrition and Dietary Deficiencies	Provide food in a way that meets a resident's needs.	E
12/13/2009	Nutrition and Dietary Deficiencies	Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.	E
12/13/2009	Pharmacy Service Deficiencies	Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.	E
12/13/2009	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	D
12/13/2009	Quality Care Deficiencies	Give professional services that follow each resident's written care plan.	E
12/13/2009	Resident Assessment Deficiencies	Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them.	D
12/13/2009	Environmental Deficiencies	Provide needed housekeeping and maintenance.	E
Inspection Results: 08/18/2008
Corrected	Category	Deficiency	Severity
10/15/2008	Quality Care Deficiencies	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	E
10/15/2008	Administration Deficiencies	Make sure that nurse aides show they have the skills to be able to care for residents.	E
10/15/2008	Environmental Deficiencies	Make sure there is a program to prevent/deal with mice, insects, or other pests.	E
10/15/2008	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable.	E
10/15/2008	Pharmacy Service Deficiencies	At least once a month, have a licensed pharmacist check the drugs that each resident takes.	E
10/15/2008	Pharmacy Service Deficiencies	Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly.	E
10/15/2008	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	L
10/15/2008	Nutrition and Dietary Deficiencies	Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.	E
10/15/2008	Pharmacy Service Deficiencies	1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects.	E
10/15/2008	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	D
10/15/2008	Quality Care Deficiencies	Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary.	E
10/15/2008	Administration Deficiencies	Train all employees on what to do in an emergency.	E
10/15/2008	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	E
10/15/2008	Resident Assessment Deficiencies	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	E
10/15/2008	Resident Assessment Deficiencies	Check and update (if needed) each resident's assessment every 3 months.	E
10/15/2008	Resident Assessment Deficiencies	Make a complete assessment that covers all questions for areas that are listed in official regulations.	E
10/15/2008	Environmental Deficiencies	Provide clean bed and bath linens that are in good condition.	E
10/15/2008	Environmental Deficiencies	Provide needed housekeeping and maintenance.	C
10/15/2008	Resident Rights Deficiencies	Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged.	E
10/15/2008	Mistreatment Deficiencies	1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.	E
10/15/2008	Mistreatment Deficiencies	Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.	E
Inspection Results: 05/18/2007
Corrected	Category	Deficiency	Severity
07/01/2007	Administration Deficiencies	Train all employees on what to do in an emergency.	E
07/01/2007	Administration Deficiencies	Make sure that nurse aides show they have the skills to be able to care for residents.	E
07/01/2007	Environmental Deficiencies	Make sure there is a program to prevent/deal with mice, insects, or other pests.	E
07/01/2007	Environmental Deficiencies	Put firmly secured handrails on each side of hallways.	E
07/01/2007	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable.	E
07/01/2007	Environmental Deficiencies	Provide at least one room to use as a dining room and for activities, that is a good size, with good lighting, airflow and furniture.	E
07/01/2007	Environmental Deficiencies	Make sure that staff members wash their hands when needed.	E
07/01/2007	Pharmacy Service Deficiencies	Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly.	D
07/01/2007	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	F
07/01/2007	Nutrition and Dietary Deficiencies	Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.	E
07/01/2007	Quality Care Deficiencies	Develop/implement required procedures for the administration of immunizations.	E
07/01/2007	Pharmacy Service Deficiencies	Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.	D
07/01/2007	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	E
07/01/2007	Environmental Deficiencies	Provide needed housekeeping and maintenance.	E
07/01/2007	Resident Rights Deficiencies	Have a private telephone available for use.	E
07/01/2007	Resident Rights Deficiencies	Keep each resident's personal and medical records private and confidential.	D

Fire Safety Inpections: SOUTH CONGRESS CARE & REHABILITATION
Inspection Results: 11/16/2009
Corrected	Category	Deficiency	Severity
12/18/2009	Smoke Compartmentation and Control Deficiencies	proper construction of ducts through walls designed to prevent smoke passage.	E
11/23/2009	Hazardous Area Deficiencies	construction that can resist fire for one hour or an approved fire extinguishing system.	D
12/16/2009	Corridor Walls and Doors Deficiencies	corridor and hallway doors that block smoke.	E
12/17/2009	Corridor Walls and Doors Deficiencies	corridors that are separated from common areas by walls constructed to limit the passage of smoke.	D
Inspection Results: 08/13/2008
Corrected	Category	Deficiency	Severity
10/15/2008	Illumination and Emergency Power Deficiencies	properly located and lighted "Exit" signs.	E
10/15/2008	Electrical Deficiencies	a separate and independent backup electrical power source.	F
10/15/2008	Smoke Compartmentation and Control Deficiencies	proper construction of ducts through walls designed to prevent smoke passage.	F
10/15/2008	Automatic Sprinkler Systems Deficiencies	an approved automatic sprinkler system connected to the fire alarm system.	F
10/15/2008	Fire Alarm Systems Deficiencies	a fire alarm system that can be heard throughout the facility.	E
10/15/2008	Electrical Deficiencies	properly installed electrical wiring and equipment.	F
10/15/2008	Exits and Egress Deficiencies	corridors or aisles that are unobstructed and are at least 8 feet in width.	E
10/15/2008	Smoke Compartmentation and Control Deficiencies	smoke barrier doors that can resist smoke for at least 20 minutes.	F
10/15/2008	Hazardous Area Deficiencies	construction that can resist fire for one hour or an approved fire extinguishing system.	L
10/15/2008	Exit and Exit Access Deficiencies	at least two remote exits on each floor or fire section of the building.	E
Inspection Results: 05/18/2007
Corrected	Category	Deficiency	Severity
07/01/2007	Smoke Compartmentation and Control Deficiencies	proper construction of ducts through walls designed to prevent smoke passage.	D
07/01/2007	Illumination and Emergency Power Deficiencies	proper backup exit lighting.	B
07/01/2007	Vertical Openings Deficiencies	protected exits that allow the resident to escape the building.	E
07/01/2007	Corridor Walls and Doors Deficiencies	corridor and hallway doors that block smoke.	E
07/01/2007	Building Construction Deficiencies	approved construction type or materials.	E

Resident Complaints: SOUTH CONGRESS CARE & REHABILITATION
Date Complaint Substantiated: 10/16/2009
Corrected	Category	Deficiency	Severity
10/19/2009	Quality Care Deficiencies	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	D
10/19/2009	Quality Care Deficiencies	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.	D
10/19/2009	Pharmacy Service Deficiencies	Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.	E
12/13/2009	Nutrition and Dietary Deficiencies	Provide food in a way that meets a resident's needs.	D
10/19/2009	Pharmacy Service Deficiencies	Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly.	D
Date Complaint Substantiated: 07/31/2009
Corrected	Category	Deficiency	Severity
12/13/2009	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	F
12/13/2009	Environmental Deficiencies	Provide needed housekeeping and maintenance.	F
08/31/2009	Mistreatment Deficiencies	1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.	D
08/31/2009	Mistreatment Deficiencies	Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.	D
08/31/2009	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	G
08/31/2009	Environmental Deficiencies	Make sure there is a program to prevent/deal with mice, insects, or other pests.	F
08/31/2009	Quality Care Deficiencies	Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary.	E
08/31/2009	Administration Deficiencies	Be administered in a way that leads to the highest possible level of well being for each resident.	F
08/31/2009	Quality Care Deficiencies	Give professional services that follow each resident's written care plan.	E
08/31/2009	Resident Rights Deficiencies	Try to resolve each resident's complaints quickly.	E
Date Complaint Substantiated: 08/01/2008
Corrected	Category	Deficiency	Severity
08/20/2008	Pharmacy Service Deficiencies	Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly.	E
08/20/2008	Environmental Deficiencies	Keep safe, clean and homelike surroundings.	E
08/20/2008	Administration Deficiencies	Keep accurate and appropriate medical records.	E
Date Complaint Substantiated: 06/02/2008
Corrected	Category	Deficiency	Severity
07/04/2008	Quality Care Deficiencies	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	G
07/04/2008	Quality Care Deficiencies	Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.	E
10/15/2008	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	J
10/15/2008	Resident Rights Deficiencies	Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged.	J
07/04/2008	Environmental Deficiencies	Have a program to keep infection from spreading.	F
07/04/2008	Administration Deficiencies	Make sure that nurse aides show they have the skills to be able to care for residents.	E
07/04/2008	Environmental Deficiencies	Make sure there is a program to prevent/deal with mice, insects, or other pests.	E
Date Complaint Substantiated: 09/21/2007
Corrected	Category	Deficiency	Severity
10/31/2007	Environmental Deficiencies	Provide needed housekeeping and maintenance.	D
10/31/2007	Pharmacy Service Deficiencies	Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.	E
Date Complaint Substantiated: 07/17/2007
Corrected	Category	Deficiency	Severity
07/18/2007	Resident Assessment Deficiencies	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	E
Date Complaint Substantiated: 04/05/2007
Corrected	Category	Deficiency	Severity
04/06/2007	Resident Rights Deficiencies	Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged.	B
Date Complaint Substantiated: 01/26/2007
Corrected	Category	Deficiency	Severity
02/25/2007	Resident Rights Deficiencies	Make sure that private space is available in the nursing home for resident groups or residents' families to meet.	E
02/25/2007	Nutrition and Dietary Deficiencies	Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.	E
02/25/2007	Resident Rights Deficiencies	Try to resolve each resident's complaints quickly.	E
02/25/2007	Quality Care Deficiencies	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	D
02/25/2007	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	E

Quality Measures: SOUTH CONGRESS CARE & REHABILITATION
Quality Measures	National Average	SOUTH CONGRESS CARE & REHABILITATION
Overall quality rating	Not Available	4 out of 5 stars
Long-Stay Residents
Percent of low-risk long-stay residents who have pressure sores	2%	0%
Percent of long-stay residents who have/had a catheter inserted and left in their bladder	5%	7%
Percent of long-stay residents who spend most of their time in bed or in a chair	4%	6%
Percent of long-stay residents who had a urinary tract infection	9%	6%
Percent of high-risk long-stay residents who have pressure sores	11%	8%
Percent of long-stay residents who were assessed and given pneumococcal vaccination	89%	90+%
Percent of long-stay residents whose need for help with daily activities has increased	14%	6%
Percent of low-risk long-stay residents who lose control of their bowels or bladder	50%	50%
Percent of long-stay residents who lose too much weight	8%	2%
Percent of long-stay residents given influenza vaccination during the flu season	91%	90+%
Percent of long-stay residents who have moderate to severe pain	3%	2%
Percent of long-stay residents who were physically restrained	3%	4%
Percent of long-stay residents who are more depressed or anxious	14%	22%
Percent of long-stay residents whose ability to move about in and around their room got worse	11%	4%
Short-Stay Residents
Percent of short-stay residents given influenza vaccination during the flu season	83%	90+%
Percent of short-stay residents who were assessed and given pneumococcal vaccination	83%	87%
Percent of short-stay residents who had moderate to severe pain	19%	12%
Percent of short-stay residents who have delirium	2%	11%
Percent of short-stay residents who have pressure sores	13%	10%

Severity Codes Explanation. Note: The higher the letter, the higher the severity.
A	Isolated /Potential for minimal harm
B	Pattern /Potential for minimal harm
C	Widespread /Potential for minimal harm
D	Isolated /Minimal harm or potential for actual harm
E	Pattern /Minimal harm or potential for actual harm
F	Widespread /Minimal harm or potential for actual harm
G	Isolated /Actual harm
H	Pattern /Actual harm
I	Widespread /Actual harm
J	Isolated /Immediate jeopardy to resident health or safety
K	Pattern /Immediate jeopardy to resident health or safety
L	Widespread /Immediate jeopardy to resident health or safety

US Nursing Home Finder™: SOUTH CONGRESS CARE & REHABILITATION AUSTIN TX