US Nursing Home Finder: EDINBURG NURSING AND REHABILITATION CENTER EDINBURG TX

General Information: EDINBURG NURSING AND REHABILITATION CENTER
Nursing home name	EDINBURG NURSING AND REHABILITATION CENTER
Address	5215 S SUGAR RD EDINBURG, TX 78539
Phone number	(956) 782-9666
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	Both
Certified number of beds	108
Total number of residents	108
Perc of occupied beds	100
Sprinkler status	Yes
Number of Facility Reported Incidents	0
Number of Substantiated Complaints	0
Number of Fines	0
Total Amount of Fines	$0
Total Number of Penalties	0
Total Number of Penalties	0

Ratings Summary: EDINBURG NURSING AND REHABILITATION CENTER
Overall rating	2
Nursing Home Staffing	3
Registered Nurses only	2
Health Inspections	2
Quality Measures	4

Nursing Home Staffing Info: EDINBURG NURSING AND REHABILITATION CENTER
	National Average	Texas Average	EDINBURG NURSING AND REHABILITATION CENTER
Overall staff rating	NA	NA	3
Registered Nurses only rating	NA	NA	2
Total Number of Residents	NA	NA	108
Total Number of Nurse Staff Hours per Resident per Day	4.11 hours	3.79 hours	4.63 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day	1.64 hours	1.49 hours	1.5 hours
Registered Nurses Hours per Residents per Day	0.81 hours	0.57 hours	0.57 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day	0.83 hours	0.92 hours	0.93 hours
Certified Nursing Assistants Hours per Residents per Day	2.47 hours	2.3 hours	3.13 hours
Physical Therapy Staffing Hours per Resident Per Day	0.1 hours	0.08 hours	0.04 hours

Health Survey: EDINBURG NURSING AND REHABILITATION CENTER
Heath Survey Summary on 2013-06-21
Total Number of Health Deficiencies			8
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			15
Scope and Severity of most Severe Health Deficiency			Widespread /Minimal harm or potential for actual harm
Heath Survey Summary on 2011-06-09
Total Number of Health Deficiencies			4
Scope and Severity of most Severe Health Deficiency			Widespread /Minimal harm or potential for actual harm

Health Survey Details: EDINBURG NURSING AND REHABILITATION CENTER
Inspection Results: 06/21/2013
Corrected	Deficiency	Scope and Severity
08/01/2013	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
08/01/2013	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
08/01/2013	Provide care by qualified persons according to each resident's written plan of care.	Pattern/Minimal harm or potential for actual harm
08/01/2013	Provide necessary care and services to maintain or improve the highest well being of each resident .	Pattern/Minimal harm or potential for actual harm
08/01/2013	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.	Pattern/Minimal harm or potential for actual harm
08/01/2013	Ensure 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.	Pattern/Minimal harm or potential for actual harm
08/01/2013	Have a program that investigates, controls and keeps infection from spreading.	Pattern/Minimal harm or potential for actual harm
08/01/2013	Keep accurate, complete and organized clinical records on each resident that meet professional standards.	Pattern/Minimal harm or potential for actual harm
Inspection Results: 06/15/2012
Corrected	Deficiency	Scope and Severity
07/16/2012	Provide care by qualified persons according to each resident's written plan of care.	Pattern/Minimal harm or potential for actual harm
07/16/2012	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
07/16/2012	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.	Isolated/Minimal harm or potential for actual harm
07/16/2012	Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion.	Pattern/Minimal harm or potential for actual harm
07/16/2012	Provide necessary care and services to maintain or improve the highest well being of each resident .	Pattern/Minimal harm or potential for actual harm
07/16/2012	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
07/16/2012	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
07/16/2012	Provide clean bed and bath linens that are in good condition.	Pattern/Potential for minimal harm
07/16/2012	Reasonably accommodate the needs and preferences of each resident.	Pattern/Minimal harm or potential for actual harm
07/16/2012	Have a program that investigates, controls and keeps infection from spreading.	Widespread /Minimal harm or potential for actual harm
07/16/2012	1) Hire only people with 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.	Pattern/Minimal harm or potential for actual harm
07/16/2012	Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.	Pattern/Minimal harm or potential for actual harm
07/16/2012	Store, cook, and serve food in a safe and clean way.	Pattern/Minimal harm or potential for actual harm
07/16/2012	Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.	Isolated/Minimal harm or potential for actual harm
07/16/2012	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.	Pattern/Minimal harm or potential for actual harm
Inspection Results: 06/09/2011
Corrected	Deficiency	Scope and Severity
07/22/2011	Provide activities to meet the interests and needs of each resident.	Pattern/Minimal harm or potential for actual harm
07/22/2011	Ensure the activities program is directed by a qualified professional.	Widespread/Potential for minimal harm
07/22/2011	Have a program that investigates, controls and keeps infection from spreading.	Widespread /Minimal harm or potential for actual harm
07/22/2011	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: EDINBURG NURSING AND REHABILITATION CENTER
Fire Safety Survey Summary on 2013-06-26
Total Number of Fire SafetyDeficiencies			2
Scope and Severity of most Severe Health Deficiency			Widespread /Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2012-06-13
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 Summary on 2011-06-09
Total Number of Fire SafetyDeficiencies			0
Scope and Severity of most Severe Health Deficiency

Fire Safety Survey: EDINBURG NURSING AND REHABILITATION CENTER
Fire Safety Survey Results: 06/26/2013
Corrected	Deficiency	Severity
08/12/2013	An approved installation, maintenance and testing program for fire alarm systems.	Widespread /Minimal harm or potential for actual harm
08/12/2013	An approved automatic sprinkler system connected to the fire alarm system.	Widespread /Minimal harm or potential for actual harm
Fire Safety Survey Results: 06/13/2012
Corrected	Deficiency	Severity
07/29/2012	Walls that prevent smoke from passing through and would resist fire for at least one hour.	Pattern/Minimal harm or potential for actual harm
07/29/2012	An approved installation, maintenance and testing program for fire alarm systems.	Widespread /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

Resident Complaints: EDINBURG NURSING AND REHABILITATION CENTER
Date Complaint Substantiated: 01/03/2014
Corrected	Category	Deficiency	Severity
01/24/2014		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.	E
Date Complaint Substantiated: 01/13/2012
Corrected	Category	Deficiency	Severity
02/24/2012		Keep each resident free from physical restraints, unless needed for medical treatment.	E

Quality Measures: EDINBURG NURSING AND REHABILITATION CENTER
Quality Measures	National Average	Texas Average	EDINBURG NURSING AND REHABILITATION CENTER
Overall quality rating	NA	NA	4
Long-Stay Residents
Percent of Long Stay Residents Whose Need for Help with ADLs has Increased	15.4%	19.2%	19.0%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain	8.3%	9.1%	7.0%
Percent of High Risk Long Stay Residents With Pressure Ulcers	6.1%	6.8%	6.1%
Percent of Long Stay Residents Who Lose Too Much Weight	7.2%	6.0%	1.0%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder	43.9%	43.2%	34.2%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder	3.2%	3.2%	6.9%
Percent of Long Stay Residents With a Urinary Tract Infection	6.2%	7.2%	0.0%
Percent of Long Stay Residents Who Have Depressive Symptoms	6.3%	8.1%	0.3%
Percent of Long Stay Residents Who Were Physically Restrained	1.4%	1.2%	1.0%
Percent of Long Stay Residents Experiencing One or More Falls with Major Injury	3.2%	3.5%	6.2%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine	92.7%	90.4%	66.6%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine	94.3%	89.7%	65.2%
Percent of Long Stay Residents Who Received an Antipsychotic Medication	20.7%	27.1%	27.8%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain	19.2%	18.8%	9.0%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened	1.2%	1.2%	1.7%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine	83.4%	74.3%	29.6%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine	82.4%	73.2%	34.0%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication	2.6%	3.6%	6.8%

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