General Information: LA DORA NURSING AND REHAB CENTER
Nursing home name LA DORA NURSING AND REHAB CENTER
Address1960 BEDFORD RD
BEDFORD, TX 76021
Phone number (817) 283-4771
Located within a hospital No
Type of ownership For profit - Partnership
Owner operates multiple homesNo
Accept Medicare or Medicaid Medicare and Medicaid
Continue Care Retirement CommunityNo
Resident and family councils Resident
Certified number of beds 60
Total number of residents 60
Perc of occupied beds 100
Sprinkler status Yes
Number of Facility Reported Incidents0
Number of Substantiated Complaints0
Number of Fines1
Total Amount of Fines$2000
Total Number of Penalties0
Total Number of Penalties1
Ratings Summary: LA DORA NURSING AND REHAB CENTER
Overall rating 5
5
Nursing Home Staffing 3
3
Registered Nurses only 3
3
Health Inspections 4
4
Quality Measures 5
5
Nursing Home Staffing Info: LA DORA NURSING AND REHAB CENTER
National AverageTexas AverageLA DORA NURSING AND REHAB CENTER
Overall staff rating NA NA 3
3
Registered Nurses only rating NANA 3
3
Total Number of Residents NA NA 60
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 3.79 hours 3.29 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 0.57 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 0.92 hours 0.65 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.3 hours 2.07 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.08 hours 0.0 hours
Health Survey: LA DORA NURSING AND REHAB CENTER
Heath Survey Summary on 2014-01-30
Total Number of Health Deficiencies 1
Scope and Severity of most Severe Health Deficiency Widespread/Potential for minimal harm
Heath Survey Summary on 2013-01-04
Total Number of Health Deficiencies 8
Scope and Severity of most Severe Health Deficiency Isolated/Actual harm
Heath Survey Summary on 2011-12-06
Total Number of Health Deficiencies 0
Scope and Severity of most Severe Health Deficiency
Health Survey Details: LA DORA NURSING AND REHAB CENTER
Inspection Results: 01/30/2014
Corrected Deficiency Scope and Severity
02/19/2014 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Widespread/Potential for minimal harm
Inspection Results: 01/04/2013
Corrected Deficiency Scope and Severity
01/25/2013 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated/Minimal harm or potential for actual harm
01/25/2013 Have a program that investigates, controls and keeps infection from spreading. Pattern/Minimal harm or potential for actual harm
01/25/2013 Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Widespread /Minimal harm or potential for actual harm
01/25/2013 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Widespread/Potential for minimal harm
01/25/2013 Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated/Actual harm
01/25/2013 Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated/Minimal harm or potential for actual harm
01/25/2013 Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Pattern/Potential for minimal harm
01/25/2013 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

Fire Safety Survey: LA DORA NURSING AND REHAB CENTER
Fire Safety Survey Summary on 2014-01-30
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 2013-01-03
Total Number of Fire SafetyDeficiencies 1
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2011-12-05
Total Number of Fire SafetyDeficiencies 2
Scope and Severity of most Severe Health Deficiency Widespread/Potential for minimal harm
Fire Safety Survey: LA DORA NURSING AND REHAB CENTER
Fire Safety Survey Results: 01/30/2014
Corrected Deficiency Severity
03/15/2014 Corridor and hallway doors that block smoke. Widespread /Minimal harm or potential for actual harm
03/15/2014 Exits that are accessible at all times. Widespread /Minimal harm or potential for actual harm
02/10/2014 Properly protected cooking facilities. Widespread /Minimal harm or potential for actual harm
Fire Safety Survey Results: 01/03/2013
Corrected Deficiency Severity
01/04/2013 Exits that are accessible at all times. Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Results: 12/05/2011
Corrected Deficiency Severity
12/06/2011 Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. Widespread/Potential for minimal harm
12/20/2011 Properly protected cooking facilities. Widespread/Potential for minimal harm

Resident Complaints: LA DORA NURSING AND REHAB CENTER
Not available

Quality Measures: LA DORA NURSING AND REHAB CENTER
Quality Measures National Average Texas Average LA DORA NURSING AND REHAB CENTER
Overall quality rating NA NA 5
5
Long-Stay Residents
Percent of Long Stay Residents Whose Need for Help with ADLs has Increased 15.4% 19.2% 27.1%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 9.1% 4.8%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 6.8% 6.6%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 6.0% 1.3%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 43.2% 32.4%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 3.2% 3.7%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 7.2% 3.2%
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 8.1% 6.5%
Percent of Long Stay Residents Who Were Physically Restrained 1.4% 1.2% 0.0%
Percent of Long Stay Residents Experiencing One or More Falls with Major Injury 3.2% 3.5% 2.6%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 90.4% 97.4%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 89.7% 98.1%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 27.1% 32.9%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 18.8% 3.7%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 1.2% 0.0%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 74.3% 57.1%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 73.2% 75.6%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 3.6% %

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