General Information: LEGEND HEALTHCARE AND REHABILITATION - EULESS
Nursing home name LEGEND HEALTHCARE AND REHABILITATION - EULESS
Address900 WESTPARK WAY
EULESS, TX 76040
Phone number (817) 545-4071
Located within a hospital No
Type of ownership For profit - Corporation
Owner operates multiple homesYes
Accept Medicare or Medicaid Medicare and Medicaid
Continue Care Retirement CommunityNo
Resident and family councils Both
Certified number of beds 140
Total number of residents 115
Perc of occupied beds 82
Sprinkler status Yes
Number of Facility Reported Incidents2
Number of Substantiated Complaints2
Number of Fines0
Total Amount of Fines$0
Total Number of Penalties0
Total Number of Penalties0
Ratings Summary: LEGEND HEALTHCARE AND REHABILITATION - EULESS
Overall rating 3
3
Nursing Home Staffing 1
1
Registered Nurses only 1
1
Health Inspections 3
3
Quality Measures 5
5
Nursing Home Staffing Info: LEGEND HEALTHCARE AND REHABILITATION - EULESS
National AverageTexas AverageLEGEND HEALTHCARE AND REHABILITATION - EULESS
Overall staff rating NA NA 1
1
Registered Nurses only rating NANA 1
1
Total Number of Residents NA NA 115
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 3.79 hours 3.78 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.49 hours 1.61 hours
Registered Nurses Hours per Residents per Day 0.81 hours 0.57 hours 0.46 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 0.92 hours 1.15 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.3 hours 2.17 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.08 hours 0.1 hours
Health Survey: LEGEND HEALTHCARE AND REHABILITATION - EULESS
Heath Survey Summary on 2013-09-13
Total Number of Health Deficiencies 3
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Heath Survey Summary on 2012-09-14
Total Number of Health Deficiencies 2
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Heath Survey Summary on 2011-09-16
Total Number of Health Deficiencies 2
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Health Survey Details: LEGEND HEALTHCARE AND REHABILITATION - EULESS
Inspection Results: 09/13/2013
Corrected Deficiency Scope and Severity
10/11/2013 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
10/04/2013 Store, cook, and serve food in a safe and clean way. Widespread /Minimal harm or potential for actual harm
09/14/2013 Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Widespread /Minimal harm or potential for actual harm
Inspection Results: 09/14/2012
Corrected Deficiency Scope and Severity
10/20/2012 Make sure that doctors visit residents regularly, as required. Pattern/Minimal harm or potential for actual harm
10/20/2012 Make sure that all required doctor visits are made personally. Pattern/Minimal harm or potential for actual harm
Inspection Results: 09/16/2011
Corrected Deficiency Scope and Severity
10/26/2011 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
10/26/2011 Have a program that investigates, controls and keeps infection from spreading. Pattern/Minimal harm or potential for actual harm

Fire Safety Survey: LEGEND HEALTHCARE AND REHABILITATION - EULESS
Fire Safety Survey Summary on 2013-09-11
Total Number of Fire SafetyDeficiencies 6
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2012-09-13
Total Number of Fire SafetyDeficiencies 2
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2011-09-14
Total Number of Fire SafetyDeficiencies 2
Scope and Severity of most Severe Health Deficiency Pattern/Potential for minimal harm
Fire Safety Survey: LEGEND HEALTHCARE AND REHABILITATION - EULESS
Fire Safety Survey Results: 09/11/2013
Corrected Deficiency Severity
10/04/2013 Corridor and hallway doors that block smoke. Pattern/Minimal harm or potential for actual harm
10/04/2013 Walls that prevent smoke from passing through and would resist fire for at least one hour. Pattern/Minimal harm or potential for actual harm
10/04/2013 Exits that are accessible at all times. Pattern/Minimal harm or potential for actual harm
10/04/2013 Emergency lighting that can last at least 1 1/2 hours. Widespread /Minimal harm or potential for actual harm
09/14/2013 Properly protected cooking facilities. Widespread/Potential for minimal harm
09/14/2013 Weekly inspections and monthly testing of generators. Widespread/Potential for minimal harm
Fire Safety Survey Results: 09/13/2012
Corrected Deficiency Severity
09/17/2012 Exits that are accessible at all times. Pattern/Minimal harm or potential for actual harm
09/28/2012 Automatic sprinkler systems that have been maintained in working order. Widespread/Potential for minimal harm
Fire Safety Survey Results: 09/14/2011
Corrected Deficiency Severity
09/26/2011 Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. Pattern/Potential for minimal harm
09/26/2011 A fire alarm system that can be heard throughout the facility. Pattern/Potential for minimal harm

Resident Complaints: LEGEND HEALTHCARE AND REHABILITATION - EULESS
Date Complaint Substantiated: 07/05/2012
CorrectedCategoryDeficiencySeverity
07/05/2012Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . J
06/15/2012Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. J

Quality Measures: LEGEND HEALTHCARE AND REHABILITATION - EULESS
Quality Measures National Average Texas Average LEGEND HEALTHCARE AND REHABILITATION - EULESS
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% 21.7%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 9.1% 10.6%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 6.8% 6.8%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 6.0% 7.0%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 43.2% 67.6%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 3.2% 1.4%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 7.2% 3.1%
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% 3.4%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 90.4% 80.7%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 89.7% 83.8%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 27.1% 25.1%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 18.8% 14.2%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 1.2% 0.8%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 74.3% 81.3%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 73.2% 83.5%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 3.6% 5.6%

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