General Information: KINDRED HEALTHCARE AND REHABILITATION-GRAPEVINE
Nursing home name KINDRED HEALTHCARE AND REHABILITATION-GRAPEVINE
Address1005 IRA E. WOODS PARKWAY
GRAPEVINE, TX 76051
Phone number (817) 421-1313
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 Resident
Certified number of beds 100
Total number of residents 100
Perc of occupied beds 100
Sprinkler status Yes
Number of Facility Reported Incidents0
Number of Substantiated Complaints0
Number of Fines4
Total Amount of Fines$6500
Total Number of Penalties1
Total Number of Penalties5
Ratings Summary: KINDRED HEALTHCARE AND REHABILITATION-GRAPEVINE
Overall rating 3
3
Nursing Home Staffing 2
2
Registered Nurses only 4
4
Health Inspections 2
2
Quality Measures 5
5
Nursing Home Staffing Info: KINDRED HEALTHCARE AND REHABILITATION-GRAPEVINE
National AverageTexas AverageKINDRED HEALTHCARE AND REHABILITATION-GRAPEVINE
Overall staff rating NA NA 2
2
Registered Nurses only rating NANA 4
4
Total Number of Residents NA NA 100
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 3.79 hours 3.24 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.49 hours 1.32 hours
Registered Nurses Hours per Residents per Day 0.81 hours 0.57 hours 0.7 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 0.92 hours 0.63 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.3 hours 1.92 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.08 hours 0.13 hours
Health Survey: KINDRED HEALTHCARE AND REHABILITATION-GRAPEVINE
Heath Survey Summary on 2013-08-02
Total Number of Health Deficiencies 6
Scope and Severity of most Severe Health Deficiency Pattern/Actual harm
Heath Survey Summary on 2012-07-27
Total Number of Health Deficiencies 2
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Heath Survey Summary on 2011-07-28
Total Number of Health Deficiencies 0
Scope and Severity of most Severe Health Deficiency
Health Survey Details: KINDRED HEALTHCARE AND REHABILITATION-GRAPEVINE
Inspection Results: 08/02/2013
Corrected Deficiency Scope and Severity
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Pattern/Actual harm
Keep residents' personal and medical records private and confidential. Pattern/Minimal harm or potential for actual harm
Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. Pattern/Actual harm
Ensure that residents are safe from serious medication errors. Pattern/Actual harm
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Pattern/Minimal harm or potential for actual harm
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Pattern/Actual harm
Inspection Results: 07/27/2012
Corrected Deficiency Scope and Severity
Have a program that investigates, controls and keeps infection from spreading. Widespread /Minimal harm or potential for actual harm
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Widespread /Minimal harm or potential for actual harm

Fire Safety Survey: KINDRED HEALTHCARE AND REHABILITATION-GRAPEVINE
Fire Safety Survey Summary on 2013-08-02
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 2012-07-27
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 2011-07-28
Total Number of Fire SafetyDeficiencies 1
Scope and Severity of most Severe Health Deficiency Widespread/Potential for minimal harm
Fire Safety Survey: KINDRED HEALTHCARE AND REHABILITATION-GRAPEVINE
Fire Safety Survey Results: 08/02/2013
Corrected Deficiency Severity
09/11/2013 Walls that prevent smoke from passing through and would resist fire for at least one hour. Pattern/Minimal harm or potential for actual harm
09/11/2013 Emergency lighting that can last at least 1 1/2 hours. Widespread/Potential for minimal harm
09/11/2013 Properly protected cooking facilities. Widespread /Minimal harm or potential for actual harm
Fire Safety Survey Results: 07/27/2012
Corrected Deficiency Severity
07/28/2012 Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. Widespread /Minimal harm or potential for actual harm
07/28/2012 Exits that are accessible at all times. Pattern/Minimal harm or potential for actual harm
07/28/2012 Walls that prevent smoke from passing through and would resist fire for at least one hour. Widespread /Minimal harm or potential for actual harm
07/30/2012 Corridor and hallway doors that block smoke. Widespread /Minimal harm or potential for actual harm
08/31/2012 Record of quarterly fire drills for each shift under varying conditions. Widespread /Minimal harm or potential for actual harm
07/28/2012 Properly installed electrical wiring and equipment. Widespread /Minimal harm or potential for actual harm
Fire Safety Survey Results: 07/28/2011
Corrected Deficiency Severity
Approved construction type or materials. Widespread/Potential for minimal harm

Resident Complaints: KINDRED HEALTHCARE AND REHABILITATION-GRAPEVINE
Date Complaint Substantiated: 12/29/2011
CorrectedCategoryDeficiencySeverity
01/19/2012Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. E
01/19/2012Give 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

Quality Measures: KINDRED HEALTHCARE AND REHABILITATION-GRAPEVINE
Quality Measures National Average Texas Average KINDRED HEALTHCARE AND REHABILITATION-GRAPEVINE
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% 19.5%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 9.1% 6.9%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 6.8% 4.0%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 6.0% 6.7%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 43.2% 54.7%
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% 4.9%
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 8.1% 0.4%
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% 2.0%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 90.4% 81.7%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 89.7% 68.3%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 27.1% 24.0%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 18.8% 7.8%
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% 50.8%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 73.2% 18.5%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 3.6% 2.7%

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