General Information: EMERALD HILLS REHABILITATION AND HEALTHCARE CENTER
Nursing home name EMERALD HILLS REHABILITATION AND HEALTHCARE CENTER
Address5600 DAVIS BLVD
NORTH RICHLAND HILLS, TX 76180
Phone number (817) 503-4700
Located within a hospital No
Type of ownership For profit - Partnership
Owner operates multiple homesYes
Accept Medicare or Medicaid Medicare and Medicaid
Continue Care Retirement CommunityNo
Resident and family councils Both
Certified number of beds 118
Total number of residents 91
Perc of occupied beds 77
Sprinkler status Yes
Number of Facility Reported Incidents3
Number of Substantiated Complaints5
Number of Fines2
Total Amount of Fines$2796
Total Number of Penalties0
Total Number of Penalties2
Ratings Summary: EMERALD HILLS REHABILITATION AND HEALTHCARE CENTER
Overall rating 2
2
Nursing Home Staffing 1
1
Registered Nurses only 2
2
Health Inspections 1
1
Quality Measures 5
5
Nursing Home Staffing Info: EMERALD HILLS REHABILITATION AND HEALTHCARE CENTER
National AverageTexas AverageEMERALD HILLS REHABILITATION AND HEALTHCARE CENTER
Overall staff rating NA NA 1
1
Registered Nurses only rating NANA 2
2
Total Number of Residents NA NA 91
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 3.79 hours 3.37 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.49 hours 1.36 hours
Registered Nurses Hours per Residents per Day 0.81 hours 0.57 hours 0.47 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 0.92 hours 0.89 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.3 hours 2.01 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.08 hours 0.04 hours
Health Survey: EMERALD HILLS REHABILITATION AND HEALTHCARE CENTER
Heath Survey Summary on 2013-08-08
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 2012-08-31
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 2011-09-09
Total Number of Health Deficiencies 1
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Health Survey Details: EMERALD HILLS REHABILITATION AND HEALTHCARE CENTER
Inspection Results: 08/08/2013
Corrected Deficiency Scope and Severity
08/30/2013 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
08/30/2013 Have a program that investigates, controls and keeps infection from spreading. Pattern/Minimal harm or potential for actual harm
Inspection Results: 08/31/2012
Corrected Deficiency Scope and Severity
09/24/2012 Ensure that residents are safe from serious medication errors. Widespread /Minimal harm or potential for actual harm
09/24/2012 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
Inspection Results: 09/09/2011
Corrected Deficiency Scope and Severity
10/10/2011 Have a program that investigates, controls and keeps infection from spreading. Pattern/Minimal harm or potential for actual harm

Fire Safety Survey: EMERALD HILLS REHABILITATION AND HEALTHCARE CENTER
Fire Safety Survey Summary on 2013-08-07
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 2012-08-30
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 2011-09-08
Total Number of Fire SafetyDeficiencies 2
Scope and Severity of most Severe Health Deficiency Widespread/Potential for minimal harm
Fire Safety Survey: EMERALD HILLS REHABILITATION AND HEALTHCARE CENTER
Fire Safety Survey Results: 08/07/2013
Corrected Deficiency Severity
08/30/2013 Corridor and hallway doors that block smoke. Pattern/Minimal harm or potential for actual harm
08/30/2013 Exits that are accessible at all times. Pattern/Minimal harm or potential for actual harm
08/30/2013 Automatic sprinkler systems that have been maintained in working order. Widespread /Minimal harm or potential for actual harm
Fire Safety Survey Results: 08/30/2012
Corrected Deficiency Severity
08/31/2012 An approved installation, maintenance and testing program for fire alarm systems. Widespread /Minimal harm or potential for actual harm
08/31/2012 Automatic sprinkler systems that have been maintained in working order. Isolated/Minimal harm or potential for actual harm
08/31/2012 Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Pattern/Minimal harm or potential for actual harm
08/31/2012 Walls that prevent smoke from passing through and would resist fire for at least one hour. Widespread/Potential for minimal harm
08/31/2012 Properly installed electrical wiring and equipment. Pattern/Minimal harm or potential for actual harm
08/31/2012 Corridor and hallway doors that block smoke. Widespread/Potential for minimal harm
Fire Safety Survey Results: 09/08/2011
Corrected Deficiency Severity
10/23/2011 An approved installation, maintenance and testing program for fire alarm systems. Widespread/Potential for minimal harm
10/23/2011 Automatic sprinkler systems that have been maintained in working order. Widespread/Potential for minimal harm

Resident Complaints: EMERALD HILLS REHABILITATION AND HEALTHCARE CENTER
Date Complaint Substantiated: 11/18/2013
CorrectedCategoryDeficiencySeverity
12/05/2013Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. K
12/05/2013Protect each resident from mistreatment, neglect and misappropriation of personal property. K
12/05/2013Develop 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. K
12/05/2013Provide necessary care and services to maintain or improve the highest well being of each resident . K
Date Complaint Substantiated: 06/26/2012
CorrectedCategoryDeficiencySeverity
07/17/2012Give 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. E
Date Complaint Substantiated: 06/18/2012
CorrectedCategoryDeficiencySeverity
07/02/2012Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. F
Date Complaint Substantiated: 01/06/2012
CorrectedCategoryDeficiencySeverity
02/03/2012Ensure services provided by the nursing facility meet professional standards of quality. E
02/03/2012Provide necessary care and services to maintain or improve the highest well being of each resident . E
Date Complaint Substantiated: 12/01/2011
CorrectedCategoryDeficiencySeverity
12/20/2011Store, cook, and serve food in a safe and clean way. B

Quality Measures: EMERALD HILLS REHABILITATION AND HEALTHCARE CENTER
Quality Measures National Average Texas Average EMERALD HILLS REHABILITATION AND HEALTHCARE 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% 12.8%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 9.1% 10.9%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 6.8% 3.2%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 6.0% 19.1%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 43.2% 51.1%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 3.2% 4.7%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 7.2% 17.0%
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 8.1% 1.8%
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% 0.0%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 90.4% 65.2%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 89.7% 86.0%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 27.1% 17.9%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 18.8% 7.3%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 1.2% 0.1%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 74.3% 94.0%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 73.2% 90.4%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 3.6% 1.9%

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