NORTH POINTE NURSING AND REHABILITATION LP

The information listed below provides an in-depth look into the type and quality of care offered at North Pointe Nursing and Rehabilitation Lp. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

NORTH POINTE NURSING AND REHABILITATION LP
7804 VIRGIL R ANTHONY BLVD
WATAUGA, TX 76148
(817) 498-7220

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

73%

Number of Residents and Certified Beds

  • Residents: 95
  • Certified Beds: 130

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is Part of a Chain or Franchise

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Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Ultra-High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by North Pointe Nursing and Rehabilitation Lp. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation Plus Extensive Services

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-102.0%
Total Percent:2.0%
 

Very High Rehabilitation Plus Extensive Services

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-168.0%
Total Percent:8.0%
 

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-161.8%
ADL Index Range: 6-1023.1%
ADL Index Range: 0-56.4%
Total Percent:31.3%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-167.4%
ADL Index Range: 6-1015.0%
ADL Index Range: 0-58.1%
Total Percent:30.5%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1610.3%
ADL Index Range: 6-102.0%
ADL Index Range: 0-52.1%
Total Percent:14.5%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-163.6%
ADL Index Range: 0-51.2%
Total Percent:4.8%
 

Extensive Services

  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-16
- Isolation for active infectious disease
0.3%
Total Percent:0.3%
 

Special Care High

  • Comatose
  • Septicemia
  • Diabetes with daily injections and a change of order two or more days
  • Quadriplegia with ADL score greater or equal to 5
  • Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
  • Fever with pneumonia, or vomiting, or weight loss, or feeding tube
  • Parenteral/IV feedings
  • Respiratory therapy for 7 days
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-14
- No Signs of depression
1.0%
Total Percent:1.0%
 

Special Care Low

  • Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
  • Respiratory failure and oxygen therapy while a resident
  • Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
  • Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
  • Ulcers: 2 or more venous or arterial ulcers
  • Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
  • Foot infection/diabetic foot ulcer/open lesions of foot with treatment
  • Radiation therapy while a resident
  • Dialysis while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-14
- Signs of depression
2.5%
ADL Index Range: 11-14
- No Signs of depression
2.8%
Total Percent:5.3%
 

Reduced Physical Function

  • Urinary and/or bowel training program
  • Passive and/or active range of motion (ROM)
  • Amputation/prosthesis training
  • Dressing or grooming training
  • Eating or swallowing training
  • Transfer training
  • Splint or brace assistance
  • Bed mobility and/or walking training
  • Communication training
ADL Index Range: 15-16
- Less restorative nursing
1.2%
ADL Index Range: 11-14
- Less restorative nursing
0.3%
ADL Index Range: 6-10
- Less restorative nursing
0.8%
Total Percent:2.4%
 

Rating Details For North Pointe Nursing and Rehabilitation Lp

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours21 Minutes1 Hour and 8 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours52 Minutes39 Minutes
Certified Nursing Assistant (CNA) Hours1 Hour and 59 Minutes2 Hours and 29 Minutes
Total Licensed Nurse Hours1 Hour and 13 Minutes1 Hour and 48 Minutes
Total Nurse Hours3 Hours and 11 Minutes4 Hours and 17 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Texas are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityTexas Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%88%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season83%91%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder7%5%
Percent of Long-Stay Residents Who Lose Too Much Weight3%6%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection11%9%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain2%4%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder50%46%
Percent of Long-Stay Residents Who Were Physically Restrained2%4%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores1%3%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair8%6%
Percent of Long-Stay Residents Who Are More Depressed or Anxious11%13%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse12%12%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased28%18%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores6%12%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season77%84%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores6%11%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain5%16%
Percent of Short-Stay Residents Who Have Delirium-3%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 11/19/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents.
  • Inspection Date: 11/07/2008
  • Correction Date: 12/15/2008
Give or Get Lab Tests to Meet the Needs of Residents.
  • Inspection Date: 01/16/2010
  • Correction Date: 03/26/2010
Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents.
  • Inspection Date: 11/19/2010
  • Correction Date: 12/30/2010
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 11/19/2010
  • Correction Date: 12/14/2010

Environmental

Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 11/07/2008
  • Correction Date: 12/15/2008
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 11/07/2008
  • Correction Date: 12/05/2008
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 11/07/2008
  • Correction Date: 12/15/2008
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 01/16/2010
  • Correction Date: 02/15/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 01/16/2010
  • Correction Date: 02/10/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 01/16/2010
  • Correction Date: 02/25/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 11/19/2010
  • Correction Date: 12/30/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 11/19/2010
  • Correction Date: 12/17/2010
Keep All Essential Equipment Working Safely.
  • Inspection Date: 11/19/2010
  • Correction Date: 11/22/2010
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 11/19/2010
  • Correction Date: 12/14/2010

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Inspection Date: 11/19/2010
  • Correction Date: 12/29/2010

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
  • Inspection Date: 11/07/2008
  • Correction Date: 12/09/2008
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
  • Inspection Date: 11/19/2010
  • Correction Date: 12/01/2010

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 01/16/2010
  • Correction Date: 03/26/2010
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 01/16/2010
  • Correction Date: 01/18/2010
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 11/19/2010
  • Correction Date: 12/15/2010
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 11/19/2010
  • Correction Date: 12/14/2010

Quality Care

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.
  • Inspection Date: 01/16/2010
  • Correction Date: 03/29/2010
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.
  • Inspection Date: 11/19/2010
  • Correction Date: 12/14/2010

Resident Assessment

Provide a Final Summary of the Resident's Health Status and a Summary of the Resident's Stay, when the Resident is Ready to Leave the Nursing Home.
  • Inspection Date: 11/07/2008
  • Correction Date: 11/12/2008

Resident Rights

Have a Private Telephone Available for Use.
  • Inspection Date: 11/07/2008
  • Correction Date: 11/17/2008
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 11/07/2008
  • Correction Date: 11/14/2008
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey.
  • Inspection Date: 01/16/2010
  • Correction Date: 01/18/2010
Make Sure That Private Space is Available in the Nursing Home for Resident Groups or Residents' Families to Meet.
  • Inspection Date: 01/16/2010
  • Correction Date: 02/04/2010
Honor All of the Resident's Rights As a Resident of the Nursing Home and As a Citizen or Resident of the United States.
  • Inspection Date: 11/19/2010
  • Correction Date: 12/27/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 11/19/2010
  • Correction Date: 11/22/2010

Enforcement

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

Action TakenDateAmount
Civil Money Penalty (CMP)01/16/2010$17,317
Civil Money Penalty (CMP)01/16/2010$18,996
Denial of Payment for New Admission (DPNA)01/16/2010-

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for North Pointe Nursing and Rehabilitation Lp, as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Administration

Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident.
  • Complaint Filed: 01/16/2010
  • Correction Date: 01/19/2010
Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents.
  • Complaint Filed: 01/16/2010
  • Correction Date: 02/10/2010

Environmental

Provide Needed Housekeeping and Maintenance.
  • Complaint Filed: 05/05/2010
  • Correction Date: 05/06/2010

Mistreatment

1) Hire Only People Who Have 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.
  • Complaint Filed: 11/19/2010
  • Correction Date: 12/20/2010
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Complaint Filed: 11/19/2010
  • Correction Date: 12/20/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Complaint Filed: 01/16/2010
  • Correction Date: 01/19/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 01/16/2010
  • Correction Date: 01/19/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 01/16/2010
  • Correction Date: 02/10/2010

Resident Rights

Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
  • Complaint Filed: 01/16/2010
  • Correction Date: 02/10/2010
Tell the Resident or the Resident's Representative in Writing How Long the Nursing Home Will Hold the Resident's Bed when the Resident Temporarily Leaves the Facility.
  • Complaint Filed: 01/16/2010
  • Correction Date: 02/10/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Complaint Filed: 01/16/2010
  • Correction Date: 01/18/2010
Provide Services to Meet the Needs and Preferences of Each Resident.
  • Complaint Filed: 05/05/2010
  • Correction Date: 05/06/2010

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that North Pointe Nursing and Rehabilitation Lp had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 11/17/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Building Construction

Approved Construction Type or Materials.
  • Inspection Date: 11/17/2010
  • Correction Date: 01/01/2011

Building Service Equipment

Properly Protected Cooking Facilities.
  • Inspection Date: 01/14/2010
  • Correction Date: 01/16/2010
Properly Protected Cooking Facilities.
  • Inspection Date: 11/17/2010
  • Correction Date: 01/01/2011

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 11/17/2010
  • Correction Date: 11/19/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 11/17/2010
  • Correction Date: 12/17/2010

Illumination and Emergency Power

Properly Located and Lighted "Exit" Signs.
  • Inspection Date: 01/14/2010
  • Correction Date: 01/16/2010
Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 11/17/2010
  • Correction Date: 11/22/2010

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 11/17/2010
  • Correction Date: 11/24/2010
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 11/17/2010
  • Correction Date: 12/17/2010
Source: Medicare Nursing Home Compare; Department of Aging and Disability Services - Retrieved 2011