LEGEND HEALTHCARE AND REHABILITATION - EULESS

The information listed below provides an in-depth look into the type and quality of care offered at Legend Healthcare and Rehabilitation - Euless. 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

LEGEND HEALTHCARE AND REHABILITATION - EULESS
900 WESTPARK WAY
EULESS, TX 76040
(817) 545-4071

Nursing Home Ratings

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

Percent of Beds Occupied

68%

Number of Residents and Certified Beds

  • Residents: 95
  • Certified Beds: 140

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Partnership
  • Offers Both Resident and Family Counseling Services
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Bedford | Hurst | Arlington

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 Legend Healthcare and Rehabilitation - Euless. 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

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: 2-106.4%
Total Percent:6.4%
 

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: 11-168.9%
ADL Index Range: 6-101.4%
ADL Index Range: 0-549.3%
Total Percent:59.6%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-167.6%
ADL Index Range: 6-100.8%
ADL Index Range: 0-520.1%
Total Percent:28.5%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 0-51.9%
Total Percent:1.9%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-161.3%
ADL Index Range: 6-100.6%
Total Percent:1.9%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 11-14
- No Signs of depression
1.1%
ADL Index Range: 6-10
- Signs of depression
0.1%
ADL Index Range: 6-10
- No Signs of depression
0.3%
ADL Index Range: 2-5
- No Signs of depression
0.3%
Total Percent:1.8%
 

Rating Details For Legend Healthcare and Rehabilitation - Euless

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) Hours26 Minutes1 Hour and 12 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours1 Hour41 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 3 Minutes2 Hours and 11 Minutes
Total Licensed Nurse Hours1 Hour and 26 Minutes1 Hour and 53 Minutes
Total Nurse Hours3 Hours and 29 Minutes4 Hours and 4 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 Given Influenza Vaccination During the Flu Season90-100%91%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%88%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse12%12%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores2%3%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores19%12%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased22%18%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain2%4%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder3%5%
Percent of Long-Stay Residents Who Are More Depressed or Anxious13%13%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder35%46%
Percent of Long-Stay Residents Who Were Physically Restrained-4%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair2%6%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection12%9%
Percent of Long-Stay Residents Who Lose Too Much Weight-6%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%84%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%79%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain12%16%
Percent of Short-Stay Residents Who Have Pressure Sores14%11%
Percent of Short-Stay Residents Who Have Delirium2%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 10/29/2010.

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

1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides.
  • Inspection Date: 10/09/2009
  • Correction Date: 11/01/2009
Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents.
  • Inspection Date: 10/09/2009
  • Correction Date: 11/01/2009
Train All Employees on What to Do in an Emergency.
  • Inspection Date: 10/09/2009
  • Correction Date: 11/01/2009

Environmental

Have a Program to Keep Infection from Spreading.
  • Inspection Date: 09/19/2008
  • Correction Date: 09/22/2008
Keep All Essential Equipment Working Safely.
  • Inspection Date: 09/19/2008
  • Correction Date: 09/20/2008
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 10/09/2009
  • Correction Date: 11/01/2009

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 10/29/2010
  • Correction Date: 11/18/2010

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 10/09/2009
  • Correction Date: 11/01/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 10/09/2009
  • Correction Date: 11/01/2009
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 10/29/2010
  • Correction Date: 11/22/2010

Quality Care

Provide Activities to Meet the Needs of Each Resident.
  • Inspection Date: 10/09/2009
  • Correction Date: 11/01/2009
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
  • Inspection Date: 10/09/2009
  • Correction Date: 11/01/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 10/09/2009
  • Correction Date: 11/01/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 10/09/2009
  • Correction Date: 11/01/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 10/09/2009
  • Correction Date: 11/01/2009
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: 10/09/2009
  • Correction Date: 11/01/2009
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Inspection Date: 10/09/2009
  • Correction Date: 11/01/2009

Resident Rights

Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help.
  • Inspection Date: 09/19/2008
  • Correction Date: 09/20/2008
Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 10/09/2009
  • Correction Date: 11/01/2009
Try to Resolve Each Resident's Complaints Quickly.
  • Inspection Date: 10/09/2009
  • Correction Date: 11/01/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 10/09/2009
  • Correction Date: 11/01/2009
Make Sure That Private Space is Available in the Nursing Home for Resident Groups or Residents' Families to Meet.
  • Inspection Date: 10/09/2009
  • Correction Date: 11/01/2009

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)10/09/2009$25,415

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Legend Healthcare and Rehabilitation - Euless, 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

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 03/03/2011
  • Correction Date: 03/10/2011

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: 10/09/2009
  • Correction Date: 11/01/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Complaint Filed: 10/09/2009
  • Correction Date: 11/01/2009
Protect Residents from Mistreatment, Neglect, And/Or Theft of Personal Property.
  • Complaint Filed: 03/03/2011
  • Correction Date: 03/10/2011
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Complaint Filed: 03/03/2011
  • Correction Date: 03/10/2011
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: 03/03/2011
  • Correction Date: 03/10/2011

Resident Rights

Let Residents Give Themselves Their Drugs if They Are Able.
  • Complaint Filed: 04/09/2010
  • Correction Date: 04/28/2010

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 Legend Healthcare and Rehabilitation - Euless 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 10/28/2010.

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

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 10/28/2010
  • Correction Date: 11/29/2010

Building Service Equipment

Properly Protected Cooking Facilities.
  • Inspection Date: 09/17/2008
  • Correction Date: 09/18/2008
Properly Protected Cooking Facilities.
  • Inspection Date: 10/06/2009
  • Correction Date: 11/24/2009

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 10/06/2009
  • Correction Date: 11/01/2009

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 09/17/2008
  • Correction Date: 09/18/2008

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 09/17/2008
  • Correction Date: 09/18/2008

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 09/17/2008
  • Correction Date: 09/18/2008
Exits That Are Accessible at All Times.
  • Inspection Date: 10/06/2009
  • Correction Date: 11/01/2009

Hazardous Area

Properly Installed Hallway Dispensers for Alcohol-Based Hand Rub.
  • Inspection Date: 10/06/2009
  • Correction Date: 11/01/2009

Interior Finish

Fire-Resistant Room Wall Surfaces.
  • Inspection Date: 10/28/2010
  • Correction Date: 11/29/2010

Medical Gases and Anesthetizing Areas

No-Smoking Signs Where Oxygen is Used.
  • Inspection Date: 10/06/2009
  • Correction Date: 11/01/2009

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 09/17/2008
  • Correction Date: 10/15/2008
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 10/06/2009
  • Correction Date: 11/01/2009
Source: Medicare Nursing Home Compare; Department of Aging and Disability Services - Retrieved 2011