GRAYSON SQUARE HEALTH CARE CENTER INC

The information listed below provides an in-depth look into the type and quality of care offered at Grayson Square Health Care Center Inc. 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

GRAYSON SQUARE HEALTH CARE CENTER INC
815 E GRAYSON ST
SAN ANTONIO, TX 78208
(210) 226-8181

Nursing Home Ratings

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

Percent of Beds Occupied

91%

Number of Residents and Certified Beds

  • Residents: 82
  • Certified Beds: 90

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is Not Part of a Chain or Franchise

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Nearby Cities:

Converse | Schertz | La Vernia

Rating Details For Grayson Square Health Care Center Inc

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) Hours25 Minutes51 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours38 Minutes36 Minutes
Certified Nursing Assistant (CNA) Hours1 Hour and 53 Minutes2 Hours and 25 Minutes
Total Licensed Nurse Hours1 Hour and 3 Minutes1 Hour and 26 Minutes
Total Nurse Hours2 Hours and 56 Minutes3 Hours and 51 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 Season90-100%91%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased26%18%
Percent of Long-Stay Residents Who Are More Depressed or Anxious17%13%
Percent of Long-Stay Residents Who Lose Too Much Weight8%6%
Percent of Long-Stay Residents Who Were Physically Restrained1%4%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair16%6%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain1%4%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection6%9%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores9%12%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse13%12%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder3%5%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder41%46%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-3%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%84%

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 07/22/2010.

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: 07/24/2008
  • Correction Date: 08/06/2008
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 07/24/2008
  • Correction Date: 08/06/2008
Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents.
  • Inspection Date: 07/16/2009
  • Correction Date: 08/30/2009
Post Nurse Staffing Information.
  • Inspection Date: 07/22/2010
  • Correction Date: 07/23/2010
Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents.
  • Inspection Date: 07/22/2010
  • Correction Date: 07/23/2010
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 07/22/2010
  • Correction Date: 08/19/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 07/16/2009
  • Correction Date: 07/17/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 07/16/2009
  • Correction Date: 08/30/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 07/22/2010
  • Correction Date: 08/19/2010
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 07/22/2010
  • Correction Date: 08/19/2010

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Inspection Date: 07/16/2009
  • Correction Date: 08/30/2009

Nutrition and Dietary

Make Sure That the Attending Doctor Orders Special Diets.
  • Inspection Date: 07/16/2009
  • Correction Date: 08/24/2009

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 07/24/2008
  • Correction Date: 08/06/2008
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 07/16/2009
  • Correction Date: 08/30/2009

Quality Care

Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 07/16/2009
  • Correction Date: 08/30/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 07/16/2009
  • Correction Date: 08/10/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 07/22/2010
  • Correction Date: 07/23/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 07/22/2010
  • Correction Date: 07/23/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 07/22/2010
  • Correction Date: 07/23/2010

Resident Assessment

Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
  • Inspection Date: 07/16/2009
  • Correction Date: 08/30/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 07/16/2009
  • Correction Date: 08/31/2009

Resident Rights

Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 07/16/2009
  • Correction Date: 08/30/2009

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Grayson Square Health Care Center Inc, 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

Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents.
  • Complaint Filed: 04/15/2011
  • Correction Date: 04/18/2011

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 04/16/2010
  • Correction Date: 05/30/2010
Have a Program to Keep Infection from Spreading.
  • Complaint Filed: 04/15/2011
  • Correction Date: 04/18/2011

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: 11/16/2009
  • Correction Date: 12/30/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Complaint Filed: 04/16/2010
  • Correction Date: 05/30/2010
Protect Residents from Mistreatment, Neglect, And/Or Theft of Personal Property.
  • Complaint Filed: 04/16/2010
  • Correction Date: 05/30/2010

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Complaint Filed: 04/15/2011
  • Correction Date: 04/18/2011

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 04/15/2011
  • Correction Date: 05/26/2011

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Complaint Filed: 04/16/2010
  • Correction Date: 05/30/2010

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 Grayson Square Health Care Center Inc 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 07/20/2010.

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: 07/23/2008
  • Correction Date: 08/29/2008

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 07/15/2009
  • Correction Date: 08/10/2009
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 07/20/2010
  • Correction Date: 08/02/2010

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 07/23/2008
  • Correction Date: 08/29/2008
Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 07/15/2009
  • Correction Date: 08/30/2009
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 07/20/2010
  • Correction Date: 07/28/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 07/15/2009
  • Correction Date: 08/17/2009

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 07/15/2009
  • Correction Date: 08/03/2009

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 07/23/2008
  • Correction Date: 08/29/2008
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 07/15/2009
  • Correction Date: 08/12/2009
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 07/20/2010
  • Correction Date: 08/02/2010
Source: Medicare Nursing Home Compare; Department of Aging and Disability Services - Retrieved 2011