S.P.J.S.T. REST HOME 1

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.

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.

Long-Term Stay Preventive Actions

Long-Term Stay Deficiencies

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 09/02/2010.

Administration

Give Lab Tests Only when the Attending Doctor Ordered Them. Inspection Date: 08/26/2008 Correction Date: 09/30/2008
Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents. Inspection Date: 09/02/2010 Correction Date: 10/20/2010

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 08/26/2008 Correction Date: 09/30/2008
Provide Needed Housekeeping and Maintenance. Inspection Date: 09/02/2010 Correction Date: 09/16/2010
Provide Rooms That Are Big Enough for Each Resident. Inspection Date: 09/02/2010 Correction Date: 10/20/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 08/26/2008 Correction Date: 09/30/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 09/02/2010 Correction Date: 09/20/2010

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 08/06/2009 Correction Date: 09/11/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 08/06/2009 Correction Date: 09/11/2009
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 09/02/2010 Correction Date: 09/16/2010
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: 09/02/2010 Correction Date: 10/20/2010

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. Inspection Date: 08/06/2009 Correction Date: 09/04/2009

The table below lists incident reports by the nursing staff or administration for S.p.j.s.t. Rest Home 1, as well as complaints by residents or their family in the previous three years.

Environmental

Provide Rooms That Are Big Enough for Each Resident. Complaint Filed: 08/06/2009 Correction Date: 09/04/2009
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area. Complaint Filed: 08/06/2009 Correction Date: 09/11/2009

Quality Care

Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Complaint Filed: 08/06/2009 Correction Date: 09/11/2009

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: 04/23/2008 Correction Date: 05/15/2008

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 S.p.j.s.t. Rest Home 1 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 09/02/2010.

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 08/26/2008 Correction Date: 10/30/2008

Building Service Equipment

Properly Protected Cooking Facilities. Inspection Date: 09/02/2010 Correction Date: 09/09/2010

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 09/02/2010 Correction Date: 09/02/2010

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 08/26/2008 Correction Date: 09/30/2008

Furnishings and Decorations

Restrictions on the Use of Highly Flammable Materials. Inspection Date: 08/26/2008 Correction Date: 09/30/2008

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 09/02/2010 Correction Date: 10/20/2010

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 09/02/2010 Correction Date: 10/08/2010

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 08/26/2008 Correction Date: 09/26/2008
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 09/02/2010 Correction Date: 09/02/2010