SPJST REST HOME NO 2

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 08/13/2010.

Administration

Follow All Laws and Professional Standards. Inspection Date: 10/16/2008 Correction Date: 11/25/2008
1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides. Inspection Date: 10/16/2008 Correction Date: 11/18/2008
Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents. Inspection Date: 08/06/2009 Correction Date: 09/15/2009
Keep Accurate and Appropriate Medical Records. Inspection Date: 08/06/2009 Correction Date: 09/15/2009
Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents. Inspection Date: 08/13/2010 Correction Date: 09/26/2010
Keep Accurate and Appropriate Medical Records. Inspection Date: 08/13/2010 Correction Date: 09/26/2010
Train All Employees on What to Do in an Emergency. Inspection Date: 08/13/2010 Correction Date: 09/26/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 10/16/2008 Correction Date: 11/25/2008
Have a Program to Keep Infection from Spreading. Inspection Date: 10/16/2008 Correction Date: 11/25/2008
Put Firmly Secured Handrails on Each Side of Hallways. Inspection Date: 10/16/2008 Correction Date: 11/25/2008
Keep Temperature Levels Comfortable and Safe. Inspection Date: 08/06/2009 Correction Date: 08/27/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 08/06/2009 Correction Date: 09/15/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 08/06/2009 Correction Date: 09/15/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 08/13/2010 Correction Date: 09/26/2010

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 10/16/2008 Correction Date: 11/25/2008

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 08/06/2009 Correction Date: 09/15/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 08/13/2010 Correction Date: 09/26/2010

Pharmacy Service

At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 10/16/2008 Correction Date: 11/25/2008
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 08/13/2010 Correction Date: 09/26/2010
Properly Mark Drugs and Other Similar Products. Inspection Date: 08/13/2010 Correction Date: 09/26/2010

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 10/16/2008 Correction Date: 11/25/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 08/13/2010 Correction Date: 09/26/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 08/13/2010 Correction Date: 09/26/2010

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 08/06/2009 Correction Date: 08/27/2009

Resident Rights

Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey. Inspection Date: 10/16/2008 Correction Date: 11/25/2008
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 08/06/2009 Correction Date: 09/01/2009

The table below lists incident reports by the nursing staff or administration for Spjst Rest Home No 2, as well as complaints by residents or their family in the previous three years.

Administration

Give or Get Lab Tests to Meet the Needs of Residents. Complaint Filed: 06/30/2010 Correction Date: 07/13/2010

Quality Care

Use a Registered Nurse at Least 8 Hours a Day, 7 Days a Week. Complaint Filed: 12/02/2009 Correction Date: 12/07/2009

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: 12/02/2009 Correction Date: 12/08/2009

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 Spjst Rest Home No 2 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 08/12/2010.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 10/15/2008 Correction Date: 11/05/2008
An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 08/06/2009 Correction Date: 09/15/2009
Properly Working Alarms on Sprinkler Valves. Inspection Date: 08/06/2009 Correction Date: 08/20/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 08/12/2010 Correction Date: 10/10/2010

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions. Inspection Date: 10/15/2008 Correction Date: 11/05/2008
Properly Protected Cooking Facilities. Inspection Date: 08/06/2009 Correction Date: 09/15/2009
Properly Protected Cooking Facilities. Inspection Date: 08/12/2010 Correction Date: 10/10/2010

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 10/15/2008 Correction Date: 10/16/2008
Weekly Inspections and Monthly Testing of Generators. Inspection Date: 08/06/2009 Correction Date: 09/01/2009
Weekly Inspections and Monthly Testing of Generators. Inspection Date: 08/12/2010 Correction Date: 10/10/2010

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 08/06/2009 Correction Date: 09/15/2009
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 08/12/2010 Correction Date: 10/10/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 10/15/2008 Correction Date: 10/16/2008
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 08/06/2009 Correction Date: 09/15/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 08/12/2010 Correction Date: 10/10/2010

Illumination and Emergency Power

Proper Backup Exit Lighting. Inspection Date: 08/12/2010 Correction Date: 10/10/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 08/06/2009 Correction Date: 09/15/2009

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 08/06/2009 Correction Date: 09/10/2009
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 08/12/2010 Correction Date: 10/10/2010