ST. DOMINIC VILLAGE NURSING HOME

The information listed below provides an in-depth look into the type and quality of care offered at St. Dominic Village Nursing Home. 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

ST. DOMINIC VILLAGE NURSING HOME
2409 E HOLCOMBE BLVD
HOUSTON, TX 77021
(713) 741-8701

Nursing Home Ratings

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

Overall Rating

Percent of Beds Occupied

81%

Number of Residents and Certified Beds

Residents: 128
Certified Beds: 158

This Facility Accepts

Medicare
Medicaid

Operational Details

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

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Nearby Cities:

Bellaire | Pearland | Pasadena

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 "Very 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 St. Dominic Village Nursing Home. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident Services

Resident Conditions

Percent of Service Days

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: 6-10	6.9%
ADL Index Range: 0-5	17.4%
Total Percent:	24.3%

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week

ADL Index Range: 11-16	14.3%
ADL Index Range: 6-10	35.4%
ADL Index Range: 0-5	2.9%
Total Percent:	52.7%

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week

ADL Index Range: 11-16	10.2%
ADL Index Range: 6-10	9.0%
Total Percent:	19.2%

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum

Five days any combination of three rehabilitation disciplines

ADL Index Range: 6-10	1.9%
ADL Index Range: 0-5	2.0%
Total Percent:	3.8%

Rating Details For St. Dominic Village Nursing Home

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 Day	Reported	Expected
Registered Nurse (RN) Hours	12 Minutes	55 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours	58 Minutes	35 Minutes
Certified Nursing Assistant (CNA) Hours	3 Hours and 9 Minutes	2 Hours and 19 Minutes
Total Licensed Nurse Hours	1 Hour and 11 Minutes	1 Hour and 30 Minutes
Total Nurse Hours	4 Hours and 19 Minutes	3 Hours and 49 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 Facility

Texas Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	79%	88%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season	90%	91%

Long-Term Stay Deficiencies

Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder	48%	46%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased	7%	18%
Percent of Long-Stay Residents Who Lose Too Much Weight	8%	6%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection	8%	9%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores	11%	12%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair	3%	6%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores	1%	3%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder	3%	5%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain	-	4%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse	5%	12%
Percent of Long-Stay Residents Who Are More Depressed or Anxious	10%	13%
Percent of Long-Stay Residents Who Were Physically Restrained	-	4%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	34%	79%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season	54%	84%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores	9%	11%
Percent of Short-Stay Residents Who Have Delirium	-	3%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain	3%	16%

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 07/16/2010.

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 Inspectors

Degree of Harm

Residents Affected

Administration

Keep Accurate and Appropriate Medical Records. Inspection Date: 08/21/2009 Correction Date: 09/30/2009
Give or Get Lab Tests to Meet the Needs of Residents. Inspection Date: 07/16/2010 Correction Date: 08/16/2010
Quickly Tell the Resident's Doctor the Results of Lab Tests. Inspection Date: 07/16/2010 Correction Date: 08/30/2010

Environmental

Have a Program to Keep Infection from Spreading. Inspection Date: 10/17/2008 Correction Date: 11/30/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 08/21/2009 Correction Date: 09/30/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 08/21/2009 Correction Date: 09/30/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 08/21/2009 Correction Date: 09/30/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 07/16/2010 Correction Date: 08/30/2010

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.

Inspection Date: 08/21/2009
Correction Date: 09/30/2009

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.

Inspection Date: 07/16/2010
Correction Date: 08/16/2010

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 08/21/2009 Correction Date: 09/30/2009
Properly Mark Drugs and Other Similar Products. Inspection Date: 08/21/2009 Correction Date: 09/30/2009

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 08/21/2009 Correction Date: 10/10/2009
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 07/16/2010 Correction Date: 08/16/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 07/16/2010 Correction Date: 08/16/2010

Resident Assessment

Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health. Inspection Date: 08/21/2009 Correction Date: 09/30/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 07/16/2010 Correction Date: 08/16/2010

Resident Rights

Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey. Inspection Date: 10/17/2008 Correction Date: 11/07/2008
Have a Private Telephone Available for Use. Inspection Date: 10/17/2008 Correction Date: 10/17/2008

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 Taken	Date	Amount
Civil Money Penalty (CMP)	09/23/2010	$975
Denial of Payment for New Admission (DPNA)	02/11/2011	-

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for St. Dominic Village Nursing Home, 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 Complaints

Degree of Harm

Residents Affected