LIVE OAK MEDICAL CENTER

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 05/19/2011.

Administration

Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident. Inspection Date: 05/01/2009 Correction Date: 06/01/2009
Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents. Inspection Date: 05/01/2009 Correction Date: 06/01/2009
Give or Get Lab Tests to Meet the Needs of Residents. Inspection Date: 05/01/2009 Correction Date: 06/01/2009
Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents. Inspection Date: 05/12/2010 Correction Date: 06/07/2010
Give or Get Lab Tests to Meet the Needs of Residents. Inspection Date: 05/12/2010 Correction Date: 06/03/2010
Keep Accurate and Appropriate Medical Records. Inspection Date: 05/12/2010 Correction Date: 06/03/2010

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 05/01/2009 Correction Date: 06/01/2009
Get Rid of Garbage Properly. Inspection Date: 05/01/2009 Correction Date: 06/01/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 05/01/2009 Correction Date: 06/01/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 05/01/2009 Correction Date: 06/01/2009
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests. Inspection Date: 05/01/2009 Correction Date: 06/01/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 05/12/2010 Correction Date: 05/13/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 05/12/2010 Correction Date: 06/07/2010
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 05/12/2010 Correction Date: 05/13/2010

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 05/01/2009 Correction Date: 06/01/2009
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 05/12/2010 Correction Date: 06/03/2010
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 05/12/2010 Correction Date: 05/13/2010
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. Inspection Date: 05/19/2011 Correction Date: 05/31/2011
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 05/19/2011 Correction Date: 05/31/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 05/01/2009 Correction Date: 06/01/2009

Pharmacy Service

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects. Inspection Date: 05/01/2009 Correction Date: 06/01/2009
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 05/01/2009 Correction Date: 06/01/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 05/01/2009 Correction Date: 06/01/2009
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 05/01/2009 Correction Date: 06/01/2009
Properly Mark Drugs and Other Similar Products. Inspection Date: 05/01/2009 Correction Date: 06/01/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 05/12/2010 Correction Date: 06/07/2010

Quality Care

Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 05/01/2009 Correction Date: 06/01/2009
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 05/12/2010 Correction Date: 06/03/2010
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 05/19/2011 Correction Date: 05/31/2011

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 05/01/2009 Correction Date: 06/01/2009
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: 05/01/2009 Correction Date: 06/01/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 05/01/2009 Correction Date: 06/01/2009
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: 05/12/2010 Correction Date: 05/28/2010

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: 05/01/2009 Correction Date: 06/01/2009
Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 05/01/2009 Correction Date: 06/01/2009
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey. Inspection Date: 05/01/2009 Correction Date: 06/01/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 05/01/2009 Correction Date: 06/01/2009
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 05/01/2009 Correction Date: 06/01/2009
Provide Proof That All Residents' Personal Money Which is Deposited with the Nursing Home, is Secure. Inspection Date: 05/12/2010 Correction Date: 05/13/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 05/12/2010 Correction Date: 06/07/2010
Make Sure That Private Space is Available in the Nursing Home for Resident Groups or Residents' Families to Meet. Inspection Date: 05/19/2011 Correction Date: 05/31/2011

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 Live Oak Medical Center 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 05/19/2011.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 05/19/2011 Correction Date: 05/20/2011

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions. Inspection Date: 05/19/2011 Correction Date: 01/01/1900
Properly Protected Cooking Facilities. Inspection Date: 05/19/2011 Correction Date: 06/10/2011

Electrical

A Separate and Independent Backup Electrical Power Source. Inspection Date: 05/13/2010 Correction Date: 06/24/2010
Properly Installed Electrical Wiring and Equipment. Inspection Date: 05/13/2010 Correction Date: 06/24/2010
Weekly Inspections and Monthly Testing of Generators. Inspection Date: 05/19/2011 Correction Date: 06/19/2011

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 05/13/2010 Correction Date: 06/12/2010
Exits That Are Accessible at All Times. Inspection Date: 05/19/2011 Correction Date: 05/20/2011

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 05/01/2009 Correction Date: 06/03/2009
A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 05/19/2011 Correction Date: 05/20/2011

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 05/13/2010 Correction Date: 05/14/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 05/01/2009 Correction Date: 05/25/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 05/13/2010 Correction Date: 06/04/2010

Illumination and Emergency Power

Proper Backup Exit Lighting. Inspection Date: 05/01/2009 Correction Date: 05/25/2009
Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 05/01/2009 Correction Date: 05/25/2009

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 05/19/2011 Correction Date: 05/20/2011