MANOR OAKS NURSING CENTER
Address
222 S FM 487
ROCKDALE, TX 76567
(512) 446-5893
Nursing Home Ratings
Health Inspections | |
Quality Measures | |
Nursing Staff | |
R.N. Staff Only | |
Overall Rating |
Percent of Beds Occupied
Number of Residents and Certified Beds
- Residents: 73
- Certified Beds: 120
This Facility Accepts
- Medicare
- Medicaid
Operational Details
- Operated By Non Profit - Corporation
- Offers Only Resident Counseling
- This Facility is Part of a Chain or Franchise
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 Manor Oaks Nursing Center. 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 |
Medium Rehabilitation Plus Extensive Services
- Five days any combination of three rehabilitation disciplines
- Tracheostomy care
- Ventilator or respirator
- Isolation for active infectious disease while a resident
- Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-10 | 2.0% |
Total Percent: | 2.0% |
Ultra-High Rehabilitation
- At least one rehabilitation discipline five days/week
- A second rehabilitation discipline three days/week
ADL Index Range: 11-16 | 9.8% |
ADL Index Range: 6-10 | 7.0% |
ADL Index Range: 0-5 | 1.8% |
Total Percent: | 18.7% |
Very High Rehabilitation
- At least one rehabilitation discipline five days/week
ADL Index Range: 11-16 | 4.9% |
ADL Index Range: 6-10 | 25.2% |
ADL Index Range: 0-5 | 23.4% |
Total Percent: | 53.5% |
High Rehabilitation
- At least one rehabilitation discipline five days/week
ADL Index Range: 11-16 | 7.5% |
ADL Index Range: 6-10 | 3.6% |
ADL Index Range: 0-5 | 4.7% |
Total Percent: | 15.9% |
Medium Rehabilitation
- Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-16 | 4.6% |
ADL Index Range: 6-10 | 4.3% |
Total Percent: | 8.8% |
Reduced Physical Function
- Urinary and/or bowel training program
- Passive and/or active range of motion (ROM)
- Amputation/prosthesis training
- Dressing or grooming training
- Eating or swallowing training
- Transfer training
- Splint or brace assistance
- Bed mobility and/or walking training
- Communication training
ADL Index Range: 6-10 - Less restorative nursing | 1.1% |
Total Percent: | 1.1% |
Rating Details For Manor Oaks Nursing Center
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 | 29 Minutes | 57 Minutes |
Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 47 Minutes | 37 Minutes |
Certified Nursing Assistant (CNA) Hours | 2 Hours and 7 Minutes | 2 Hours and 20 Minutes |
Total Licensed Nurse Hours | 1 Hour and 16 Minutes | 1 Hour and 34 Minutes |
Total Nurse Hours | 3 Hours and 23 Minutes | 3 Hours and 54 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 | 90-100% | 88% |
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 91% |
Long-Term Stay Deficiencies
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | 1% | 6% |
Percent of Long-Stay Residents Who Were Physically Restrained | 11% | 4% |
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 12% | 18% |
Percent of Long-Stay Residents Who Lose Too Much Weight | 9% | 6% |
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 68% | 46% |
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 4% | 5% |
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores | 1% | 3% |
Percent of Long-Stay Residents Who Are More Depressed or Anxious | 21% | 13% |
Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 13% | 9% |
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 9% | 12% |
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 20% | 12% |
Percent of Long-Stay Residents Who Have Moderate to Severe Pain | 4% | 4% |
Short-Term Stay Preventive Actions
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 84% |
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 79% |
Short-Term Stay Deficiencies
Percent of Short-Stay Residents Who Have Pressure Sores | 24% | 11% |
Percent of Short-Stay Residents Who Had Moderate to Severe Pain | 13% | 16% |
Percent of Short-Stay Residents Who Have Delirium | 7% | 3% |
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 05/14/2010.
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
1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides.
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Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents.
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Post Nurse Staffing Information.
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Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents.
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Have a Detailed, Written Plan for Disasters and Emergencies.
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Give or Get Lab Tests to Meet the Needs of Residents.
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Keep Accurate and Appropriate Medical Records.
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Environmental
Provide Needed Housekeeping and Maintenance.
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Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
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Provide Bedrooms That Don't Allow Residents to See Each Other when Privacy is Needed.
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Provide Needed Housekeeping and Maintenance.
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Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
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Have a Program to Keep Infection from Spreading.
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Provide Needed Housekeeping and Maintenance.
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Have a Program to Keep Infection from Spreading.
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Mistreatment
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
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Nutrition and Dietary
Store, Cook, and Give out Food in a Safe and Clean Way.
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Store, Cook, and Give out Food in a Safe and Clean Way.
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Store, Cook, and Give out Food in a Safe and Clean Way.
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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.
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Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
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Properly Mark Drugs and Other Similar Products.
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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.
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Properly Mark Drugs and Other Similar Products.
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Quality Care
Give Professional Services That Follow Each Resident's Written Care Plan.
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Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
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Resident Assessment
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
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1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
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Resident Rights
Keep Each Resident's Personal and Medical Records Private and Confidential.
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Provide Services to Meet the Needs and Preferences of Each Resident.
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Honor All of the Resident's Rights As a Resident of the Nursing Home and As a Citizen or Resident of the United States.
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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.
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Keep Each Resident's Personal and Medical Records Private and Confidential.
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Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
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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) | 04/28/2010 | $2,000 |
Deficiencies from Complaints and Incidents
The table below lists incident reports by the nursing staff or administration for Manor Oaks Nursing Center, 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 |
Nutrition and Dietary
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
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Pharmacy Service
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
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Quality Care
Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being.
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Resident Rights
Provide Enough Notice Before Discharging or Transferring a Resident.
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Keep Each Resident's Personal and Medical Records Private and Confidential.
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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 Manor Oaks Nursing 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 05/12/2010.
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 |
Automatic Sprinkler Systems
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
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Properly Working Alarms on Sprinkler Valves.
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An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
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Properly Working Alarms on Sprinkler Valves.
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Building Construction
Approved Construction Type or Materials.
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Building Service Equipment
Properly Protected Cooking Facilities.
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An Externally Vented Heating System.
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Properly Protected Cooking Facilities.
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Properly Protected Cooking Facilities.
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Electrical
Properly Installed Electrical Wiring and Equipment.
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Fire Alarm Systems
A Fire Alarm System That Can Be Heard Throughout the Facility.
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A Fire Alarm System That Can Be Heard Throughout the Facility.
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Furnishings and Decorations
Exits That Are Free from Obstructions and Can Be Used at All Times.
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Hazardous Area
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
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Illumination and Emergency Power
Emergency Lighting That Can Last at Least 1 1/2 Hours.
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Miscellaneous
Fire Safety Features Required by Current Fire Safety Codes.
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Smoke Compartmentation and Control
Proper Construction of Ducts Through Walls Designed to Prevent Smoke Passage.
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Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
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Proper Construction of Ducts Through Walls Designed to Prevent Smoke Passage.
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Smoking Regulations
Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
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