PEARSALL NURSING AND REHABILITATION CENTER - NORTH

The information listed below provides an in-depth look into the type and quality of care offered at Pearsall Nursing and Rehabilitation Center - North. 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

PEARSALL NURSING AND REHABILITATION CENTER - NORTH
169 MEDICAL DR
PEARSALL, TX 78061
(830) 334-3371

Nursing Home Ratings

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

Percent of Beds Occupied

65%

Number of Residents and Certified Beds

  • Residents: 98
  • Certified Beds: 150

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Partnership
  • Offers Both Resident and Family Counseling Services
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Columbus

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 "Ultra-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 Pearsall Nursing and Rehabilitation Center - North. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation Plus Extensive Services

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
  • 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: 11-162.2%
ADL Index Range: 2-1010.4%
Total Percent:12.6%
 

Very High Rehabilitation Plus Extensive Services

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • 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: 2-106.7%
Total Percent:6.7%
 

High Rehabilitation Plus Extensive Services

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • 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: 2-100.8%
Total Percent:0.8%
 

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: 6-103.1%
ADL Index Range: 0-529.9%
Total Percent:33.0%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1610.7%
ADL Index Range: 6-102.7%
ADL Index Range: 0-513.6%
Total Percent:27.0%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-164.2%
ADL Index Range: 0-53.4%
Total Percent:7.6%
 

Special Care Low

  • Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
  • Respiratory failure and oxygen therapy while a resident
  • Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
  • Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
  • Ulcers: 2 or more venous or arterial ulcers
  • Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
  • Foot infection/diabetic foot ulcer/open lesions of foot with treatment
  • Radiation therapy while a resident
  • Dialysis while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 15-16
- No Signs of depression
4.6%
ADL Index Range: 11-14
- No Signs of depression
1.4%
ADL Index Range: 2-5
- No Signs of depression
1.4%
Total Percent:7.4%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 15-16
- No Signs of depression
0.4%
ADL Index Range: 2-5
- No Signs of depression
0.3%
Total Percent:0.7%
 

Behavioral Symptoms and Cognitive Performance

  • Cognitive impairment BIMS score less than or equal to 9
  • CPS great than or equal to 3
  • Hallucinations or delusions
  • Physical or verbal behavioral symptoms toward others
  • Other behavioral symptoms
  • Rejection of care or wandering
  • Activities of Daily Living (ADL) score of 5 or less
ADL Index Range: 2-5
- Less restorative nursing
2.0%
Total Percent:2.0%
 

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: 11-14
- Less restorative nursing
2.0%
ADL Index Range: 2-5
- Less restorative nursing
0.1%
Total Percent:2.1%
 

Rating Details For Pearsall Nursing and Rehabilitation Center - North

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 DayReportedExpected
Registered Nurse (RN) Hours25 Minutes1 Hour and 10 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours50 Minutes42 Minutes
Certified Nursing Assistant (CNA) Hours1 Hour and 48 Minutes2 Hours and 16 Minutes
Total Licensed Nurse Hours1 Hour and 15 Minutes1 Hour and 52 Minutes
Total Nurse Hours3 Hours and 3 Minutes4 Hours and 8 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 FacilityTexas Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season88%91%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination76%88%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Had a Urinary Tract Infection10%9%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain3%4%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores3%12%
Percent of Long-Stay Residents Who Lose Too Much Weight11%6%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores1%3%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder9%5%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse8%12%
Percent of Long-Stay Residents Who Are More Depressed or Anxious6%13%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder49%46%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased7%18%
Percent of Long-Stay Residents Who Were Physically Restrained3%4%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair2%6%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season67%84%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination59%79%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores6%11%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain7%16%
Percent of Short-Stay Residents Who Have Delirium1%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 04/15/2011.

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 InspectorsDegree of HarmResidents Affected

Administration

Hire a Qualified Activities Director.
  • Inspection Date: 09/25/2009
  • Correction Date: 02/28/2010
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 04/15/2011
  • Correction Date: 04/16/2011

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 09/25/2009
  • Correction Date: 09/26/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 09/30/2010
  • Correction Date: 10/30/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 09/25/2009
  • Correction Date: 09/26/2009
Make Sure That Residents Are Well Nourished.
  • Inspection Date: 09/30/2010
  • Correction Date: 10/15/2010
Use Properly Trained Paid Feeding Assistants, Provide Licensed Nursing Supervision of the Feeding Assistants, or Properly Monitor the Feeding of Its Residents.
  • Inspection Date: 09/30/2010
  • Correction Date: 10/15/2010

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 09/25/2009
  • Correction Date: 09/26/2009
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 09/30/2010
  • Correction Date: 10/30/2010
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 09/30/2010
  • Correction Date: 10/30/2010
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 04/15/2011
  • Correction Date: 04/16/2011

Quality Care

Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
  • Inspection Date: 09/30/2010
  • Correction Date: 10/30/2010
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Inspection Date: 04/15/2011
  • Correction Date: 04/16/2011

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: 09/30/2010
  • Correction Date: 10/30/2010

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 09/25/2009
  • Correction Date: 09/26/2009
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: 04/15/2011
  • Correction Date: 04/16/2011

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Pearsall Nursing and Rehabilitation Center - North, 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 ComplaintsDegree of HarmResidents Affected

Environmental

Provide Needed Housekeeping and Maintenance.
  • Complaint Filed: 02/16/2010
  • Correction Date: 02/23/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 10/07/2010
  • Correction Date: 10/29/2010

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Complaint Filed: 03/05/2010
  • Correction Date: 04/05/2010

Nutrition and Dietary

Offer Other Nutritional Food to Each Resident Who Will Not Eat the Food Served.
  • Complaint Filed: 02/16/2010
  • Correction Date: 02/23/2010

Quality Care

Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Complaint Filed: 08/11/2010
  • Correction Date: 08/30/2010

Resident Rights

Provide Services to Meet the Needs and Preferences of Each Resident.
  • Complaint Filed: 08/11/2010
  • Correction Date: 08/16/2010

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 Pearsall Nursing and Rehabilitation Center - North 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 04/14/2011.

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 InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 09/23/2009
  • Correction Date: 11/03/2009

Building Construction

Approved Construction Type or Materials.
  • Inspection Date: 09/29/2010
  • Correction Date: 10/15/2010

Building Service Equipment

Properly Protected Cooking Facilities.
  • Inspection Date: 04/14/2011
  • Correction Date: 04/15/2011

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 09/23/2009
  • Correction Date: 10/09/2009
Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 04/14/2011
  • Correction Date: 04/15/2011

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 04/14/2011
  • Correction Date: 04/15/2011

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 04/14/2011
  • Correction Date: 04/18/2011

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 09/23/2009
  • Correction Date: 10/02/2009
Proper Construction of Ducts Through Walls Designed to Prevent Smoke Passage.
  • Inspection Date: 09/23/2009
  • Correction Date: 11/03/2009
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 04/14/2011
  • Correction Date: 04/15/2011
Source: Medicare Nursing Home Compare; Department of Aging and Disability Services - Retrieved 2011