COLDWATER MANOR

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 07/28/2010.

Administration

Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents. Inspection Date: 07/30/2009 Correction Date: 08/31/2009
Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents. Inspection Date: 07/28/2010 Correction Date: 09/10/2010
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 07/28/2010 Correction Date: 09/10/2010

Environmental

Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area. Inspection Date: 07/30/2009 Correction Date: 08/31/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 07/28/2010 Correction Date: 09/10/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 07/28/2010 Correction Date: 09/10/2010
Keep All Essential Equipment Working Safely. Inspection Date: 07/28/2010 Correction Date: 09/10/2010
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 07/28/2010 Correction Date: 09/10/2010

Mistreatment

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: 08/07/2008 Correction Date: 09/07/2008
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 08/07/2008 Correction Date: 09/07/2008

Nutrition and Dietary

Make Sure That Residents Are Well Nourished. Inspection Date: 07/30/2009 Correction Date: 08/31/2009
Make Sure That the Attending Doctor Orders Special Diets. Inspection Date: 07/30/2009 Correction Date: 08/31/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 07/30/2009 Correction Date: 08/31/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 07/28/2010 Correction Date: 09/10/2010

Pharmacy Service

Properly Mark Drugs and Other Similar Products. Inspection Date: 07/30/2009 Correction Date: 08/31/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 07/28/2010 Correction Date: 09/10/2010
Properly Mark Drugs and Other Similar Products. Inspection Date: 07/28/2010 Correction Date: 09/10/2010

Quality Care

Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 07/30/2009 Correction Date: 08/31/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 07/28/2010 Correction Date: 09/10/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 07/28/2010 Correction Date: 09/10/2010
Use a Registered Nurse at Least 8 Hours a Day, 7 Days a Week. Inspection Date: 07/28/2010 Correction Date: 09/10/2010

Resident Assessment

Get Doctor Orders for the Resident's Immediate Care when Admitted. Inspection Date: 07/28/2010 Correction Date: 09/10/2010

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 07/28/2010 Correction Date: 09/10/2010

The table below lists incident reports by the nursing staff or administration for Coldwater Manor, as well as complaints by residents or their family in the previous three years.

Mistreatment

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. Complaint Filed: 04/10/2009 Correction Date: 04/30/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Complaint Filed: 04/10/2009 Correction Date: 04/30/2009

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 Coldwater Manor 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 07/26/2010.

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 08/05/2009 Correction Date: 08/31/2009

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 08/05/2009 Correction Date: 08/31/2009

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 08/05/2009 Correction Date: 08/31/2009

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 08/06/2008 Correction Date: 09/19/2008
Proper Construction of Ducts Through Walls Designed to Prevent Smoke Passage. Inspection Date: 07/26/2010 Correction Date: 09/10/2010

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 08/05/2009 Correction Date: 09/01/2009