RIVER OAKS CARE CENTER
Address
100 BAILEY ST
WICHITA FALLS, TX 76301
(940) 766-0279
Nursing Home Ratings
| Health Inspections | |
| Quality Measures | |
| Nursing Staff | |
| R.N. Staff Only | |
| Overall Rating | |
Percent of Beds Occupied
68%Number of Residents and Certified Beds
- Residents: 38
- Certified Beds: 56
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
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 River Oaks Care 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 |
Ultra-High Rehabilitation
- At least one rehabilitation discipline five days/week
- A second rehabilitation discipline three days/week
| ADL Index Range: 11-16 | 2.8% |
| ADL Index Range: 6-10 | 12.1% |
| ADL Index Range: 0-5 | 21.8% |
| Total Percent: | 36.7% |
Very High Rehabilitation
- At least one rehabilitation discipline five days/week
| ADL Index Range: 11-16 | 15.3% |
| ADL Index Range: 6-10 | 6.6% |
| ADL Index Range: 0-5 | 12.7% |
| Total Percent: | 34.5% |
High Rehabilitation
- At least one rehabilitation discipline five days/week
| ADL Index Range: 11-16 | 5.0% |
| ADL Index Range: 6-10 | 1.0% |
| ADL Index Range: 0-5 | 12.3% |
| Total Percent: | 18.4% |
Medium Rehabilitation
- Five days any combination of three rehabilitation disciplines
| ADL Index Range: 6-10 | 4.7% |
| ADL Index Range: 0-5 | 4.3% |
| Total Percent: | 9.0% |
Special Care High
- Comatose
- Septicemia
- Diabetes with daily injections and a change of order two or more days
- Quadriplegia with ADL score greater or equal to 5
- Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
- Fever with pneumonia, or vomiting, or weight loss, or feeding tube
- Parenteral/IV feedings
- Respiratory therapy for 7 days
- Activities of Daily Living (ADL) score of 2 or more
| ADL Index Range: 11-14 - Signs of depression | 0.7% |
| Total Percent: | 0.7% |
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: 2-5 - No Signs of depression | 0.3% |
| Total Percent: | 0.3% |
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: 0-1 - Less restorative nursing | 0.3% |
| Total Percent: | 0.3% |
Rating Details For River Oaks Care 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 | 41 Minutes | 1 Hour and 5 Minutes |
| Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 1 Hour and 13 Minutes | 34 Minutes |
| Certified Nursing Assistant (CNA) Hours | 1 Hour and 40 Minutes | 2 Hours and 6 Minutes |
| Total Licensed Nurse Hours | 1 Hour and 53 Minutes | 1 Hour and 40 Minutes |
| Total Nurse Hours | 3 Hours and 33 Minutes | 3 Hours and 46 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 Given Influenza Vaccination During the Flu Season | 89% | 91% |
| Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 81% | 88% |
Long-Term Stay Deficiencies
| Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 15% | 12% |
| Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 25% | 46% |
| Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 4% | 12% |
| Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 5% | 9% |
| Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 17% | 18% |
| Percent of Long-Stay Residents Who Have Moderate to Severe Pain | 6% | 4% |
| Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores | 1% | 3% |
| Percent of Long-Stay Residents Who Lose Too Much Weight | 5% | 6% |
| 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 | - | 4% |
| Percent of Long-Stay Residents Who Are More Depressed or Anxious | 17% | 13% |
| Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 5% | 5% |
Short-Term Stay Preventive Actions
| Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 62% | 79% |
| Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 84% |
Short-Term Stay Deficiencies
| Percent of Short-Stay Residents Who Have Pressure Sores | 13% | 11% |
| Percent of Short-Stay Residents Who Have Delirium | - | 3% |
| Percent of Short-Stay Residents Who Had Moderate to Severe Pain | 8% | 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 04/04/2011.
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 Inspectors | Degree of Harm | Residents Affected |
Administration
Have a Detailed, Written Plan for Disasters and Emergencies.
|  |  |
Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident.
|  |  |
Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents.
| | |
Environmental
Provide Needed Housekeeping and Maintenance.
|  | |
Provide Needed Housekeeping and Maintenance.
| | |
Have a Program to Keep Infection from Spreading.
| | |
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
| | |
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
| | |
Have a Program to Keep Infection from Spreading.
| | |
Keep All Essential Equipment Working Safely.
| | |
Nutrition and Dietary
Make Sure That Residents Are Well Nourished.
| | |
Store, Cook, and Give out Food in a Safe and Clean Way.
| | |
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.
| | |
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
| | |
Properly Mark Drugs and Other Similar Products.
| | |
Quality Care
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
| |  |
Provide Activities to Meet the Needs of Each Resident.
| | |
Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being.
| | |
Resident Assessment
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
| | |
Resident Rights
Keep Each Resident's Personal and Medical Records Private and Confidential.
| | |
Deficiencies from Complaints and Incidents
The table below lists incident reports by the nursing staff or administration for River Oaks Care 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 |
Resident Rights
Provide Enough Notice Before Discharging or Transferring a Resident.
| | |
Help and Prepare Each Resident for a Safe and Easy Discharge and Transfer from the Nursing Home.
| | |
Provide Written Records when a Resident is Transferred or Discharged.
| | |
Let the Resident Refuse Treatment or Refuse to Take Part in an Experiment.
| | |
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 River Oaks Care 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 04/11/2011.
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 Inspectors | Degree of Harm | Residents Affected |
Automatic Sprinkler Systems
An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
| | |
Building Service Equipment
Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
| | |
An Externally Vented Heating System.
| | |
Emergency Plans and Fire Drills
Did Not Have a Written Emergency Evacuation Plan.
| | |
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
| | |
Exits and Egress
Exits That Are Accessible at All Times.
| | |
Exits That Are Accessible at All Times.
| | |
Hazardous Area
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
| | |
