DECATUR NURSING AND REHABILITATION LP

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 Decatur Nursing and Rehabilitation Lp. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Ultra-High Rehabilitation

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

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

Short-Term Stay Preventive Actions

Short-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 03/11/2011.

Administration

Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents. Inspection Date: 03/12/2009 Correction Date: 04/10/2009
Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents. Inspection Date: 03/11/2011 Correction Date: 04/08/2011

Environmental

Keep Sound Levels Comfortable. Inspection Date: 03/12/2009 Correction Date: 03/30/2009

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 04/08/2010 Correction Date: 04/30/2010

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: 03/11/2011 Correction Date: 04/08/2011
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 03/11/2011 Correction Date: 04/08/2011

Quality Care

Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 03/12/2009 Correction Date: 04/02/2009
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 04/08/2010 Correction Date: 04/30/2010
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 03/11/2011 Correction Date: 04/08/2011
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 03/11/2011 Correction Date: 04/08/2011
Give Proper Treatment to Residents with Feeding Tubes to Prevent Problems (Such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-Pharyngeal Ulcers) and Help Restore Eating Skills, if Possible. Inspection Date: 03/11/2011 Correction Date: 04/08/2011

Resident Assessment

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: 03/12/2009 Correction Date: 04/10/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 03/12/2009 Correction Date: 04/10/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 04/08/2010 Correction Date: 04/30/2010

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 03/12/2009 Correction Date: 04/02/2009
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 04/08/2010 Correction Date: 04/09/2010
Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 03/11/2011 Correction Date: 04/08/2011

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.

The table below lists incident reports by the nursing staff or administration for Decatur Nursing and Rehabilitation Lp, as well as complaints by residents or their family in the previous three years.

Administration

Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident. Complaint Filed: 09/20/2010 Correction Date: 09/21/2010

Environmental

Keep All Essential Equipment Working Safely. Complaint Filed: 08/20/2010 Correction Date: 09/17/2010

Mistreatment

Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others. Complaint Filed: 09/20/2010 Correction Date: 09/21/2010
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. Complaint Filed: 09/20/2010 Correction Date: 09/21/2010
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Complaint Filed: 09/20/2010 Correction Date: 09/21/2010
Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others. Complaint Filed: 03/11/2011 Correction Date: 04/08/2011

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 Decatur Nursing and Rehabilitation Lp 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 03/09/2011.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 03/10/2009 Correction Date: 04/01/2009
Portable Fire Extinguishers. Inspection Date: 03/10/2009 Correction Date: 03/13/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 03/09/2011 Correction Date: 04/04/2011

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions. Inspection Date: 03/10/2009 Correction Date: 01/01/1900
An Externally Vented Heating System. Inspection Date: 03/10/2009 Correction Date: 04/02/2009
Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions. Inspection Date: 04/07/2010 Correction Date: 01/01/1900

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 03/10/2009 Correction Date: 04/01/2009

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 04/07/2010 Correction Date: 04/30/2010