LEXINGTON PLACE NURSING & REHABILITATION

The information listed below provides an in-depth look into the type and quality of care offered at Lexington Place Nursing & Rehabilitation. 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

LEXINGTON PLACE NURSING & REHABILITATION
330 E BAGLEY RD
RUSK, TX 75785
(903) 683-5438

Nursing Home Ratings

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

Percent of Beds Occupied

41%

Number of Residents and Certified Beds

  • Residents: 57
  • Certified Beds: 140

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Partnership
  • Offers Only Resident Counseling
  • This Facility is Part of a Chain or Franchise

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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 Lexington Place Nursing & Rehabilitation. 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

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-165.3%
ADL Index Range: 6-102.9%
ADL Index Range: 0-510.6%
Total Percent:18.7%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1611.5%
ADL Index Range: 6-1012.0%
ADL Index Range: 0-546.6%
Total Percent:70.2%
 

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: 15-16
- No Signs of depression
5.3%
Total Percent:5.3%
 

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
5.8%
Total Percent:5.8%
 

Rating Details For Lexington Place Nursing & Rehabilitation

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) Hours20 Minutes1 Hour and 4 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours1 Hour and 20 Minutes38 Minutes
Certified Nursing Assistant (CNA) Hours1 Hour and 60 Minutes2 Hours and 10 Minutes
Total Licensed Nurse Hours1 Hour and 40 Minutes1 Hour and 42 Minutes
Total Nurse Hours3 Hours and 40 Minutes3 Hours and 52 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 Who Were Assessed and Given Pneumococcal Vaccination56%88%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season83%91%

Long-Term Stay Deficiencies

Percent of High-Risk Long-Stay Residents Who Have Pressure Sores20%12%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection10%9%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores2%3%
Percent of Long-Stay Residents Who Lose Too Much Weight6%6%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased21%18%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder7%5%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder40%46%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair6%6%
Percent of Long-Stay Residents Who Are More Depressed or Anxious24%13%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse7%12%
Percent of Long-Stay Residents Who Were Physically Restrained2%4%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain1%4%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination82%79%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season80%84%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores21%11%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain9%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 02/10/2011.

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: 03/26/2009
  • Correction Date: 04/28/2009
Give or Get Lab Tests to Meet the Needs of Residents.
  • Inspection Date: 03/26/2009
  • Correction Date: 04/28/2009

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 03/26/2009
  • Correction Date: 04/28/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 03/26/2009
  • Correction Date: 04/28/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 03/26/2009
  • Correction Date: 04/28/2009
Put Firmly Secured Handrails on Each Side of Hallways.
  • Inspection Date: 03/26/2009
  • Correction Date: 04/28/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 01/28/2010
  • Correction Date: 02/28/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 01/28/2010
  • Correction Date: 02/28/2010
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 01/28/2010
  • Correction Date: 02/28/2010

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
  • Inspection Date: 03/26/2009
  • Correction Date: 04/28/2009
Make Sure That the Attending Doctor Orders Special Diets.
  • Inspection Date: 03/26/2009
  • Correction Date: 04/28/2009
1) Provide 3 Meals Daily at Regular Times; or 2) Serve Breakfast Within 14 Hours After Dinner; or 3) Offer a Snack at Bedtime Each Day.
  • Inspection Date: 03/26/2009
  • Correction Date: 04/28/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 03/26/2009
  • Correction Date: 04/28/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 01/28/2010
  • Correction Date: 02/28/2010

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 03/26/2009
  • Correction Date: 04/28/2009
Make Sure That Residents Are Safe from Serious Medication Errors.
  • Inspection Date: 03/26/2009
  • Correction Date: 04/28/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 03/26/2009
  • Correction Date: 04/28/2009

Quality Care

Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 03/26/2009
  • Correction Date: 04/28/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 03/26/2009
  • Correction Date: 05/01/2009
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: 03/26/2009
  • Correction Date: 04/28/2009
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Inspection Date: 03/26/2009
  • Correction Date: 04/28/2009
Develop/Implement Required Procedures for the Administration of Immunizations.
  • Inspection Date: 03/26/2009
  • Correction Date: 04/28/2009
Give or Get Dental Care for Each Resident.
  • Inspection Date: 03/26/2009
  • Correction Date: 04/28/2009

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 03/26/2009
  • Correction Date: 05/01/2009

Resident Rights

Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey.
  • Inspection Date: 01/28/2010
  • Correction Date: 02/28/2010

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 TakenDateAmount
Civil Money Penalty (CMP)05/14/2010$1,463
Civil Money Penalty (CMP)01/28/2010$2,500
Civil Money Penalty (CMP)05/14/2010$3,250
Civil Money Penalty (CMP)03/26/2009$44,800
Denial of Payment for New Admission (DPNA)03/26/2009-
Denial of Payment for New Admission (DPNA)01/28/2010-

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Lexington Place Nursing & Rehabilitation, 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

Administration

1) Set Up a Group That is Legally Responsible for Writing and Setting Up Policies for Leading and Running the Nursing Home; or 2) Hire a Properly Licensed Administrator.
  • Complaint Filed: 07/20/2010
  • Correction Date: 08/20/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 06/27/2008
  • Correction Date: 07/22/2008
Keep All Essential Equipment Working Safely.
  • Complaint Filed: 10/19/2009
  • Correction Date: 10/28/2009

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: 06/27/2008
  • Correction Date: 07/22/2008
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Complaint Filed: 06/27/2008
  • Correction Date: 07/22/2008
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: 09/10/2009
  • Correction Date: 09/25/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Complaint Filed: 09/10/2009
  • Correction Date: 09/25/2009

Pharmacy Service

Make Sure That Residents Are Safe from Serious Medication Errors.
  • Complaint Filed: 06/27/2008
  • Correction Date: 07/22/2008
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Complaint Filed: 06/27/2008
  • Correction Date: 07/22/2008
Properly Mark Drugs and Other Similar Products.
  • Complaint Filed: 03/26/2009
  • Correction Date: 04/28/2009

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 05/14/2010
  • Correction Date: 06/16/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 05/14/2010
  • Correction Date: 06/16/2010
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Complaint Filed: 07/20/2010
  • Correction Date: 08/20/2010

Resident Assessment

Get Doctor Orders for the Resident's Immediate Care when Admitted.
  • Complaint Filed: 06/27/2008
  • Correction Date: 07/22/2008

Resident Rights

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.
  • Complaint Filed: 05/14/2010
  • Correction Date: 06/16/2010

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 Lexington Place Nursing & Rehabilitation 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 02/10/2011.

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

Properly Working Sprinkler Alarm System.
  • Inspection Date: 03/13/2009
  • Correction Date: 04/28/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 01/27/2010
  • Correction Date: 02/28/2010
Portable Fire Extinguishers.
  • Inspection Date: 01/27/2010
  • Correction Date: 02/28/2010
An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 02/10/2011
  • Correction Date: 03/27/2011

Building Construction

Approved Construction Type or Materials.
  • Inspection Date: 03/13/2009
  • Correction Date: 04/28/2009
Approved Construction Type or Materials.
  • Inspection Date: 01/27/2010
  • Correction Date: 03/15/2010
Approved Construction Type or Materials.
  • Inspection Date: 02/10/2011
  • Correction Date: 03/27/2011

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 02/10/2011
  • Correction Date: 01/01/1900
An Externally Vented Heating System.
  • Inspection Date: 02/10/2011
  • Correction Date: 03/27/2011
Properly Protected Cooking Facilities.
  • Inspection Date: 02/10/2011
  • Correction Date: 03/27/2011

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 03/13/2009
  • Correction Date: 04/28/2009
Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke.
  • Inspection Date: 01/27/2010
  • Correction Date: 02/28/2010
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 02/10/2011
  • Correction Date: 03/27/2011

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 03/13/2009
  • Correction Date: 04/28/2009
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 03/13/2009
  • Correction Date: 04/28/2009
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 01/27/2010
  • Correction Date: 02/28/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 02/10/2011
  • Correction Date: 03/27/2011

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 03/13/2009
  • Correction Date: 05/08/2009
Exits That Are Accessible at All Times.
  • Inspection Date: 02/10/2011
  • Correction Date: 03/27/2011

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 01/27/2010
  • Correction Date: 02/28/2010
A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 02/10/2011
  • Correction Date: 03/27/2011

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 03/13/2009
  • Correction Date: 04/28/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 01/27/2010
  • Correction Date: 02/28/2010
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 02/10/2011
  • Correction Date: 03/27/2011

Illumination and Emergency Power

Properly Located and Lighted "Exit" Signs.
  • Inspection Date: 03/13/2009
  • Correction Date: 04/28/2009

Interior Finish

Fire-Resistant Room Wall Surfaces.
  • Inspection Date: 02/10/2011
  • Correction Date: 03/27/2011

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 03/13/2009
  • Correction Date: 04/28/2009
Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 02/10/2011
  • Correction Date: 03/27/2011

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 01/27/2010
  • Correction Date: 02/28/2010
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 01/27/2010
  • Correction Date: 02/28/2010
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 02/10/2011
  • Correction Date: 03/27/2011

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 03/13/2009
  • Correction Date: 04/28/2009
Source: Medicare Nursing Home Compare; Department of Aging and Disability Services - Retrieved 2011