SAINT ANNS NURSING HOME

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 03/31/2011.

Administration

Post Nurse Staffing Information. Inspection Date: 03/13/2009 Correction Date: 04/07/2009
Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents. Inspection Date: 03/31/2011 Correction Date: 05/13/2011
Give or Get Lab Tests to Meet the Needs of Residents. Inspection Date: 03/31/2011 Correction Date: 05/13/2011

Environmental

Provide Rooms That Are Big Enough for Each Resident. Inspection Date: 03/13/2009 Correction Date: 01/01/1900
Provide Rooms That Are Big Enough for Each Resident. Inspection Date: 04/21/2010 Correction Date: 01/01/1900
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 03/31/2011 Correction Date: 05/13/2011
Have a Program to Keep Infection from Spreading. Inspection Date: 03/31/2011 Correction Date: 05/13/2011
Provide Rooms That Are Big Enough for Each Resident. Inspection Date: 03/31/2011 Correction Date: 05/13/2011
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 03/31/2011 Correction Date: 05/13/2011
Put Firmly Secured Handrails on Each Side of Hallways. Inspection Date: 03/31/2011 Correction Date: 05/13/2011

Nutrition and Dietary

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: 03/31/2011 Correction Date: 05/13/2011
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 03/31/2011 Correction Date: 05/13/2011

Pharmacy Service

Properly Mark Drugs and Other Similar Products. Inspection Date: 04/21/2010 Correction Date: 06/01/2010
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 03/31/2011 Correction Date: 05/13/2011
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 03/31/2011 Correction Date: 05/13/2011
Properly Mark Drugs and Other Similar Products. Inspection Date: 03/31/2011 Correction Date: 05/13/2011

Quality Care

Use a Registered Nurse at Least 8 Hours a Day, 7 Days a Week. Inspection Date: 03/13/2009 Correction Date: 03/15/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 03/31/2011 Correction Date: 05/13/2011

Resident Rights

Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 04/21/2010 Correction Date: 04/22/2010
Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 03/31/2011 Correction Date: 05/13/2011
Let Residents Give Themselves Their Drugs if They Are Able. Inspection Date: 03/31/2011 Correction Date: 05/13/2011
Make Sure Each Resident Has the Right to Choose Activities, Schedules and Health Care According to His or Her Interests, Assessment, and Plan of Care. Inspection Date: 03/31/2011 Correction Date: 05/13/2011

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

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 05/17/2011 Correction Date: 05/18/2011

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Complaint Filed: 05/17/2011 Correction Date: 05/26/2011

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 Saint Anns Nursing Home 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 03/29/2011.

Building Construction

Approved Construction Type or Materials. Inspection Date: 03/16/2009 Correction Date: 04/27/2009
Approved Construction Type or Materials. Inspection Date: 04/22/2010 Correction Date: 05/28/2010

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions. Inspection Date: 03/29/2011 Correction Date: 01/01/1900
An Externally Vented Heating System. Inspection Date: 03/29/2011 Correction Date: 05/12/2011

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 03/16/2009 Correction Date: 03/19/2009
Signs That State That Exit Doors Are to Be Kept Closed. Inspection Date: 03/16/2009 Correction Date: 04/27/2009
Signs That State That Exit Doors Are to Be Kept Closed. Inspection Date: 04/22/2010 Correction Date: 05/10/2010

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 03/16/2009 Correction Date: 04/27/2009
Weekly Inspections and Monthly Testing of Generators. Inspection Date: 04/22/2010 Correction Date: 04/27/2010
Properly Installed Electrical Wiring and Equipment. Inspection Date: 04/22/2010 Correction Date: 04/26/2010

Emergency Plans and Fire Drills

Did Not Have a Written Emergency Evacuation Plan. Inspection Date: 03/16/2009 Correction Date: 04/27/2009

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 04/22/2010 Correction Date: 05/21/2010
Exits That Are Accessible at All Times. Inspection Date: 03/29/2011 Correction Date: 05/12/2011

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 03/16/2009 Correction Date: 04/10/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 03/16/2009 Correction Date: 04/27/2009

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 03/16/2009 Correction Date: 04/27/2009

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 03/16/2009 Correction Date: 04/27/2009
Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 04/22/2010 Correction Date: 05/28/2010