TERRELL HEALTHCARE CENTER

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 Terrell Healthcare Center. 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

Medium Rehabilitation

Reduced Physical Function

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 02/25/2011.

Administration

Hire a Qualified Activities Director. Inspection Date: 01/22/2010 Correction Date: 03/05/2010

Environmental

Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 02/20/2009 Correction Date: 03/12/2009
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests. Inspection Date: 02/20/2009 Correction Date: 03/12/2009
Provide Needed Housekeeping and Maintenance. Inspection Date: 01/22/2010 Correction Date: 03/05/2010
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 02/25/2011 Correction Date: 01/01/1900

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 02/20/2009 Correction Date: 03/12/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 02/20/2009 Correction Date: 03/12/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 02/25/2011 Correction Date: 01/01/1900

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 02/20/2009 Correction Date: 03/12/2009

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 02/25/2011 Correction Date: 01/01/1900
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 02/25/2011 Correction Date: 01/01/1900
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 02/25/2011 Correction Date: 01/01/1900
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: 02/25/2011 Correction Date: 01/01/1900

Resident Rights

Let the Resident Refuse Treatment or Refuse to Take Part in an Experiment. Inspection Date: 02/25/2011 Correction Date: 01/01/1900

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

Administration

Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents. Complaint Filed: 10/14/2010 Correction Date: 11/14/2010

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. Complaint Filed: 10/14/2010 Correction Date: 11/14/2010

Quality Care

Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Complaint Filed: 01/14/2011 Correction Date: 02/14/2011

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 Terrell Healthcare 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 02/23/2011.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 01/21/2010 Correction Date: 01/29/2010

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions. Inspection Date: 02/19/2009 Correction Date: 01/01/1900
Properly Protected Cooking Facilities. Inspection Date: 02/19/2009 Correction Date: 03/10/2009
Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions. Inspection Date: 01/21/2010 Correction Date: 01/01/1900

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 02/19/2009 Correction Date: 02/20/2009

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 02/19/2009 Correction Date: 01/01/1900
Exits That Are Accessible at All Times. Inspection Date: 01/21/2010 Correction Date: 01/01/1900

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 02/23/2011 Correction Date: 03/25/2011

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 02/19/2009 Correction Date: 02/20/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 01/21/2010 Correction Date: 02/01/2010

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 02/19/2009 Correction Date: 02/20/2009

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 02/19/2009 Correction Date: 03/05/2009
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 02/19/2009 Correction Date: 03/05/2009

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 02/19/2009 Correction Date: 03/10/2009
Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 01/21/2010 Correction Date: 01/25/2010