FLORESVILLE NURSING AND REHABILITATION 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 "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 Floresville Nursing and Rehabilitation Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Very High Rehabilitation Plus Extensive Services

High Rehabilitation Plus Extensive Services

Medium Rehabilitation Plus Extensive Services

Ultra-High Rehabilitation

Very High Rehabilitation

Medium Rehabilitation

Special Care High

Special Care Low

Clinically Complex

Behavioral Symptoms and Cognitive Performance

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 05/26/2011.

Administration

Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents. Inspection Date: 04/03/2009 Correction Date: 05/18/2009
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. Inspection Date: 03/26/2010 Correction Date: 04/06/2010
Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents. Inspection Date: 03/26/2010 Correction Date: 03/29/2010
Keep Accurate and Appropriate Medical Records. Inspection Date: 03/26/2010 Correction Date: 03/29/2010
Keep Accurate and Appropriate Medical Records. Inspection Date: 05/26/2011 Correction Date: 06/15/2011

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 04/03/2009 Correction Date: 05/18/2009
Provide Rooms That Are Big Enough for Each Resident. Inspection Date: 04/03/2009 Correction Date: 01/01/1900
Have a Program to Keep Infection from Spreading. Inspection Date: 03/26/2010 Correction Date: 03/29/2010
Provide Rooms That Are Big Enough for Each Resident. Inspection Date: 03/26/2010 Correction Date: 01/01/1900
Provide Bedrooms That Don't Allow Residents to See Each Other when Privacy is Needed. Inspection Date: 03/26/2010 Correction Date: 03/29/2010
Provide Rooms That Are Big Enough for Each Resident. Inspection Date: 05/26/2011 Correction Date: 01/01/1900
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 05/26/2011 Correction Date: 06/15/2011

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 04/03/2009 Correction Date: 05/18/2009
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. Inspection Date: 03/26/2010 Correction Date: 03/29/2010
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 03/26/2010 Correction Date: 03/29/2010
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 05/26/2011 Correction Date: 05/27/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 04/03/2009 Correction Date: 05/18/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 03/26/2010 Correction Date: 03/29/2010
Make Sure That Residents Are Well Nourished. Inspection Date: 05/26/2011 Correction Date: 06/15/2011
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 05/26/2011 Correction Date: 06/15/2011

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 04/03/2009 Correction Date: 05/07/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 03/26/2010 Correction Date: 03/29/2010
Properly Mark Drugs and Other Similar Products. Inspection Date: 05/26/2011 Correction Date: 06/15/2011

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 04/03/2009 Correction Date: 05/18/2009
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Inspection Date: 04/03/2009 Correction Date: 05/18/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 03/26/2010 Correction Date: 03/29/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 03/26/2010 Correction Date: 03/29/2010
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Inspection Date: 03/26/2010 Correction Date: 03/29/2010
Use a Registered Nurse at Least 8 Hours a Day, 7 Days a Week. Inspection Date: 03/26/2010 Correction Date: 04/05/2010
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 05/26/2011 Correction Date: 06/15/2011
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Inspection Date: 05/26/2011 Correction Date: 05/27/2011

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 04/03/2009 Correction Date: 05/18/2009
Make Sure That Doctors See a Resident's Plan of Care at Every Visit and Make Notes About Progress and Orders in Writing. Inspection Date: 04/03/2009 Correction Date: 05/18/2009
Assess the Resident when the Resident Enters the Nursing Home, in a Timely Manner. Inspection Date: 03/26/2010 Correction Date: 03/29/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 03/26/2010 Correction Date: 03/29/2010

Resident Rights

Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 04/03/2009 Correction Date: 05/18/2009
Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help. Inspection Date: 03/26/2010 Correction Date: 03/29/2010
Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 05/26/2011 Correction Date: 06/15/2011

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

Environmental

Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Complaint Filed: 07/28/2009 Correction Date: 08/26/2009
Have a Program to Keep Infection from Spreading. Complaint Filed: 05/10/2011 Correction Date: 06/03/2011

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 Floresville Nursing and Rehabilitation 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 05/26/2011.

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 04/01/2009 Correction Date: 05/15/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 05/26/2011 Correction Date: 06/14/2011

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions. Inspection Date: 05/26/2011 Correction Date: 01/01/1900

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 04/01/2009 Correction Date: 05/15/2009
Corridor and Hallway Doors That Block Smoke. Inspection Date: 03/24/2010 Correction Date: 04/14/2010

Electrical

A Separate and Independent Backup Electrical Power Source. Inspection Date: 04/01/2009 Correction Date: 05/15/2009

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 03/24/2010 Correction Date: 04/30/2010

Illumination and Emergency Power

Proper Backup Exit Lighting. Inspection Date: 04/01/2009 Correction Date: 05/15/2009

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 03/24/2010 Correction Date: 03/26/2010

Smoke Compartmentation and Control

Proper Construction of Ducts Through Walls Designed to Prevent Smoke Passage. Inspection Date: 04/01/2009 Correction Date: 05/15/2009
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 05/26/2011 Correction Date: 06/22/2011