MANDA ANN CONVALESCENT HOME INC

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 04/29/2011.

Administration

Get Proof That a Nurse Aide Has the Training and Skills That the State Requires. Inspection Date: 05/15/2009 Correction Date: 06/15/2009
1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides. Inspection Date: 05/15/2009 Correction Date: 06/15/2009
Give or Get Lab Tests to Meet the Needs of Residents. Inspection Date: 05/15/2009 Correction Date: 06/15/2009
Keep Accurate and Appropriate Medical Records. Inspection Date: 04/09/2010 Correction Date: 05/09/2010
Keep Accurate and Appropriate Medical Records. Inspection Date: 04/29/2011 Correction Date: 05/29/2011

Environmental

Provide Clean Bed and Bath Linens That Are in Good Condition. Inspection Date: 05/15/2009 Correction Date: 06/15/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 05/15/2009 Correction Date: 06/15/2009
Keep All Essential Equipment Working Safely. Inspection Date: 05/15/2009 Correction Date: 06/15/2009
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area. Inspection Date: 05/15/2009 Correction Date: 06/15/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 05/15/2009 Correction Date: 06/15/2009
Put Firmly Secured Handrails on Each Side of Hallways. Inspection Date: 05/15/2009 Correction Date: 06/15/2009
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests. Inspection Date: 05/15/2009 Correction Date: 06/15/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 04/09/2010 Correction Date: 05/09/2010
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 04/09/2010 Correction Date: 05/09/2010
Put Firmly Secured Handrails on Each Side of Hallways. Inspection Date: 04/09/2010 Correction Date: 05/09/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 04/29/2011 Correction Date: 05/29/2011

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 05/15/2009 Correction Date: 06/15/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 05/15/2009 Correction Date: 06/15/2009

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 05/15/2009 Correction Date: 06/15/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 04/29/2011 Correction Date: 05/29/2011

Pharmacy Service

Make Sure That Residents Are Safe from Serious Medication Errors. Inspection Date: 04/09/2010 Correction Date: 05/09/2010

Quality Care

Provide Activities to Meet the Needs of Each Resident. Inspection Date: 05/15/2009 Correction Date: 06/15/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 05/15/2009 Correction Date: 06/15/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 05/15/2009 Correction Date: 06/15/2009
Give or Get Dental Care for Each Resident. Inspection Date: 05/15/2009 Correction Date: 06/15/2009
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 04/09/2010 Correction Date: 05/09/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 04/09/2010 Correction Date: 05/09/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 04/09/2010 Correction Date: 05/09/2010
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 04/09/2010 Correction Date: 05/09/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 04/29/2011 Correction Date: 05/29/2011
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 04/29/2011 Correction Date: 05/29/2011
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Inspection Date: 04/29/2011 Correction Date: 05/29/2011

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: 05/15/2009 Correction Date: 06/15/2009
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: 04/09/2010 Correction Date: 05/09/2010
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: 04/29/2011 Correction Date: 05/29/2011
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 04/29/2011 Correction Date: 05/29/2011
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan. Inspection Date: 04/29/2011 Correction Date: 05/29/2011

Resident Rights

Tell the Resident Completely About His or Her Health Status. Inspection Date: 04/29/2011 Correction Date: 05/29/2011
Let a Representative of the State Ombudsman Look at a Resident's Records, if the Resident Agrees. Inspection Date: 04/29/2011 Correction Date: 05/29/2011
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 04/29/2011 Correction Date: 05/29/2011

The table below lists incident reports by the nursing staff or administration for Manda Ann Convalescent Home Inc, as well as complaints by residents or their family in the previous three years.

Administration

Keep Accurate and Appropriate Medical Records. Complaint Filed: 02/27/2009 Correction Date: 03/27/2009

Environmental

Keep Safe, Clean and Homelike Surroundings. Complaint Filed: 02/27/2009 Correction Date: 04/27/2009
Keep Temperature Levels Comfortable and Safe. Complaint Filed: 04/09/2010 Correction Date: 05/09/2010
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Complaint Filed: 09/26/2010 Correction Date: 01/01/1900
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests. Complaint Filed: 09/26/2010 Correction Date: 01/01/1900

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Complaint Filed: 04/14/2011 Correction Date: 05/29/2011

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Complaint Filed: 04/09/2010 Correction Date: 05/09/2010

Quality Care

Provide Activities to Meet the Needs of Each Resident. Complaint Filed: 04/08/2008 Correction Date: 05/08/2008
Give Professional Services That Follow Each Resident's Written Care Plan. Complaint Filed: 06/30/2009 Correction Date: 07/30/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Complaint Filed: 12/15/2010 Correction Date: 01/01/1900

Resident Rights

Try to Resolve Each Resident's Complaints Quickly. Complaint Filed: 09/26/2010 Correction Date: 01/01/1900

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 Manda Ann Convalescent Home Inc 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 04/28/2011.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 05/13/2009 Correction Date: 06/13/2009
Portable Fire Extinguishers. Inspection Date: 05/13/2009 Correction Date: 06/13/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 04/08/2010 Correction Date: 04/27/2010
Portable Fire Extinguishers. Inspection Date: 04/28/2011 Correction Date: 05/28/2011

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 05/13/2009 Correction Date: 06/13/2009
Corridor and Hallway Doors That Block Smoke. Inspection Date: 04/08/2010 Correction Date: 04/27/2010

Electrical

Weekly Inspections and Monthly Testing of Generators. Inspection Date: 05/13/2009 Correction Date: 06/13/2009
Weekly Inspections and Monthly Testing of Generators. Inspection Date: 04/08/2010 Correction Date: 04/27/2010
Properly Installed Electrical Wiring and Equipment. Inspection Date: 04/28/2011 Correction Date: 05/28/2011

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 05/13/2009 Correction Date: 06/13/2009
Exits That Are Accessible at All Times. Inspection Date: 04/08/2010 Correction Date: 04/27/2010

Fire Alarm Systems

Properly Maintained Smoke Detectors. Inspection Date: 05/13/2009 Correction Date: 06/13/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 05/13/2009 Correction Date: 07/09/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 04/08/2010 Correction Date: 05/04/2010

Illumination and Emergency Power

Proper Backup Exit Lighting. Inspection Date: 05/13/2009 Correction Date: 06/13/2009
Properly Located and Lighted "Exit" Signs. Inspection Date: 05/13/2009 Correction Date: 06/13/2009
Properly Located and Lighted "Exit" Signs. Inspection Date: 04/28/2011 Correction Date: 05/28/2011

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 05/13/2009 Correction Date: 06/13/2009

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 05/13/2009 Correction Date: 06/13/2009
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 04/28/2011 Correction Date: 05/28/2011