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
7146 BAKER BLVD
RICHLAND HILLS, TX 76118
(817) 589-1734

Nursing Home Ratings

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

Percent of Beds Occupied

89%

Number of Residents and Certified Beds

  • Residents: 101
  • Certified Beds: 114

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 "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 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: 11-1630.9%
ADL Index Range: 6-1022.1%
ADL Index Range: 0-513.3%
Total Percent:66.3%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-164.3%
ADL Index Range: 6-104.2%
ADL Index Range: 0-51.2%
Total Percent:9.7%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-162.7%
ADL Index Range: 6-103.9%
Total Percent:6.6%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-162.7%
Total Percent:2.7%
 

Reduced Physical Function

  • Urinary and/or bowel training program
  • Passive and/or active range of motion (ROM)
  • Amputation/prosthesis training
  • Dressing or grooming training
  • Eating or swallowing training
  • Transfer training
  • Splint or brace assistance
  • Bed mobility and/or walking training
  • Communication training
ADL Index Range: 15-16
- Two or more restorative nursing on 6+ days/wk
2.3%
ADL Index Range: 15-16
- Less restorative nursing
3.2%
ADL Index Range: 11-14
- Two or more restorative nursing on 6+ days/wk
5.1%
ADL Index Range: 6-10
- Less restorative nursing
4.0%
Total Percent:14.7%
 

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) Hours22 Minutes1 Hour and 11 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours43 Minutes40 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 7 Minutes2 Hours and 30 Minutes
Total Licensed Nurse Hours1 Hour and 5 Minutes1 Hour and 51 Minutes
Total Nurse Hours3 Hours and 12 Minutes4 Hours and 21 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 Vaccination90-100%88%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season86%91%

Long-Term Stay Deficiencies

Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-3%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased28%18%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain4%4%
Percent of Long-Stay Residents Who Are More Depressed or Anxious17%13%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair6%6%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores11%12%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder4%5%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse6%12%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder59%46%
Percent of Long-Stay Residents Who Were Physically Restrained2%4%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection20%9%
Percent of Long-Stay Residents Who Lose Too Much Weight4%6%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%79%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%84%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium-3%
Percent of Short-Stay Residents Who Have Pressure Sores8%11%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain19%16%

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 06/04/2010.

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

1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides.
  • Inspection Date: 10/17/2008
  • Correction Date: 11/17/2008
Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents.
  • Inspection Date: 10/17/2008
  • Correction Date: 11/17/2008

Environmental

Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 06/04/2010
  • Correction Date: 07/04/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 08/28/2009
  • 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: 10/17/2008
  • Correction Date: 11/14/2008

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

Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 12/29/2008
  • Correction Date: 01/02/2009

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: 07/21/2009
  • Correction Date: 01/01/1900
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Complaint Filed: 07/21/2009
  • Correction Date: 01/01/1900

Resident Rights

Provide Enough Notice Before Discharging or Transferring a Resident.
  • Complaint Filed: 09/09/2010
  • Correction Date: 09/17/2010

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 06/04/2010.

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

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 08/27/2009
  • Correction Date: 09/28/2009

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 08/27/2009
  • Correction Date: 01/01/1900
Properly Protected Cooking Facilities.
  • Inspection Date: 08/27/2009
  • Correction Date: 09/28/2009

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 08/27/2009
  • Correction Date: 09/28/2009

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 10/16/2008
  • Correction Date: 10/23/2008
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 10/16/2008
  • Correction Date: 11/14/2008
Source: Medicare Nursing Home Compare; Department of Aging and Disability Services - Retrieved 2011