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
611 NW STALLINGS DR
NACOGDOCHES, TX 75961
(936) 564-1138
611 NW STALLINGS DR
NACOGDOCHES, TX 75961
(936) 564-1138
Nursing Home Ratings
| Health Inspections | |
| Quality Measures | |
| Nursing Staff | |
| R.N. Staff Only | |
| Overall Rating | |
Percent of Beds Occupied
63%Number of Residents and Certified Beds
- Residents: 60
- Certified Beds: 96
This Facility Accepts
- Medicare
- Medicaid
Operational Details
- Operated By For Profit - Corporation
- Offers Only Resident Counseling
- This Facility is Part of a Chain or Franchise
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 Services | Resident Conditions | Percent of Service Days |
Ultra-High Rehabilitation Plus Extensive Services
Rehabilitation 720 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
- A second rehabilitation discipline three days/week
- Tracheostomy care
- Ventilator or respirator
- Isolation for active infectious disease while a resident
- Activities of Daily Living (ADL) score of 2 or more
| ADL Index Range: 2-10 | 0.2% |
| Total Percent: | 0.2% |
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: 11-16 | 11.4% |
| ADL Index Range: 6-10 | 19.7% |
| ADL Index Range: 0-5 | 29.0% |
| Total Percent: | 60.2% |
Very High Rehabilitation
Rehabilitation 500 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
| ADL Index Range: 11-16 | 1.9% |
| ADL Index Range: 6-10 | 2.7% |
| ADL Index Range: 0-5 | 10.8% |
| Total Percent: | 15.4% |
High Rehabilitation
Rehabilitation 325 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
| ADL Index Range: 11-16 | 0.2% |
| ADL Index Range: 6-10 | 2.7% |
| Total Percent: | 2.8% |
Medium Rehabilitation
Rehabilitation 150 Minutes Per Week Minimum
- Five days any combination of three rehabilitation disciplines
| ADL Index Range: 11-16 | 1.1% |
| ADL Index Range: 0-5 | 0.6% |
| Total Percent: | 1.7% |
Special Care High
- Comatose
- Septicemia
- Diabetes with daily injections and a change of order two or more days
- Quadriplegia with ADL score greater or equal to 5
- Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
- Fever with pneumonia, or vomiting, or weight loss, or feeding tube
- Parenteral/IV feedings
- Respiratory therapy for 7 days
- Activities of Daily Living (ADL) score of 2 or more
| ADL Index Range: 6-10 - No Signs of depression | 0.2% |
| ADL Index Range: 2-5 - No Signs of depression | 1.9% |
| Total Percent: | 2.1% |
Special Care Low
- Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
- Respiratory failure and oxygen therapy while a resident
- Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
- Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
- Ulcers: 2 or more venous or arterial ulcers
- Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
- Foot infection/diabetic foot ulcer/open lesions of foot with treatment
- Radiation therapy while a resident
- Dialysis while a resident
- Activities of Daily Living (ADL) score of 2 or more
| ADL Index Range: 11-14 - No Signs of depression | 5.7% |
| ADL Index Range: 6-10 - No Signs of depression | 8.5% |
| Total Percent: | 14.2% |
Clinically Complex
- Pneumonia, hemiplegia with ADL score >=5
- Surgical wounds or open lesions with treatment
- Burns
- Chemotherapy while a resident
- Oxygen therapy while a resident
- IV medications or transfusions while a resident
- Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
| ADL Index Range: 11-14 - No Signs of depression | 0.9% |
| ADL Index Range: 2-5 - No Signs of depression | 1.7% |
| 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: 0-1 - Less restorative nursing | 0.8% |
| Total Percent: | 0.8% |
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 Day | Reported | Expected |
| Registered Nurse (RN) Hours | 18 Minutes | 1 Hour and 8 Minutes |
| Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 56 Minutes | 40 Minutes |
| Certified Nursing Assistant (CNA) Hours | 1 Hour and 55 Minutes | 2 Hours and 17 Minutes |
| Total Licensed Nurse Hours | 1 Hour and 15 Minutes | 1 Hour and 48 Minutes |
| Total Nurse Hours | 3 Hours and 10 Minutes | 4 Hours and 5 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 Facility | Texas Average |
Long-Term Stay Preventive Actions
| Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 91% |
| Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 73% | 88% |
Long-Term Stay Deficiencies
| Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 3% | 5% |
| Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | 3% | 6% |
| Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 3% | 9% |
| Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 19% | 12% |
| Percent of Long-Stay Residents Who Were Physically Restrained | - | 4% |
| Percent of Long-Stay Residents Who Are More Depressed or Anxious | 25% | 13% |
| Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 50% | 46% |
| Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores | - | 3% |
| Percent of Long-Stay Residents Who Have Moderate to Severe Pain | 3% | 4% |
| Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 9% | 18% |
| Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 3% | 12% |
| Percent of Long-Stay Residents Who Lose Too Much Weight | 9% | 6% |
Short-Term Stay Preventive Actions
| Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 70% | 79% |
| Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season | 79% | 84% |
Short-Term Stay Deficiencies
| Percent of Short-Stay Residents Who Have Delirium | - | 3% |
| Percent of Short-Stay Residents Who Had Moderate to Severe Pain | 12% | 16% |
| Percent of Short-Stay Residents Who Have Pressure Sores | 18% | 11% |
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 Complaints | Degree of Harm | Residents Affected |
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.
|  |  |
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
| | |
Pharmacy Service
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
| | |
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
| |  |
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 11/22/2010.
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 Inspectors | Degree of Harm | Residents Affected |
Automatic Sprinkler Systems
Portable Fire Extinguishers.
|  | |
An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
| | |
Properly Working Sprinkler Alarm System.
| | |
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
| | |
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
| | |
Building Service Equipment
Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
| | |
Corridor Walls and Doors
Corridor and Hallway Doors That Block Smoke.
| | |
Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke.
| | |
Electrical
Weekly Inspections and Monthly Testing of Generators.
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Exits and Egress
Exits That Are Accessible at All Times.
| | |
Fire Alarm Systems
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
| | |
Hazardous Area
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
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Source: Medicare Nursing Home Compare; Department of Aging and Disability Services - Retrieved 2011
